WHY PCA?

As the Commonwealth’s trusted resource for all things Chiropractic, the Pennsylvania Chiropractic Association (PCA) exists to realize one visionary call to action: change our current disease management system to an authentic health care delivery system that embraces the concept of conservative care first and supports Doctors of Chiropractic as key health and wellness professionals who serve as the foundation for genuine health and wellness care delivery.

PCA pursues its raison d’etre by informing, educating and advocating on behalf of ALL Doctors of Chiropractic and their patients.  As one of the Keystone State’s leading health care associations, the PCA is outspoken about embracing Conservative Care First as a verified public health policy strategy for safe and cost-effective health care for all Pennsylvanians.  Through the delivery of a strong advocacy voice, diverse educational programs and dedicated member services, the PCA enables and empowers Doctors of Chiropractic to successfully and ethically practice for the benefit of patients, communities and the profession.




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What's News?

PCA’s 2017 Auto & Workers’ Comp Fee Chart Available to Members Now

PCA’s 2017 Auto and Workers’ Compensation Fee Chart is now available exclusively for PCA members. The much-awaited resource is published annually by the PCA, the largest Pennsylvania association representing the interests of the Commonwealth’s 4,300+ licensed Doctors of Chiropractic.



CMS Medicare Attestation System- EHR Program Announcement

***ATTESTATION EXTENDED TO March 13!!!***

The CMS Medicare Attestation System will be open and fully operational for providers attesting for the 2016 program year beginning January 3 through March 13, 2017. Providers may attest for ** ANY 90 day ** continuous reporting period within the 2016 calendar year. 

NOTE: Attestation status of In Progress represents an unsuccessful data submission, if you already did the attestation and are checking your status... and see this... please resubmit. 

  CLICK HERE

CMS pick Verma finally confronted with ethics concerns

February 17, 2017

Although industry experts expected Democrats to press Seema Verma on her business ties and potential conflict of interest issues while advising Vice President Mike Pence when he was governor of Indiana, she faced only one question about it toward the end of Thursday’s confirmation hearing for her nomination as head of the Centers for Medicare & Medicaid Services.

After nearly three hours of questioning, Senator Ron Wyden, D-Ore., ranking member of the Finance Committee, finally asked Verma about her role as a consultant working on a program for Indiana while being paid by contractors the state hired to carry out the program. Among those contractors: Hewlett Packard (HP), the largest operator of state Medicaid claims processing systems.

While Indiana ethics law does not technically apply to contractors, Wyden asked how it wasn’t a conflict for Verma—the founder and CEO of health policy consulting firm SVC Inc.—to sit on “both sides of the negotiating table.”

Seema Verma asked about future of Medicare, Medicaid during confirmation hearing for CMS post

February 16, 2017

Seema Verma, President Donald Trump’s nominee as the new administrator of the Centers for Medicare & Medicaid Services, was short on specifics as she faced questions this morning from a Senate committee about the future of those federal health programs.

Verma, a healthcare consultant from Indiana who helped design that state’s Medicaid expansion plan, frustrated some members of the Senate Finance Committee who pressed her for details as to how she would reshape the country’s Medicare and Medicaid programs. People are tired of political wrangling, “they just want their healthcare system to be fixed. … I want to be part of the solutions,” she said at the hearing.

Feds join whistleblower suit that accuses UnitedHealth of inflating Medicare Advantage risk scores

February 17, 2017

The Department of Justice has joined a whistleblower suit against UnitedHealth and one of its subsidiaries that accused them of engaging in a scheme to overcharge Medicare by inflating patients’ risk scores.

At the request (PDF) of the DOJ, a Federal District Court in Los Angeles recently unsealed a complaint (PDF) first filed in 2011 by Benjamin Poehling, who was the finance director for UnitedHealthcare Medicare and Retirement. The complaint alleged False Claims Act violations on the part of 15 insurers, but the DOJ is seeking to intervene only in the cases involving UnitedHealth and its subsidiary, WellMed Medical Management.

The Centers of Medicare & Medicaid Services pays Medicare Advantage plans using risk scores tied the level of services each patient requires. The higher the risk scores, the higher the reimbursement, which can create an incentive for insurers to upcode.

Such was the case at United when Poehling was there, his complaint alleged.

CMS: Healthcare spending growth to outpace growth in GDP

February 16, 2017

In the next decade, healthcare spending growth in the U.S. could outstrip growth of the nation’s gross domestic product, according to a new analysis.

The Office of the Actuary at the Centers for Medicare & Medicaid Services on Wednesday released its annual report in Health Affairs examining Americans’ healthcare spending. It projected average healthcare spending growth of 5.6% per year between 2016 and 2025.

By comparison, GDP growth is projected at 4.4% annually. By 2025, healthcare will account for nearly 20% of the U.S. economy, up from 17.8% in 2015, according to the report.

As recent latte lawsuit shows, there are too many frothy fights in our civil courts

February 17, 2017

Last year, a coffee shop was sued over the amount of cream used in its cafe latte.  The fact that someone would sue because of the lack of creamy goodness had many observers steamed.

Our civil justice system was designed as a last resort for parties to settle disagreements.

But do you think our courts should be clogged with lawsuits because someone is in a froth over the amount of cream used in a latte? 

Well neither does the Pennsylvania Coalition for Civil Justice Reform, a group recently formed to address imbalances in our state's civil justice system. 

10 things to know about new HHS secretary Tom Price

February 16, 2017

He’s been a longtime congressman and an orthopedic surgeon, and now Tom Price has a new title: secretary of the Department of Health and Human Services.

After 30 hours of debate, the Senate voted 52 to 47 along party lines in the early morning hours Friday to confirm President Donald Trump’s pick to oversee HHS. Democrats objected to Price's nomination from the start over concerns of potential conflicts of interest and his stance on health policies, but couldn’t persuade a single Republican senator to vote against him.

FierceHealthcare has covered the political debate over Price since Trump announced his nomination. But here are 10 things you may not know about the new head of the HHS:

State senator revives legislation giving nurse practitioners more authority

February 17, 2017

The battle is heating up again over whether nurse practitioners can practice independently of physicians in Pennsylvania. On Tuesday, state Senator Camera Bartolotta (R-Washington) introduced legislation that would allow nurse practitioners to have full practice authority in the commonwealth, which means they could see patients without being affiliated with a physician.

Senate Bill 25 is identical to a bill that passed the Senate last year but then stalled in the House. The latest bill will have to pass the Senate again and be approved by the House to become law. Under current law, nurse practitioners need to have collaborative agreements with two physicians to be practicing.

Senate Bill 25 would allow nurse practitioners to see patients without an agreement after they've completed three years and 3,600 hours of collaboration with a physician.

Proposed bill requires insurers to cover alternative pain meds

February 15, 2017

If state lawmakers sign on, insurance companies in Pennsylvania could be required to cover a new form of opioid pain pill that is harder for people to abuse.

Rep. Doyle Heffley (R-Carbon) this month introduced House Bill 288, which would require insurance companies to pay for what are called abuse-deterrent opioids, or pain pills that can’t be altered from their original form.

The pills can’t be melted into a liquid and injected, or crushed with a hammer for snorting – two common ways opioids are abused.

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ACTS 6 & 44 REIMBURSEMENT

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February 18, 2017

8:30a - 12:30p

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