Maze

Insurance Issues

Insurance – Helping You Navigate the Maze!

The MAC Insurance Relations Committee, led by Chair Dr. Robert Markle and overseen by 

Executive Committee member Dr. Lisa Olszewski, works to educate Michigan DC's on the latest news and issues surrounding insurance coverage in our state, and to ensure that chiropractors receive fair reimbursement for their services.

Quick Answers to YOUR Questions!

Every day, an incredible resource – MAC Executive Director Kristine Dowell and Insurance Director Carl Alden – work to deliver prompt answers to questions on such topics as billing procedures, documentation, Medicare and Medicaid, Blue Cross, auto no-fault, workers’ compensation, and more. With the implementation of the Blues Settlement Agreements still in the early stages and the implementation of ICD-10 on October 1, this resource is more important than ever before! If you have an important question or issue you need help with, contact the MAC – we have your back!

Educational Opportunities

The Insurance Committee also works with the Education & Programs Committee to develop seminars to help doctors keep up-to-date on the most applicable laws, documentation requirements, and billing strategies. For example, in the past two years alone, we have sponsored more than 20 programs (and two webinars) regarding the ICD-10 transition, which begins October 1, 2015. More than 2,900 DCs and CAs have benefitted from this training.

The Insurance Committee also coordinates with the Public Relations Committee to develop articles for the MAC Journal and Week in Review and keep the “Members Only” portion of the MAC website full of info doctors and their staffs can use to keep their offices running efficiently. Our auto no-fault, workers’ compensation, and “Understanding Chiropractic” brochures are also key patient education resources available to our members.

Research & Technology Subcommittee

This subcommittee is charged with keeping up-to-date on the latest chiropractic research and technological advances in the profession. The Subcommittee’s major task: “Be prepared to support all claims with evidence” and to assist with efforts to educate insurers and purchasers of health insurance about the healing power (and economic cost-effectiveness) of chiropractic care.

Third-party payers rely more and more on evidence-based guidelines, so it’s critically important for chiropractors to keep abreast of current chiropractic research. How often have you submitted a claim to an insurance company, only to get a denial labeling your treatment or diagnostic testing as “experimental,” “observational,” or “investigational?” This requires chiropractors to be as up-to-date as possible on the latest research and scientific literature to effectively counter the insurance company’s ruling. The MAC can help you gather this research and formulate a strategy to fight insurance company abuses.