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Key Terms in ICD-10

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In some places, the ICD-10-CM code set uses words we think we are familiar with. However, a review of the guidelines shows that some of these words have very specific definitions. Her ...

Are There Codes to Idenitfy the Left or Right Side of the Spine?

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Q: We cannot find codes to identify the left or right side of the spine, such as with low back pain.  Do we add digits 1 or 2 to the code to clarify left or right? A: No.  C ...

How do I code for disc herniation in ICD-10?

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Don’t code radiculitis (M54.1-) separately if you use the fourth character of “1”, “with radiculopathy”, for the disc disorders (M50.1- or M51.1-). It is already included in t ...

The Chiropractic “Subluxation” in ICD-10-CM

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Chiropractic’s favorite word finally gets its due in ICD-10-CM…or does it? There is a word that has long been held as sacred to the Chiropractic profession.  It is t ...

What Are Unproven, Investigational or Experimental Procedures?

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Many specialties, including chiropractors, perform services that may be deemed "experimental, investigational and unproven."  Individual payer coverage determinations, as well as state ...

Voluntary Overpayments

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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

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

Mastering Medicare: When Opting Out is not an Option

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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 ...

HIPAA Helps and FAQs

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The Health Insurance Portability and Accountability Act (HIPAA) has been around for quite some time. There are many misconceptions about HIPAA compliance that our office still gets call ...

Understanding the Significance of Signage – for Chiropractic Tenants

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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 ...

Results of an Audit: a Case Study

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Here at ChiroCode we often get to look at doctor records and provide advice on ways to improve them. One of the main issues is lack of functional progress to establish medical necessit ...