RightLine Check for Arizona chiropractors

Rules from published plan policies

What it checks in Arizona

• Medicare Part B: national rules. Your contractor is Noridian, jurisdiction JF; its own rules aren't checked yet.
• Medicare Advantage: general coding and note checks, with the plan's own rules flagged for you to confirm.
• Aetna (commercial): Rules from Aetna's public chiropractic policy and claim pages, plus general checks. On HMO plans, the ASH precertification Aetna lists for chiropractic care is checked, shown as a warning. Rules behind Aetna's provider login aren't checked.
• Other commercial plans, including Blue Cross Blue Shield plans not named above: general coding and documentation rules, not plan-specific policies.
• Medicaid: general coding and note checks, with the program's own rules flagged for you to confirm.
• Self-pay visits: note and coding checks.
• Benefit managers on commercial plans: two ASH review checks when ASH manages the plan. For other managers, a reminder that their own rules aren't checked.
• Every visit: copied-note check, ICD-10-CM validity, and DC sign-off with a PIN.

Not checked yet: auto injury (PIP), workers' comp, each Medicare Advantage plan's own rules, Medicaid managed care plans' own rules, Aetna's rules behind its provider login, and other commercial plans' own rules.

Availability

Available to practices in Arizona.