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Balance Billing

BCBSNC Corporate Medical Policy (CMP)

     - Chiropractic

     - DME Vendors

     - EMG/NERVE 

       CONDUCTION

     - VAD

     - Orthotics

     - Spinal Manipulation

       under Anesthesia

Chief Complaint

CIGNA HealthCare Corporate Medical Policy (CMP)

Claims/HNS Payment Protocols

Clinical Examinations/ Re-Examinations

Chiropractic Manipulative Therapies

Coding (ICD, CPT, HCPCS)

Confidentiality of Health Care Records

Co-payment/Co-insurance/Deductibles

Covered Services

Diagnostic Impression

DME Services

Documentation Requirements for the Healthcare Record

Electrodes

Evaluation & Management Services (E/M)

Financial Hardship

Frequency of Visits

Group Practices

HNS Credentialing Policies & Procedures

Informed Consent

Insurance ID Cards

Locum Tenens Billing

Maintenance & Supportive Care

Medical Necessity

Modalities/Therapies

NC Board of Examiners Guidelines

Nerve Conduction/EMG

Non-Covered Services

Notifications to HNS

Patient Education & Instruction

Prescribing Drugs

Quality Improvement, Utilization Management (UM)

Radiology

Refunds/Overpayments

Requests for Patient Records

Retention of Records

Treatment of Family Members

Treatment Plans

Verifying Benefits

Waiving Co-pays, Deductibles & Co-Insurance

Nerve conduction

 

 

Click Here for the BCBSNC Policy for Nerve Conduction (EMG's, etc)

BCBS only provides chiropractic coverage for Nerve Conduction Studies and EMGs, when performed by physicians who are Diplomates of the American Chiropractic Neurology Board (DACNB).  In order to bill BCBS for nerve conduction studies and EMG's your name must be included on the list of certified neurologists on the ACNB web site.  If your name is not included on the ACNB web site, you cannot bill BCBS for these services.  This includes out-of-state BCBS plans as well as in-state plans.

 

Please note: If you are not a Diplomate of the American Chiropractic Neurology Board (DACNB) and if EMG's are performed to members whose healthcare plans process through BCBSNC, these services must be treated as non-covered services and require a signed waiver by the patient before such services are rendered.  Please remember that all waivers for non-covered services must be maintained in the patient's healthcare record.

 

 

 

 

 


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