Full Answer
What is Cigna chiropractic?
Chiropractic | Cigna Chiropractic is an approach to health care that uses spinal manipulation to relieve pain. It is most often used for back or neck pain. It is sometimes used for headaches or for pain in the arms or legs.
Are appointment times guaranteed by Cigna chiropractors?
All appointment times are guaranteed by our Cigna Chiropractors & Providers. Primary Care Physicians Browse Primary Care Physiciansnear you Atlanta, GA Austin, TX
Does Medicare pay for chiropractic services?
Chiropractic services. Medicare doesn't cover other services or tests ordered by a chiropractor, including X-rays, massage therapy, and acupuncture. If you think your chiropractor is billing Medicare for chiropractic services that aren't covered, you can report suspected Medicare fraud.
What are the other Cigna websites?
Other Cigna Websites myCigna Member Portal Health Care Provider Portal Cigna for Employers Client Resource Portal Cigna for Brokers About Cigna Company Profile Careers Newsroom Investors Suppliers Third Party Administrators International Follow Us More... © 2019Cigna. All rights reserved Privacy
How much is copay for Cigna?
$20 copay • Includes charges for the delivery of medical and health-related services and consultations by dedicated virtual providers as medically appropriate through audio, video, and secure internet-based technologies.
Does Cigna have a deductible?
View Your Plan Deductibles If you are a current Cigna customer and have registered for myCigna, you can view your deductibles on your coverage page.
What happens when you meet your deductible Cigna?
Coinsurance: Once you meet your deductible, your health plan kicks in to share costs with you. This is your coinsurance. Your share of these costs also goes toward meeting your out-of-pocket max.
What does 100% after copay mean?
The 100 percent amount in the phrase "100 percent after deductible" references a co-insurance structure. Co-insurance is shared obligations between the insurer and the covered member on service fees. With a 100 percent after-deductible benefit, you have no co-insurance. Another common co-insurance format is 80/20.
How does a copay work?
A copay (or copayment) is a flat fee that you pay on the spot each time you go to your doctor or fill a prescription. For example, if you hurt your back and go see your doctor, or you need a refill of your child's asthma medicine, the amount you pay for that visit or medicine is your copay.
What does Cigna not cover?
The following services are excluded from coverage regardless of clinical indications; ▪ Macromastia or Gynecomastia Surgeries; ▪ Surgical treatment of varicose veins; ▪ ▪ Rhinoplasty; ▪ Blepharoplasty; ▪ Redundant skin surgery; ▪ Removal of skin tags; ▪ Acupressure; ▪ Craniosacral/cranial therapy; ▪ Dance therapy, ...
What does copay after deductible mean?
A copay after deductible is a flat fee you pay for medical service as part of a cost-sharing relationship in which you and your health insurance provider must pay for your medical expenses. Deductibles, coinsurance, and copays are all examples of cost sharing.
Do you pay copay after out-of-pocket maximum is met?
An out of pocket maximum is the set amount of money you will have to pay in a year on covered medical costs. In most plans, there is no copayment for covered medical services after you have met your out of pocket maximum.
What is the goal of chiropractic treatment?
The goal of chiropractic treatment is to increase movement in the joint and relax the muscles. Some chiropractors use heat, electrical stimulation, or ultrasound to help relax your muscles before doing spinal manipulation. Other types of treatment may include: Heat or ice. Corsets or braces.
What is a chiropractor?
Most doctors of chiropractic ( chiropractors) take a natural approach to promoting health through lifestyle changes, nutrition, and exercise. Many chiropractors have extra training in physical rehabilitation and specific exercise therapy. Some also use nutritional analysis, herbal therapy, and acupuncture.
What is the name of the device that chiropractors use to manipulate the spine?
The table is noisy, but this method is actually very gentle. Some chiropractors use a hand-held device called an activator to do spinal manipulations. This is also very gentle.
Is it safe to go to a chiropractor for back pain?
Visiting a chiropractor for low back pain is actually simple, safe, and usually painless. And a visit to the chiropractor results in relief for many people. Your first visit will be a lot like a first-time visit to any new doctor. It's likely to include: A health history.
What is a chiropractic modality?
In some states, Chiropractic physicians are required to hold a specific certification to use physical medicine modalities in practice. The American Medical Association (AMA) Current Procedural Terminology (CPT) manual defines a modality as "any physical agent applied to produce therapeutic changes to biologic tissue; includes but is not limited to thermal, acoustic, light, mechanical, or electric energy” (AMA, 2018). Modalities may be supervised, which means that the application of the modality doesn’t require direct one-on-one patient contact by the practitioner; or modalities may involve constant attendance, which indicates that the modality requires direct one-on-one patient contact by the practitioner. Examples of supervised modalities include application of hot or cold packs, mechanical traction, and unattended electrical stimulation. Examples of modalities that require constant attendance include ultrasound, manually applied electrical stimulation, and iontophoresis.
What is CMT in chiropractic?
The Chiropractic Manipulative Therapy (CMT) service includes a brief reevaluation of the patient’s condition, as well as documentation of the patient’s response to the treatment. Routine use of E/M services is not medically necessary. A reevaluation (an Established Patient E/M service) is indicated when there are new clinical findings, a rapid change in the individual's status, or failure to respond to treatment interventions. There are several routine reassessments that are not considered reevaluations. These include ongoing reassessments that are part of each skilled treatment session, progress reports, and discharge summaries.
What is CPT code 98940?
Chiropractic treatment can vary from Chiropractic Manipulative Therapy alone (CMT CPT codes 98940-98943) to the use of a variety of physical medicine and rehabilitation modalities and procedures depending on the patient’s condition, response to care, and treatment tolerance. All services must be supported in the treatment plan and be based on an individual's medical condition. A chiropractic treatment session may include:
What is exacerbation in chiropractic?
According to the CCGPP consensus recommendations for the management of chronic spine related conditions, “An exacerbation is characterized by a return of atypical pain and/or other symptoms and/or pain-related difficulty performing tasks and actions equivalent to the appropriate minimal clinically important change value for the outcome of interest .” (Farabaugh, et al., 2010). Once maximum therapeutic benefit has been reached and documented, additional chiropractic services may be warranted when there is an exacerbation of the condition or re-injury. Management of chronic pain conditions involves an understanding and compliance with self-directed home care, and when self-directed care fails to sustain previously achieved gains during exacerbation or re-injury, a short course of treatment (i.e., 1-6 visits per episode) may be necessary (Farabaugh, et al., 2010 [Council of Chiropractic Guidelines and Practice Parameters [CCGPP]).
Why is it important to measure outcomes in chiropractic?
Outcome measures are important in direct management of individual patient care and for the opportunity they provide the profession in collectively comparing care and determining effectiveness.
Is massage therapy considered medically necessary?
Massage therapy is considered NOT medically necessary when it is provided in the absence of other covered chiropractic modalities or physical therapy/occupational therapy. It must be provided as part of
Is infrared thermography necessary for radiculopathy?
Thermography, specifically the use of diagnostic infrared equipment requiring a special climate controlled room under controlled conditions, is considered medically necessary for certain conditions including complex regional pain syndromes, carpal tunnel syndrome, disc herniation, and radiculopathy. Diagnostic thermography, when performed using a hand held contact (e.g., liquid crystal) or thermocouple (e.g., neurocalometer or Nervoscope) devices, is considered experimental and investigational and not medically necessary for any condition. Sanchis-Sánchez et al. (2014) completed a systematic review and meta-analysis on infrared thermal imaging in the diagnosis of musculoskeletal injuries. The authors concluded there is a lack of support for the usefulness of infrared thermal imaging in musculoskeletal injury diagnosis. Dibai-Filho and Guirro (2015) did a critical review of the literature on the evaluation of myofascial trigger points using infrared thermography. The authors concluded that currently, there are few studies evaluating the accuracy and reliability of infrared thermography for the diagnosis and assessment of myofascial trigger points.
What is infrared therapy?
Originally, this dry heat lamp was used to increase circulation to relieve muscle spasm. Other heating modalities are considered superior to infrared lamps. Given this, infrared light therapy is considered not medically necessary for any condition. More recently, infrared or near infrared energy has been used therapeutically. Considered low level laser or light therapy, these devices utilize laser or LEDs to treat damaged tissues; however utilization of this specific CPT code is not designated for low level laser. This also does not refer to Anodyne® Therapy System.
How long does IMOT therapy last?
This therapy involves performing exercises over an extended period of time — typically 5 days a week for 4 hours a day . The time in the program may be a 3 week period or longer. There is insufficient evidence to conclude that IMOT demonstrates improved long term and short term outcomes over less intensive/frequent care (Sakzewski et al., 2014; Anderson et al., 2013; Christiansen and Lange 2008; Sakzewski, Ziviani et al., 2014). Therapeutic suits such as the Adeli and NeuroSuit are also used and proposed to assist in re-training the central nervous system by allowing the child to overcome increasingly complex pathological movement and to execute and repeat previously unknown movement patterns. More studies are needed to provide evidence to support use of these suits to improve outcomes.
Dr. Calvin Mulanax, DC
Zocdoc only allows patients to write reviews if we can verify they have seen the provider. Providers can’t request to alter or remove reviews.
Dr. Lincoln Kamell, DC, CCSP
Zocdoc only allows patients to write reviews if we can verify they have seen the provider. Providers can’t request to alter or remove reviews.
Dr. Matthew (Matt) Smith, DC
Zocdoc only allows patients to write reviews if we can verify they have seen the provider. Providers can’t request to alter or remove reviews.
Dr. Michael Arsheed, DC
Zocdoc only allows patients to write reviews if we can verify they have seen the provider. Providers can’t request to alter or remove reviews.
Dr. Jaffer Barlas, DC
Zocdoc only allows patients to write reviews if we can verify they have seen the provider. Providers can’t request to alter or remove reviews.
Dr. Yunjo Song, DC
Zocdoc only allows patients to write reviews if we can verify they have seen the provider. Providers can’t request to alter or remove reviews.
Dr. Michael Hanson, DC
Zocdoc only allows patients to write reviews if we can verify they have seen the provider. Providers can’t request to alter or remove reviews.
Good discounts
Mary is 32 and a new patient. After her initial exam, her chiropractor recommends 12 visits. During the financial report of findings, Mary is informed that she has a high-deductible plan and will be responsible for paying out-of-pocket for all 12 visits.
Bad discounts
My personal experience, and why I am committed to educating the profession on compliant discounting, comes from my worst day in practice.
Illegal chiropractic discount plans
Frequently, I have heard of doctors who routinely offer no-charge services. They feel that by not charging anyone (patient, insurance, Medicare, etc.), they are not violating any rule or regulation. They need to think again.
What is part B in chiropractic?
Chiropractic services. Part B covers certain doctors' services, outpatient care, medical supplies, and preventive services. Health care services or supplies needed to diagnose or treat an illness, injury, condition, disease, or its symptoms and that meet accepted standards of medicine.
What is Medicare approved amount?
Medicare-Approved Amount. In Original Medicare, this is the amount a doctor or supplier that accepts assignment can be paid. It may be less than the actual amount a doctor or supplier charges. Medicare pays part of this amount and you’re responsible for the difference. and the Part B.
Does Medicare cover chiropractors?
When one or more of the bones of your spine move out of position. . Medicare doesn't cover other services or tests a chiropractor orders, including X-rays, massage therapy, and acupuncture.
What is Cigna coverage policy?
Coverage Policies are intended to provide guidance in interpreting certain standard Cigna benefit plans. Please note, the terms of a customer’s particular benefit plan document [Group Service Agreement, Evidence of Coverage, Certificate of Coverage, Summary Plan Description (SPD) or similar plan document] may differ significantly from the standard benefit plans upon which these Coverage Policies are based. For example, a customer’s benefit plan document may contain a specific exclusion related to a topic addressed in a Coverage Policy. In the event of a conflict, a customer’s benefit plan document always supersedes the information in the Coverage Policies. In the absence of a controlling federal or state coverage mandate, benefits are ultimately determined by the terms of the applicable benefit plan document. Coverage determinations in each specific instance require consideration of 1) the terms of the applicable benefit plan document in effect on the date of service; 2) any applicable laws/regulations; 3) any relevant collateral source materials including Coverage Policies and; 4) the specific facts of the particular situation. Coverage Policies relate exclusively to the administration of health benefit plans. Coverage Policies are not recommendations for treatment and should never be used as treatment guidelines. In certain markets, delegated vendor guidelines may be used to support medical necessity and other coverage determinations. Proprietary information of Cigna. Copyright ©2014 Cigna
When is additional chiropractic care warranted?
Once maximum therapeutic benefit has been reached and documented , additional chiropractic services may be warranted when there is an exacerbation of the condition or re-injury. Management of chronic pain conditions involves an understanding and compliance with self-directed home care, and when self-directed care fails to sustain previously achieved gains during exacerbation or re-injury, a short course of treatment (i.e., 1-6 visits per episode) may be necessary (Farabaugh, et al., 2010 [Council of Chiropractic Guidelines and Practice Parameters [CCGPP]).
What is the purpose of chiropractic care?
Chiropractic care is a system that, in theory, uses the recuperative powers of the body and the relationship between the musculoskeletal structures and functions of the body, particularly of the spinal column and nervous system , to restore and maintain health without drugs or surgery. Chiropractic science is based on the premise that abnormalities and misalignments of the spine, defined as subluxations, distort and interrupt the normal function of the nervous system.