Chiropractic Coding & Billing Articles

Excludes1 edits can cause problems with claim denials. It is important to watch for annual changes to the Excludes1 and Excludes2 edits. Know the rules to properly submit and appeal cla ...

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 ...

I submitted a claim to the VA and it’s being denied. Why? There are several reasons why your claim might be denied by the Veterans Administration (VA). However, without more inform ...

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 ...

Noridian's pilot program Provider Self-Audit with Validation and Extrapolation (PSAVE) has been extended which means that it has been successful for the payer, which means that they are ...

MIPS is a program that allows Medicare to collect data from providers about high quality low cost care that uses technology effectively. There are four categories and providers need to ...

Watch Another quick tip from the ChiroCode HelpDesk - Plain Film Xray Penalty 2017. Even though this news comes from Medicare, who does not reimburse chiropractic physicians for x-rays, ...

We have been leaving box 14 on the 1500 claim form blank for Medicare claims and are getting denials. Could this be why? ...

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 ...

Are you having a difficult time getting reimbursed? Are claims being denied because the insurance classifies everything as maintenance? ...

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 ...

Personal Injury patients may be entitled to benefits from many sources. Providers can help guide patients to the right resources. ...

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 ...

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 ...

Screening, Brief Intervention, and Referral to Treatment (SBIRT) services are an effective tool for healthcare providers to identify, reduce, and prevent problematic substance use disor ...

What's the difference between a physician, an other qualified healthcare professional, clinical staff and individual. ...