b'CODING Update ComplianceLEGAL NUTRITIONUpdateANJC NewsANJC Leadership ANJC News! NUTRITION LEGAL EASEANJC Scholarships REHAB Update CHIRO AssistExecutive Directors Update LEGAL Q&A2020 ANJC AWARDSLegislative UpdateINSURANCE Update INSURANCE Update 2021 SUMMER Insurance Update TECHNIQUE UpdateBy Matt MinnellaANJC Director of Insurance & Regulatory AffairsIntersegmental Tractionno longer billable as 97012:CPT Code 97012 has often been used for treatment MedicareQ&AMedicare Updaterendered via roller tables/intersegmental traction.However, in July of 2020, the AMA published an articleOUR HEALTHin the AMA CPT Assistant that states an intersegmental traction/roller table does not meet the requirement of autotraction, the use of the bodys own weight to create sufficient force allowing for separation between joint surfaces The AMA further states that CPT code 97039, Unlisted modality (specify type and time if constant attendance), should be reported.As such, providers should bill intersegmental traction/roller table as CPT 97039 instead of CPT 97012.It should be noted that insurance carriers are less likely to reimburse 97039 than they are 97012.Nevertheless, to NJ Healthcare Transparency Law:continue to bill 97012 for a procedure that does not meet The New Jersey Health Care Transparency Act was signedthe AMAs definition could expose the provider to an audit into law by Gov. Murphy Dec. 14, 2020, and went intoand potential recoupment of up to six years worth of effect July 1st.This law creates new identification require- reimbursement for the code.ments for healthcare professionals as well as new rulesHHS Provider Relief Fund Reporting Requirements: The regarding advertisements of healthcare practices. U.S. Department of Health & Human Services (HHS) has Key points: announced updated reporting requirements for funds 1. distributed to healthcare providers under the Provider Advertisements must include the healthcare profession- Relief Fund.These funds were distributed over several als degree and license issued. payments throughout the last year.HHS has broken down Nothing deceptive or misleading can be included in 2.any advertisement.Payment ReceivedHealthcare professionals must wear a name tagExceeding $10,000 into Use FundsTime Period3. Period (PaymentsDeadline Reportingor embroidered identification during all patientAggregate Received)encounters that includes, at a minimum, the healthcare professionals full name and professional license andPeriodFrom April 10, 2020 July 1 toJune 30, 2021 September 30, degree. (If working at a hospital, a recent photo must1 to June 30, 2020 2021be included as well.)4. PeriodFrom July 1, 2020 toDecember 31,January 1 to A poster or other signage of sufficient size must beMarch 31,placed in a clear and conspicuous manner that states2 December 31, 2020 2021 2022the type of professional license and professional degree held by the healthcare professional. PeriodFrom January 1, 2021 July 1 to5.If an office has an M.D. or D.O. who supervises or3 to June 30, 2021 June 30, 2022 September 30, 2022participates in collaborative practice agreements withJanuary 1 to non-physician healthcare professionals, you mustPeriodFrom July 1, 2021 toDecember 31,March 31,clearly and conspicuously post in each office when an4 December 31, 2021 2022 2023M.D. or D.O. is present.You can find a more detailed breakdown of the law and athe payments issued into four different Payment Received link to the text of the law itself on our website under thePeriods (shown below).Unless directly contacted by Latest News section of the homepage. HHS, you only need to report on the spending of these You should be able to obtain compliant name tags fromfunds if you received $10,000 or more in any one of the your current office supply company.If you do not havePayment Received PeriodsNOT cumulatively.Also, note an office supply vendor, Staples and Office Depot sellthe deadline for spending the funds from each Payment customizable name tags that can meet the requirementsReceived Period in the chart below.for standard offices.[ INSURANCE CONTINUED ON NEXT PAGE ]10 I Summer 2021 www.anjc.info'