Enrollment Needed for SHP in 2025

Providers will need to join the NC State Health Plan Network as a Clear Pricing Project (CPP) provider before member open enrollment September 30th. Please note – Current CPP providers will need to rejoin through Aetna for 2025.  Go.Aetna.com/joincpp

Workers’ Comp Coverage

Do you have the proper Workers’ Comp coverage? Did you know that the NC Workers’ Compensation Act applies to ‘all employers of one or more employees who are employed in activities which involve the use or presence of radiation.” Click here to...

Medicare Fee Schedule

Following the government funding bill that was passed on March 9, 2024, and signed by President Biden, CMS has now updated the 2024 Medicare fee schedule that previously went into effect on January 1, 2024. The revision reduced the previous cuts by 1.68 percent. On...

CPT Coding Changes for 2024

By Dynamic Chiropractic Office visit codes 99202-99205 and 99212-99215 have been revised to remove the time “range” in minutes from each code. Instead, billing based on time requires a single “minimum time threshold” to meet or exceed. Most carriers appear to prefer...

The Dangers of Billing Under Another Provider’s NPI Number

By Dr. Ray Foxworth | ChiroHealthUSA Recently, in a Facebook group, the question arose about whether it was okay for the associate doctor in a practice to bill for services under the owner’s NPI number. The range of responses surprised me and made me aware that...

Billing Insurance: Getting Started by Dynamic Chiropractic

Once a provider is licensed, they may begin practicing and may bill insurance for their services. There is no requirement to sign up for any insurance plan to begin billing insurance. Billing insurance is not “take one take all.” You may choose to accept some plans...