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Aetna Updates 97140 Policy

机译:Aetna更新97140政策

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In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer. Gone is the prepayment review policy of extraspinal diagnoses, which bundled 97140 into a chiropractic manipulative adjustment if performed on the same day and required documentation that the manual therapy was provided to a separate and distinct region from the CMT. The updated policy also makes allowances for situations in which intraspinal claims qualify as separate, payable services.
机译:在一项发展中,新泽西州脊医协会称其为“全国脊医的巨大胜利”,Aetna保险公司更新了其有关97140(手动疗法)的国家报销政策,在该协会向美国脊医协会提起宣告性诉讼两年后达成协议联邦法院针对保险人。脊柱外诊断的预付款审查政策已经一去不复返了,如果在同一天执行,则将97140捆绑到脊骨治疗学调整中,并且需要有关将手动治疗提供给与CMT分开的不同区域的文档。更新后的政策还对脊柱内索偿有资格作为单独的应付款服务的情况提供了补贴。

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