Chiropractic Coding & Billing Articles

The OPPS proposal did not feature reference to several high-profile issues industry leaders have been awaiting reform on. Federal officials yesterday unveiled a pair of proposed rules, ...

When the proposed Medicare Physician Fee Schedule came out last year, it really got everyone worried. In a time where we are all facing issues related to COVID, this seemed like a reall ...

On August 3, 2020, the proposed Medicare Physician Fee Schedule for 2021 was released. This 1,355 page document includes some sweeping changes to the Medicare program. There are a few i ...

You simply need to read the headlines, posts, and tweets, about providers across the healthcare profession being audited, fined, and some even convicted, to see that the costs of non-co ...

Now is the time to prepare. There were some minor reductions to the RVUs for CMT codes 90840-90843. Check here to see what those changes are. ...

Question: When using code 99050 (after hours), do I just add a amount, example $25.00, to our normal total charges for that patients visit? ...

Many providers are unsure of where their fee schedule actually came from or when it was last reviewed. As a component of compliance and for other preventive purposes, fee schedules shou ...

In April of 2015, the Sustainable Growth Rate (SGR) formula which is used to calculate the Medicare Physician Fee Schedule (MPFS) Conversion Factor was repealed as part of the Medicare ...

If you thought that quality reporting is just for CMS, you are wrong. Other payers recognize the need to establish quality metrics. ...

When CMS Released the NPRM regarding the Quality Payment Program (QPP), it included two payment tracks: MIPS and Advanced Alternative Payment Models (APMs). Accountable Care Organizatio ...

Physician referrals -- When can we bill a consult code? If we do not have the referral on our referral pad can we bill the consult code? ...

Why might it be necessary to evaluate your fees? ...

Q&A: Do you think insurances will continue to raise deductibles and copay/co-insurance amounts? ...

Our team is frequently asked if it is legal for chiropractic offices to offer coupons or Groupons. We’re not allowed, as a profession, to dramatically discount our services, offer fre ...

What are they and how can I safely create one based on the patient's poverty level? ...