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Calculation of Lien Payments

Calculation of Lien Payments

The ICS has been following a line of court cases regarding the calculation of lien payments to health care providers in injury cases. In some jurisdictions, courts have ruled that plaintiffs (patients) in injury cases may deduct and retain litigation costs from the total settlement or judgment amount BEFORE applying the percentages to pay health care liens. Of course, this formula reduced the amounts available for payment of health care liens and effectively required health care providers to share in the payment of litigation costs.

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Applying for a License in Illinois

Applying for a License in Illinois

Under the Medical Practice Act of 1987, the Department of Financial and Professional Regulation (IDFPR) is responsible for regulating the practice of medicine, including the issuance of licenses and enforcement of laws that apply to licensees. The ICS has previously published an article entitled, “Administrative Investigations at the IDFPR: Know the Process and Handle With Care,” which details the enforcement process and is available to ICS members on the ICS website at www.ilchiro.org/.

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Medical Necessity Requirements

Medical Necessity Requirements

On December 23, 2015, the Centers for Medicare and Medicaid Services (CMS) released a new instructional video describing their policies and procedures for establishing the medical necessity of chiropractic care.1 The video was released on the heels of a new study released by the Office of Inspector General (OIG), “CMS Should use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services”2, which revealed extrapolated data suggesting fraud and abuse in chiropractic Medicare utilization.

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