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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)

Comparative Practice Pattern Reports (CPR) Program & Policies

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/from HNS

Patient Education & Instruction

Prescribing Drugs

Quality Improvement, Comparative Practice Patterns Report (CPR)

Radiology

Refunds/Overpayments

Requests for Patient Records

Retention of Records

Treatment of Family Members

Treatment Plans

Verifying Benefits

Waiving Co-pays, Deductibles & Co-Insurance

retention of records

 

 

The patient record, including associated relevant and/or supporting documents must be maintained in a safe and secure location.

 

HNS providers must retain complete patient records (including all EOBs) for a minimum of 7 years from last date of service OR, if the patient is a minor, for 7 years after the minor patient reaches age 19.  Once the patient reaches 19 and is still under care, the provider should retain the patient record for 7 years from the last date of service.

 

 

 

 

 

 

 


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