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WCA Help Desk Updates
Tammy McKeown, C.T. | Membership Services Director | wcahelp@wichiro.org | 608-292-1804
Medicare Reduction Returns
Participating physicians in Medicare care will be experiencing the Medicare sequestration reduction again. This is the pre-COVID reduction that reduced all Medicare payments by 2 percent. However, due to COVID, this Medicare reduction was suspended for the public health emergency.
Now that the government has lifted the public health emergency, the reduction is back on.
Things to know:
Your EOB will have remittance code CO-253
You cannot collect this from the patient
You must write it off
Evaluation ManagementBilling Modifier 25 Policy
Most recently The American Chiropractic Association (ACA) has joined more than one hundred healthcare organizations to oppose a new policy by Cigna Healthcare. WCA members, who are Cigna providers could have received a letter surrounding this change in policy.
The WCA Insurance Advocacy Committee is keeping watch on the -25-modifier policy in this case, to use it as an approach with other payors that are using this policy or that are denying claims.
Please contact the WCA Help Desk if you see these denials or if you would like to join the WCA Insurance Advocacy Committee.
