Chiropractic Coding & Billing Articles

As a provider, a question worth asking yourself these days is this: what degree of risk is there that you might have something on your website that could lead to a multi-million-dollar ...

The standardization of medical records offers numerous benefits for healthcare systems, providers, and patients. By ensuring interoperability, improved workflows, better patient safety, ...

How did you do? Take a look at the Improper Payments Report and see where there can be improvement in your practice. ...

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 ...

The anticipated changes to the Advanced Beneficiary Notice of Non-coverage (ABN) Form (CMS-R-131) have arrived. This important form is issued to the patient or client by providers, phys ...

As we begin returning back to work, we will all face a new normal. The COVID-19 pandemic has changed the face of business. While it has certainly been a challenge to keep up with the ev ...

The recently enacted Coronavirus Aid, Relief, and Economic Security (CARES) Act has several provisions to ease the financial burden being faced by healthcare providers who have been imp ...

Chiropractic care can play a valuable role in overall patient health. It is important to realize that chiropractors can effectively participate in Medicare's new value based payment sys ...

There are many things that can be missed when trying to run an effective and profitable practice. This article covers some important tasks that are often overlooked such as not reviewin ...

Question: I heard that I need to have an interpreter if someone who only speaks Spanish comes into my office. Is this really true? Answer:  Yes! There are both state and federal law ...

For many years, the ChiroCode DeskBook has emphasized the need for providers to firmly establish the patient’s financial responsibility through clear communication. We even created a ...

Question  We have a personal injury situation where we submitted a claim was sent to the patient's auto policy carrier who refused payment. We then submitted it to her other insurance ...

Chiropractic is unique from other types of health care and auditors need to be aware of the nuances of this field. Chiropractic has become the focus of more and more audits as doctors ...

In Chapter 3 — Compliance of the ChiroCode DeskBook, we warn about the dangers of disgruntled people (pages 172-173). Even if we think that we are a wonderful healthcare provider and ...

Medicare creates and maintains the National Correct Coding Initiative (NCCI) edits and NCCI Policy Manual, which identify code pair edits. When performed on the same patient, on the sam ...

It is important to understand that modifiers Q5 and Q6 are not interchangeable. So when do you use each of them? ...

Can an unlicensed person perform code a 97110 service as long as they're under doctor supervision? I use only PT, ATC, or DC's to perform these codes and I've been told that I don't nee ...

Readers of our new book, Negotiating Commercial Leases & Renewals FOR DUMMIES, will learn (in-part) that Common Area Maintenance (CAM / Operating Cost) charges for tenants come in two f ...

Free rent is just one negotiable factor in a commercial lease. To be clear, free rent is a period of time where you are not paying the Base or Minimum Rent (but are, typically, paying y ...

National Association of Chiropractic Attorneys (NACA) Directory Listed by state ...

When it comes to managing expenses in your practice, there are dozens of categories to evaluate: equipment, technology, loan costs and interest rates, sundries, marketing, and on and on ...

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 ...

Every Provider needs to know their Health Care Provider Taxonomy Codes. The Taxonomy Codes define the provider type, classification, and area of specialization. We have provided a link ...

Q: Is my software vendor a business associate to my practice? ...

Whiplash Damages in Rear-end Collisions - The Patient’s Dilemma: The rear-end collision is a major cause of cervical spine injuries which often require treatment by chiropractors an ...

How do I determine who is a Business Associate? ...

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? ...

On October 19 the Office of Inspector General for Health and Human Services (OIG) released another report on chiropractic. Oddly enough the Wall Street Journal had an article on that re ...

We have a Business Associate who has recently had a data breach, are we liable? ...

Consumer Directed Healthcare Plans (CDHP) were developed as a way to shift the control of healthcare dollars from the insurance companies to the patient (consumer). The goal of these ty ...

Did you know that the key to a successful and beneficial practice lies within the satisfaction of your patients? ...

Lots of Chiropractic practices want to know why compliance is necessary and how implementing compliance can help the practice. ...

Q&A: We just learned that for Meaningful Use attestation, we have to complete a Security Risk Assessment. What is that and how do we do it? ...

When a claim has been determined to be paid more than the allowed amount, it is considered an overpayment. The action to be taken depends on how the overpayment is discovered. This arti ...

Directory of Medicare Part B Administrators Medicare Part B Jurisdictions Contractors/Carriers by State ...

Q&A: If we use low level codes on each visit (such as 98940, 99212, 99202), will our chances of being audited be less than if we billed higher level codes? ...

Unlike MDs and DOs, chiropractors may not opt out of Medicare. When it comes to Medicare, providers and patients alike feel like beating their heads against the wall. Signing up to b ...

Q: Do you have any recommendations for audit prevention? ...

Chiropractors can’t just open a practice and expect patients to beat a path to their door. Those patients need to be able to find them. One of the easiest methods to ensure that your ...

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 ...

The most recent issue of the Journal of Manipulative and Physiological Therapeutics has a series of 3 papers that will help to fill the evidence gap and answer the question "Does in ...

When it comes to leasing, you can have too much, or too little space. Figure out how to get it just right. ...

High-deductible plans are changing the way patients utilize medical services, therefore, providers must also adapt by adjusting both their communication and billing practices to keep pa ...

The HIPAA Security Rule requires that covered entities (your practice) conduct a Security Risk Assessment (SRA) for your organization, at a minimum of once per year. It is critical that ...

What is a comprehensive program for a systematic approach to becoming a compliant office? ...

Telehealth and telemedicine are covered for many payers for services such as consultation, office visits, individual psychotherapy, and pharmacologic management delivered via a telecomm ...

It's not just the names and addresses that matter -- It's the compliance. If you can demonstrate that you are hleping yourself to maintain HIPAA compliance by careful documentation and ...

Occasionally providers are faced with the need to assess the option of making a voluntary disclosure to the government. Here are steps that every provider should consider before disclo ...

Have you thought much about parking at your clinic? This article will help you consider the issues you must be aware of as you consider this often overlooked part of a practice. ...

This article contains detailed information on the OCR guidance regarding the de-identification of Protected Health Information (PHI). Avoid HIPAA violations and learn specifically what ...

What is the best way to handle denials? ...

JMPT recently published an article entitled Characteristics of US Adults Who Have Positive and Negative Perceptions of Doctors of Chiropractic and Chiropractic Care by William B. Wee ...

It's difficult to know where to start when selecting the best software for your practice.  With dozens of selections to choose from, making the right choice can be a daunting task.  F ...

Secure medical records is a broad topic that should be addressed in detail by all practices. There are multiple items to consider when meeting standards to best safeguard protected heal ...

Beware of phantom space when negotiating a lease agreement. Measuring is always a good idea when someone is charging you by the square foot. ...

Q:  My average monthly collections has been way off these past couple of months.  It's lower than average although my practice doesn't seem slower and patient visits are still average ...

2015 Directory of State Chiropractic Associations ...

Commonly Asked Questions: 1. Retention of Records 2. 97140 Denials 3. Exercise Equipment 4. Coding for BioFreeze 5. 97014 or G0283 6. Billing for additional insurance forms 7. Report of ...

Directory of State Chiropractic Boards ...

National Association of Insurance Commissioners (NAIC) Directory Listed by State ...

Compliance is an issue that you should look at as an expedition rather than an endpoint. Board complaints can be a terrifying ordeal, especially if you don’t keep up on compliance in ...

Conducting a job interview for potential new employees is a common occurrence, yet is often done in a manner of disorganization. Employers are frequently asking questions that shouldn't ...

What is a Gap Analysis? A Gap Analysis is a process by which a practice conducts a baseline assessment of the company's coding, billing, operations, and business practices. The objectiv ...

Audits are on the rise and the last you want to do is get tangled up in a fight over money you have already been paid. A smart chiropractor will audit himself to make sure there is litt ...

Providers work with many different groups and many of them have some interaction with Protected Health Information (PHI). In an effort to help us understand who qualifies as Business As ...