Novitas, Medicare, and Chiropractic 2014
Monday, July 28, 2014 10:23 AM

As of July 24 Novitas is operating under its new local coverage determination for chiropractic services.  The local determination does not replace, modify or supersede existing Medicare national determinations, payment polices, rules or regulations for chiropractic services.  "Neither Medicare policy rules nor this LCD replace, modify or supersede applicable state statues regarding medical practice or other health practice professions acts, definitions and/or scopes of practice."

"All providers who report services for Medicare payment must fully understand and follow all existing laws, regulations, and rules for Medicare payment for chiropractic services and must properly submit only valid claims for them."  Novitas states "Please review and understand them and apply the medical necessity provisions in the policy within the context of the manual rules."  The sources below reference a number of online "Internet Only Manuals" (IOMs) for your reference.

Regarding "coverage guidance" Novitas reports "it is not appropriate to bill Medicare for services that are not covered … as if they are covered."  They remind us that when billing for non-covered services that we should use the appropriate modifier code.

Using Dietary Supplements Wisely
Written by Editor   
Thursday, July 24, 2014 12:00 AM

According to the 2007 National Health Interview Survey, which included questions on Americans’ use of natural products (not including vitamins and minerals), 17.7 percent of American adults had used these types of products in the past 12 months. The most popular of these products used by adults in the past 30 days were fish oil/omega 3/DHA (37.4 percent), glucosamine (19.9 percent), echinacea (19.8 percent), flaxseed oil or pills (15.9 percent), and ginseng (14.1 percent). National Health and Nutrition Examination Survey (NHANES) data collected from 2003 to 2006 that covered all types of dietary supplements indicate that 53 percent of American adults took at least one dietary supplement, most commonly multivitamin/multimineral supplements (taken by 39 percent of all adults). Women were more likely than men to take dietary supplements.

Like many Americans, you may take dietary supplements in an effort to stay healthy. With so many dietary supplements available and so many claims made about their health benefits, how can you decide whether a supplement is safe or useful?

Parker University Announces New Vice President of College of Chiropractic
Wednesday, July 23, 2014 01:04 PM

After a national search to fill the position, Parker University has appointed Dr. Ashley E. Cleveland as the next vice president of the College of Chiropractic. Formerly, Dr. Cleveland was provost and associate dean of Cleveland Chiropractic College in Overland Park, Kansas. She will begin her tenure as vice president of Parker University’s College of Chiropractic on November 1, 2014.  

“Ashley Cleveland has been a highly successful provost and dean, respected not only at her former institution but also by her peers throughout the chiropractic education community,” said Parker University president Brian McAulay. “Her proven skill in managing multiple aspects of a chiropractic institution make her a tremendous asset to our students in the College of Chiropractic.”

Historic Agreement Reached for 2017 Joint Chiropractic Conference
Tuesday, July 22, 2014 12:55 PM

An agreement has been reached for a joint 2017 conference in Washington, D.C., bringing together the World Federation of Chiropractic's 14th Biennial Congress, the Association of Chiropractic Colleges' Research Agenda Conference (ACC-RAC), and the National Chiropractic Leadership Conference (NCLC) hosted by the American Chiropractic Association.

"This premier event will showcase the many clinical, research and other professional advances made by the chiropractic profession in the United States and around the world.  Additionally, it will highlight the profession's unity and strength by bringing together DCs from across the profession and the world," said ACA President Anthony Hamm, DC.

The Chiropractic Scope of Practice in the United States: A Cross-Sectional Survey
Written by Editor   
Tuesday, July 22, 2014 12:32 PM

The scope of chiropractic practice in the United States has a high degree of variability. Scope of practice is dynamic, and gray areas are subject to interpretation by ever-changing board members. Although statutes may not address specific procedures, upon challenge, there may be a possibility of sanctions depending on interpretation.  

The purpose of this study was to assess the current status of chiropractic practice laws in the United States. This survey is an update and expansion of 3 original surveys conducted in 1987, 1992, and 1998.  A cross-sectional survey of licensure officials from the Federation of Chiropractic Licensing Boards e-mail list was conducted in 2011 requesting information about chiropractic practice laws and 97 diagnostic, evaluation, and management procedures.

Partial or complete responses were received from 96% of the jurisdictions in the United States. There were a total of 97 services surveyed.

The states with the highest number of services that could be performed were:

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