C3+

05/13/2026

🚨 ATTENTION TEXAS CHIROPRACTORS 🚨

Blue Cross Blue Shield of Texas has started making changes to chiropractic fee allowables, and many offices are already beginning to see shifts in reimbursements. 💰📉

Now more than ever, it is critical to:
✔️ Review your EOBs carefully
✔️ Monitor reimbursement trends by CPT code
✔️ Compare current payments to previous allowables
✔️ Make sure your contracted rates are being applied correctly
✔️ Stay on top of appeals and underpayments

📌 Providers can review their current BCBS Texas fee schedules directly through Availity. This is one of the best ways to verify updated allowables and compare reimbursement changes impacting your office.

Even small changes in fee schedules can have a major impact on your practice revenue over time. If you notice unusual decreases, inconsistencies, or payment issues, do not ignore them. Document everything and verify your contract terms.

This is also a great reminder to make sure your documentation, coding, and modifier usage are clean and compliant. Insurance carriers continue tightening policies and payment reviews across the board.

We encourage all providers and billing teams to stay proactive and informed during these changes. 👀

05/13/2026

🚨 Medicare Providers & Billing Teams — Important HETS Update 🚨

CMS now requires providers to complete a new HETS EDI attestation to continue allowing clearinghouses and third-party vendors to verify Original Medicare eligibility on their behalf.

⚠️ If the attestation was not completed before May 11, 2026, your Medicare eligibility requests through your clearinghouse/vendor may begin rejecting or stop processing altogether.

If you missed the deadline:
✅ Complete the attestation ASAP
✅ Contact your clearinghouse/vendor to confirm they can resume eligibility checks once processed
✅ Monitor Medicare eligibility transactions for rejections or interruptions
✅ Be prepared to verify Medicare eligibility manually until access is restored

For Novitas providers (JH/JL), complete the enrollment and attestation here:
https://www.novitas-solutions.com/webcenter/portal/MedicareJH/HETS-EDIEnrollment

✅ One attestation is required per billing NPI
✅ Applies to Original Medicare eligibility checks
✅ Must be completed by an authorized official

Do not delay — interruptions in eligibility verification can lead to billing delays, claim issues, and problems confirming patient benefits.

05/09/2026

Check this out!

https://dynamicchiropractic.com/article/103137-unitedhealthcare-removing-prior-authorization-for-chiropractic?utm_source=DCNU&utm_medium=Breaking&utm_campaign=20260508&utm_term=1&utm_content=103137&s=103310&l=13&fbclid=Iwb21leARrpMBjbGNrBGukhWV4dG4DYWVtAjExAHNydGMGYXBwX2lkDDM1MDY4NTUzMTcyOAABHrG5DixURNMo15XU4jGRAGDsqbFMe8rULVu8jFlWNa74QZuNpAwhpCwbmJY2_aem_V_rWp17440i4btGWi6emvA

UnitedHealth Group, parent company of UnitedHealthcare, has announced sweeping changes to its prior authorization (PA) requirements that will eliminate the requirement for chiropractic care and numerous other healthcare services by the end of 2026.

04/20/2026

🚨 Medicare Update: New ID Cards Being Issued (2026) 🚨

Medicare has begun issuing new Medicare cards to approximately 1.3 million beneficiaries as part of updated security measures. These new cards include updated Medicare Beneficiary Identifiers (MBIs) and are being sent out during March and April 2026, with an effective date of April 14, 2026.

⚠️ Important:
This is NOT a nationwide replacement, so not all patients will receive a new card—only those impacted.

👉 What this means for your office:

Patients may arrive with new Medicare ID numbers

You must update their information immediately in your system

Always verify eligibility before services are rendered

Using old ID numbers could lead to claim denials or delays

👉 What patients should do:

Bring their new Medicare card to appointments

Stop using old cards once the new one is active

Stay alert for scams—Medicare will not call asking for personal info

💡 Billing Tip:
Start asking every Medicare patient if they’ve received a new card recently—this simple step can prevent major reimbursement issues!

Staying ahead of changes like this keeps your office running smoothly and your revenue protected 💪

04/10/2026

🚨 Referral vs. Prior Authorization — What’s the Difference? 🚨

We get this question ALL the time, so let’s break it down 👇

👉 Referral (from the patient's P*P)
This means your primary care doctor has approved the patient to come see you.
✔️ Needed for some insurance plans (especially HMOs)
✔️ Gets the patient in the door for care

👉 Prior Authorization (from the patient's insurance)
This means the patient's insurance has approved the treatment itself.
✔️ Often required for EPO insurances
✔️ May limit how many visits or services are covered

⚠️ Important:
Having a referral does NOT mean visits are approved…
And having prior authorization does NOT mean the patient didn’t need a referral!

🚫 Provider Tip:
It is CRITICAL to verify this information before the patient’s first visit.
Failure to do so can result in denied claims, no payment, and unnecessary write-offs.

💡 Simple way to remember:
✔️ Referral = Can the patient go?
✔️ Prior Auth = Will insurance pay?

Have questions about your patient's coverage? We’re happy to help guide you! 🙌

Send a message to learn more

03/18/2026

🚨 ATTENTION CHIROPRACTIC OFFICES & BILLING TEAMS 🚨

Medicare has released an updated Advance Beneficiary Notice (ABN), and there are some important deadlines and changes you need to know!

👉 You may continue using the current ABN form through May 12th
👉 Starting May 12th, all Medicare patients must sign the NEW ABN form at their first visit

💡 Pro Tip:
We highly recommend starting this process BEFORE May 12th to avoid workflow disruptions and stay ahead of compliance requirements.

⚠️ Important Reminders:
✔️ There have been several changes to the new ABN—make sure you are reading and understanding the updated instructions before issuing it to patients
✔️ How you participate with Medicare (participating vs. non-participating) will impact how and when you use the ABN
✔️ Pay close attention to guidance regarding QMB (Qualified Medicare Beneficiary) patients—there are strict rules, and you may NOT bill them in certain situations, even with an ABN

📥 Download the NEW ABN (English & Spanish) + Instructions here:
https://www.cms.gov/medicare/forms-notices/beneficiary-notices-initiative/ffs-abn

If you need help making sure your office is using ABNs correctly, we’re here to help! 💙

The Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131, is issued by providers (including independent laboratories, home health agencies, and hospices), physicians, practitioners, and suppliers to Original Medicare (fee for service - FFS) beneficiaries in situations where Medicare payme...

03/16/2026

🚨 Chiropractors: A Reminder to Protect Your Practice 🚨

A recent lawsuit filed by Allstate against a Texas chiropractic network is making headlines in the healthcare and insurance world. The insurer alleges that over 1,200 auto-injury claims totaling more than $22 million involved standardized treatment plans, excessive services, and improper billing practices.

While the allegations in the case have not yet been proven in court, stories like this serve as an important reminder for all healthcare providers—especially those treating auto accident and personal injury cases—to stay vigilant about compliance and documentation.

✔ Make sure your care is medically necessary and individualized
✔ Ensure accurate documentation and coding
✔ Be cautious with Letters of Protection (LOPs) and billing structures
✔ Maintain proper supervision of staff and assistants
✔ Charge reasonable and defensible fees for services provided

When billing practices become questionable, it doesn’t just impact one clinic—it can bring increased scrutiny to the entire profession.

At the end of the day, ethical billing, strong documentation, and compliance protect your patients, your license, and your practice.

👉 Take a moment to read the article here:
https://www.insurancebusinessmag.com/us/news/claims/allstate-sues-texas-chiropractic-network-over-25-9-million-auto-claims-scheme-567795.aspx

1,253 claims, $22 million+ in charges, and what Allstate describes as 'cookie-cutter' care

03/07/2026

Check out our 1st TikTok and meet our team of extraordinary women!

Check out C3+’s video.

03/07/2026

Check us out!

🎥✨ We’re on TikTok! ✨🎥

C3 Plus is officially on TikTok and we’d love for you to follow along!

We’ll be sharing quick, helpful videos on topics that matter to chiropractic clinics, including:
✔️ Billing tips
✔️ Compliance guidance
✔️ Credentialing help
✔️ Front desk training
✔️ Common insurance mistakes
✔️ Practice growth ideas

Our goal is to help your clinic stay paid, compliant, and confident while giving you easy tips you can actually use in your practice.

👉 Follow us here:
https://www.tiktok.com/.plus?_r=1&_t=ZT-94UmU5suIkX

Let us know in the comments what topics you’d like us to cover! 🎥💬

02/26/2026

C3 Plus is expanding our educational content for chiropractic clinics.

We want to hear from YOU.

What would be most helpful right now?

✔ Insurance verification tips
✔ Timely filing appeals
✔ AR clean-up strategies
✔ Credentialing timelines
✔ Compliance guidance
✔ Front desk training checklists
✔ EOB posting workflows

Comment below with topics you’d like us to cover or message us privately.

Our goal is simple: provide practical tools that help your clinic stay compliant, profitable, and organized.