December 14, 2011, 9:23 AM
The 2012 ChiroCode DeskBook offers much more than just current codes. The entire book has been updated with critical information that helps you to get paid and keep it. Following are highlights of exciting new features you will find in this year’s ChiroCode Deskbook.
New to this 2012 edition is an updated ChiroCode Online Support Tutorial. As you spend some time going through this online material, you will become much more familiar with the powerful tools this book will make available to you.
A-Insurance and Reimbursement
The 1500 Claim Form Instructions are updated, including changes that will allow to bill correctly, especially in these perilous times when so many things are changing. We’ve covered the changes. One which you need to be concerned with right away is the conversion to the HIPAA 5010 transaction standard. If you or your billing service do not yet use HIPAA 5010, your electronically filed claims will simply not be paid. We have included instructions of what to check for to make sure your claims keep flowing.
Also, to make it easier than ever do your coding, we have now included the National Uniform Claim Committee (NUCC) edit instructions with the coding instructions for quick and easy reference.
Applying the information on the Documentation pages is an important part of protecting your practice against audits and refund demands. There are now extra guidelines regarding initial and subsequent visits. To help you avoid payment problems caused by misunderstood codes, we have summarized the OIG Inappropriate Medicare Payments for Chiropractic Services guide in this chapter. We’ve also updated the information on the P.A.R.T criteria, treatment plans, and provided forms you can download and put to work in your practice right away. You will also receive thorough instructions in the creation of S.O.A.P notes and in the use the Problem Oriented Medical Record (PO MR). And don’t forget, Chiropractors can now earn a bonus for adhering to the measures of the Physician’s Quality Reporting System (PQRS). You’ll find information about how to get started with that, as well.
C-Denials and Appeals
Denials of claims are always frustrating, so we have updated our coverage of the denials and appeals process. Several doctors have contributed to this section to give it an “on the street” feel, and we have added to their coverage the latest information. There is advice for handling denials from Medicare, as well as information about what to do when a private insurer manages to use obsolete codes to judge your claims. There is strong ERISA coverage, as well as generous examples forms and letters you can use in your practice.
D-Compliance and Audit Protection
Compliance reviews are the new audit. Soon, you will be examined for how you have set up and documented your business processes as much or more than the bottom lines from all your claims and reimbursement. This section will provide you with what you need to comply with HIPAA, HITECH, the current OIG work plan, and even the rules of emerging agencies in Chiropractic, such as the Occupational Safety and Health Act (OSHA). We have rewritten the compliance chapter from top to bottom to help you cope with the changing regulatory landscape. Refer to these tips often.
E-Diagnoses, F-Procedures, G-Supplies
Codes are our specialty. These sections are updated throughout, with new and revised codes, RVUs, fees and commentaries for 2012, as well as notes about codes that are now retired. (A surprising number of claims each year are rejected simply because doctors mistakenly use codes that are no longer valid.) Save yourself this pain. If you catch just one bad code or take advantage of one you have not been aware of, you can pay for your annual ChiroCode DeskBook. You can also use our online version of the Code Change Appendix for specific details of code changes.
The process of setting the conversion factors which are used to determine the dollar value of a service is confusing, and in fact has been overridden by congress nearly every year since the system was begun. This makes it incredibly important for you to be able to predict the effect of each year’s changes on your bottom line. With the ChiroCode Fee Calculator provided in this chapter, you can do just that. Also, this chapter equips you to provide multiple fee schedules, fee discounts, and other aspects of setting rates your clients will pay.
ICD-10-CM is coming quickly. Conversion will be much easier if you start soon. In addition to the online Code Change Appendix and the Documentation Appendix, ChiroCode Members have access to the ICD-10-CM Code Map Tool and other online tools and resources.
Certified Coding Professional The new ChiroCode Certified Chiropractic Professional Coder (CCCPC™) is the perfect way to make sure you have a good basic understanding of Chiropractic coding and reimbursement. The Professional Certification Program will get you on the way to becoming ChiroCode Certified, from the company that understands chiropractic coding! Go to www.chirocode.com/certifications> to learn more.
As your experience with the ChiroCode Deskbook grows, will your ability to pick the precise code you need to get all that is owed to you, while staying safely away from those who would want you to make you give it back if you make a small, simple mistake or misunderstanding. You really can’t afford to miss a single edition!
For a limited time, you can save $20.00 by ordering both your 2012 ChiroCode Deskbook and the new ChiroCode Complete & Easy ICD-10 Coding for Chiropractic, First Edition at the same time. Just click here http://www.chirocode.com/DeskBookICD10Combo