As of October 1, 2025, the federal government has entered a shutdown due to a lapse in appropriations. While Medicare benefits are considered mandatory spending and payments to providers are expected to continue, there are several areas where your practice may experience disruptions. What Will Continue Medicare claims and payments should still be processed and paid. Patient benefits remain in…
December 5, 2024 – Kansas Doctors of Chiropractic, who are in-network with Blue Cross Blue Shield of Kansas, recently received an email titled “Notification of Upcoming Risk Adjustment Requests.” This email is poorly worded and makes it seem like these audits are targeting Doctors of Chiropractic. Insurance companies that sell plans on the Affordable Care…
ICD 10 Changes October 1, 2025Minimal ICD-10-CM Updates Relevant to ChiropracticBy Evan Gwilliam DC MBA QCC CPC CCPC CPMA CPCO AAPC FellowSenior Vice President, Practisync The official ICD-10 updates for Fiscal Year 2026 go into effect October 1st, 2025. The update contains 487 new, 28 deleted, and 38 revised ICD-10-CM diagnosis codes. These 2026 ICD-10-CM…
Getting paid for an evaluation and management (E/M) service billed the same day as chiropractic manipulative treatment (CMT) is one of the most common reimbursement headaches in practice. This guide from Practisync breaks down what separates a billable E/M from the routine work already bundled into CMT — and the documentation habits that make the difference between a paid claim and a denial.
Thank you to the doctors who brought recent Blue Cross and Blue Shield of Kansas City claim denials to our attention. Based on those reports, KCA reviewed the claims information available through Infinedi Analytics for Kansas chiropractic providers. Our preliminary analysis found a notable pattern beginning in January 2026. Approximately 30% of Blue KC service lines were identified as […]
By Evan M. Gwilliam, DC MBA CPC CCPC CPMA CPCOSenior Vice President at Practisync Outsourced billing could be the smartest business choice you can make for your practice, but it might also be the completely wrong move. Before choosing a billing solution, ask yourself a few questions: Many chiropractic practices assume outsourced billing and in-house…
