Professional Counselors May Directly Submit Claims for Reimbursement to Certain Blue Cross Blue Shield Insurance Programs Beginning in January 1, 2016
Posted by Donna Craig in Oct, 2015
Blue Cross and Blue Shield of Michigan has announced that effective January 1, 2016, licensed professional counselors that participate in Traditional, TRUST (PPO) and Mental Health and Substance Abuse Managed Care networks will receive direct reimbursement for covered mental health services provided within the scope of their licenses. Reimbursement will be at eighty (80%) percent […]
Category: Professional Insurance
Internal Revenue Service Finalizes 2015 Reporting Forms for Employers and Health Insurers
Posted by Donna Craig in Oct, 2015
Pursuant to the Affordable Care Act, employers with 50 or more full-time employees and health insurers, including employers with self-insured health plans are required use applicable forms to mandatorily report to the IRS in 2016. The Internal Revenue Service finalized the forms and instructions in September 2015. Employers will use 1094-C (Transmittal Form) and 1095-C (Reporting of […]
Category: News & Updates, Professional Insurance
United States Supreme Court Upholds Tax Subsidies To Individuals In All States
Posted by Donna Craig in Jun, 2015
On June 25, 2015 the Supreme Court of the United States (“SCOTUS”), in a 6-3 decision in the King v Burwell case, ruled in favor of individuals who purchase health insurance in federal Exchanges. The crux of the case came down to four words in the Affordable Care Act (“ACA”) which allowed individuals who are […]
Category: News & Updates
The Affordable Care Act – Employer Challenges in 2015. Is Your Business On Track?
Posted by Donna Craig in Mar, 2015
This week marks five years since the Affordable Care Act (“ACA”) was passed. Over the last five years some ACA provisions impacting employers have been implemented, while future changes affecting employers are on the horizon. Since January 1, 2015, employers with 100 or more employees are required to either provide affordable and qualified health insurance […]
Category: News & Updates
Affordable Care Act’s Tax Credits Comes Before the Supreme Court
Posted by Donna Craig in Mar, 2015
On March 4, 2015, the United States Supreme Court will hear oral arguments in King v. Burwell. The issue in the case is the legality of an Internal Revenue Service’s (IRS) decision to extend tax credits to individuals who purchased health insurance through federal insurance Exchanges and federally facilitated insurance Exchanges (“federal Exchanges”). Michigan has […]
Category: News & Updates
Is Your Patient Health Information Protected?
Posted by Donna Craig in Feb, 2015
Last week we woke up to the news that the second largest health insurance company in the country, Anthem Insurance Company, had its patient database hacked into by cyber attackers. While it is too early to know the full scope and impact of Anthem’s security breach, it does raise questions as to what security measures […]
Category: HIPAA
Will You Be Ready For The ICD-10 Code Transition?
Posted by Donna Craig in Jan, 2015
On October 1, 2015 physicians and other health care providers will need to use the new ICD-10 Codes when billing for services rendered to their patients. In order to be ready, health care providers and IT vendors need to work together to ensure software systems are capable of making the transition to the new ICD-10 […]
Category: Electronic Health Records
Are You Unknowingly Violating HIPAA In Your Office Practice?
Posted by Donna Craig in Jan, 2015
Using electronic media to communicate with others is a fact of life. But when health care providers send emails to patients, they may be in violation of HIPAA. To protect patients’ protected health information and avoid being the subject of HIPAA complaints consider the following: Does your Notice of Privacy Practices allow for protected health […]
Category: HIPAA
January 1, 2015 – Large Employers With More Than 100 FTEs Must Meet Mandated Regulations Or Pay Penalties
Posted by Donna Craig in Jan, 2015
As of January 1, 2015, large employers with more than 100 full-time equivalent (FTE) employees must provide affordable health insurance to at least 70 percent of their full time employees or pay penalty fines, which are not deductible as business expenses. Full time employees are those employees working an equivalent of 30 hours per week. […]
Category: News & Updates
Supreme Court’s Review Sought Regarding Non-Profit Religious Organizations’ Rights To Deny Contraceptive Insurance Coverage
Posted by Donna Craig in Jan, 2015
In 2014 the United States Supreme Court ruled in Burwell v. Hobby Lobby (U.S., June 30, 2104), that the Affordable Care Act’s contraceptive mandate violated the Religious Freedom Restoration Act (“RFRA”), meaning that religious for-profit organizations are not required to provide insurance coverage for contraceptives. The Supreme Court clearly ruled that the exercise of religion […]
Category: News & Updates