Network Newsletter

2019 Medicare deductible Medicare deductible will increase very slightly for 2019 and will be $185 ($2 increase from 2018) Medicare fees are being rolled out but we will update members when we are assured they are final as typical in the last few years the rates initially published are not Read more…

As of December 7, 2018, TriWest Healthcare Alliance will be the sole 3rd party administrator for Department of Veterans Affairs(VA) Benefits for the entire nation. TriWest will roll out their expansion in five phases over the next eight weeks. If you previously treated veterans via HealthNet or are currently billing Read more…

The 2019 codes have been published and now are included in the HJ Ross Info Network. Note these codes can be found by doing a search with “10-1-2018” and this will provide the codes are that are being added, deleted or changed for 2019 specific to chiropractic providers. The codes Read more…

2018 HJ Ross Network Member Updates CPT 2018 CPT code 97762 was deleted the code was described as Checkout for orthotic/prosthetic use, established patient, each 15 minutes, 97763 was added and replaced 97762 97763- Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent encounter orthotic(s)/prosthetic(s), encounter, each 15 Read more…

2017-2018 Digital Coding Updates   With time there are always changes, additions and updates and the following items have been recently updated in the digital coding library.   Specifically in the Insurance Coverage Guidelines section   Aetna has updated it diagnosis list for allowed codes for acupuncture as well as Read more…

Medicare deductible for 2019 has been published and will go up to $185. The 2018 deductible was $183. Medicare fees are available and in most instances had a slight increase for spinal CMT. Note for all physical medicine codes to Medicare you must also code them with a GP modifier. Read more…

Mandatory payment reduction of 2 percent continues until further notice for the Medicare FFS program – ‘Sequestration’ Medicare Fee-For-Service (FFS) claims with dates-of-service or dates-of-discharge on or after April 1, 2013, will continue to incur a 2 percent reduction in Medicare payment until further notice. This sequestration reduction is in Read more…

Noridian Medicare Diagnosis Update Chiropractic Services LCD – R3 There has been an update to the Medicare LCD for Noridian This includes Jurisdiction E – California, Hawaii, Nevada, American Samoa, Guam & Northern Mariana Islands. Jurisdiction F – Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah Washington, & Read more…

Spinal X-Ray codes updated for 2016 Full spine x-ray 72010 was deleted along with 3 other codes with addition of 4 new codes to replace them. Below is the codes deleted and added as well as their specific description   72010 Full spine AP and Lateral has been deleted use Read more…