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New Medicare Card: MBI Transition Ends in Less Than 10 Weeks

New Medicare Card: MBI Transition Ends in Less Than 10 Weeks

The 21 month Medicare Beneficiary Identifier (MBI) transition period ends on December 31, 2019. Are you ready?

Starting January 1, 2020, you must use the MBI when billing Medicare regardless of the date of service:

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Denial of Re-Exams or Established Patient Care

Denial of Re-Exams or Established Patient Care

Many Chiropractic Physicians across Missouri have been contacting the MCPA about insurance companies denying re-exams or established patient exams. The MCPA Insurance Committee met with Anthem last week to discuss the issue.

If your exams are denied, we recommend sending in your records to the insurance company to prove that a separate and identifiable service was performed. The insurance companies are reviewing these records and paying on them after the records are sent showing that the service was done.

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Missouri HealthNet Update - October 2018

Missouri HealthNet Update

Representatives from the Missouri Chiropractic Physicians Association Legal Committee, along with our Bill Sponsor Rep. John Wiemann and MCPA Lobbyist Lynne Schlosser, met with MO HealthNet last month to discuss the progress of our the implementation of the HB 1516 that became law the end of August. This new law allows MO HealthNet patients to see a chiropractic physician practicing within their scope for up to 20 visits per year.

Although this law is currently in effect, unfortunately, that does not mean that the state is currently ready for this to occur. We were told that they are working on getting their computer program set up to allow chiropractic physicians to enroll and set a fee schedule for codes that chiropractors bill. They expect to have this done by sometime in January, but no later than February. MO HealthNet will send out an announcement when enrollment is open. Since they do not currently have chiropractic physicians in their database, you are encouraged to go to their website and sign up to receive notices. Go to https://dss.mo.gov/mhd/ and sign up for email updates located on the right side. Once enrollment opens, you will first need to apply to be a MO HealthNet provider with the State of Missouri. Following that, you will be able to sign up with MCO's that cover MO HealthNet recipients. Currently, there are three MCO's: Home State Health Plan, Wellcare, and UHC Community Plan.

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