Accessibility

Acupuncture

Advertising

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

verifying benefits

 

 

HNS providers must verify eligibility and benefits prior to rendering services by contacting the member’s healthcare plan.  When verifying benefits, always clarify that you are verifying chiropractic benefits.

 

Written documentation indicating that you have verified eligibility and benefits and the information obtained during this phone call must be included in the patient’s health care record.

HNS recommends the use of the HNS Verification of Benefits form which is available on this website under the heading "HNS Forms".

 

Providers should verify and document:

 

  • That the patient’s plan includes covered chiropractic care.
  • The patient’s insurance coverage is in effect for the planned course of treatment.
  • The amount of the patient’s deductible, co-payment and/or coinsurance
  • Maximum number of Chiropractic visits allowed in a calendar or benefit year
  • Any annual maximum chiropractic plan benefit
  • If the services the provider plans to provide are covered benefits under the health care plan and if covered when rendered by a chiropractor
  • Coverage for Maintenance Care/Supportive Care
  • ANY Pre-existing conditions

 

 

 


© All Rights Reserved 2005 Health Network Solutions and Biz Technology Solutions