Coding

If you’ve browsed coding blogs on my website in the past, you have got probably already read that the simplest coding policy is to pick the code that most closely fits the service rendered. One of the most confusing coding decisions in most chiropractic offices we’ve spoken with is choosing which therapeutic procedure to use […]

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Chiropractors everywhere in the U.S. are seeing a recent increase in PI/WC denials associated with the medical necessity of nuclear magnetic resonance services rendered on patients. This is likely due to an industry-wide perceived overuse of the code, and more demanding review of records for key information associated with the connection of care to the […]

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Aetna has made a nationwide policy decision for Chiropractic that when manual therapy (97140) is performed on the same DOS as a Chiropractic Manipulative Treatment (98940-98943) that the service will automatically be denied. Your options would be to perform the manual therapy service on a different DOS than the adjustment OR to submit the services together, […]

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Starting with date of service 4/1/13, Medicare starting reducing revenues by 2% to all paid claims nationwide. This is not exclusive to chiropractic. This is due to the government budget cut. When you see the CO-223 denied portion, you will need to write-off this balance and not bill the patient. The patient’s secondary payer will […]

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According to Chiropractic Economics, between 10-30 percent of gross revenue is lost due to incorrect coding. This estimate is conservative at best. In most cases, chiropractic offices don’t employ coders, they employ billers and support staff who have no formal training or have learned on the job and picked up bad habits. The staff is […]

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There are two main ways to document timed therapy codes in your chiropractic electronic health records (EHR).: 1)      Note to the minute the time the therapy started in your chiropractic clinic and when it ended; 2)      Establish a general rule, appropriately documented in your chiropractic clinic’s policy manual, for how long your timed codes will be […]

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There are two ways to go when documenting the difference between medically necessary care and wellness care. The typical way of doing this is to simply ad a modifier. Let’s say you’re using a 98940 code. If you put an AT modifier on it, that means its medically necessary care. If you put a GA […]

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Once you have converted your chiropractic patients to a wellness phase of care and are no longer submitting to insurance, it is appropriate to document the service code S8990 for their care. This code, meant for physical or chiropractic manipulative therapy performed for maintenance rather than restoration, is an excellent way to separate out your […]

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Your chiropractic billing service company should use the CPT code(s) that most accurately describes the chiropractic service(s) rendered. Take into consideration the number of views and the body region(s) to choose the correct code(s). When assembling the chiropractic claim, use your diagnosis pointers to identify different regions and chiropractic conditions with each chiropractic procedure code. Each x-ray […]

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Your chiropractic billing services company may utilize the box19“Reserved for local use” section for adding an additional diagnosis for your chiropractic service. This box is small, so utilize your space wisely by using the 4 diagnosis pointers to document the first 4 regions and include only your 5th region inbox 19.

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