Quick Questions
Chiropractic Consulting - Quick Questions by ChiroCode

Chiropractic Quick Questions - Current and Past

ChiroCode receives and answers hundreds of Quick Questions each month from our customers.  Customers who purchase the ChiroCode Membership are able to email questions directly to the experts at ChiroCode.  Professionals who have chosen the ChiroCode Premium Membership may also contact our Quick Questions hot line for instant answers.

ChiroCode accumulates the questions and answers and adds them to the ChiroCode KnowledgeBase which is available to Premium Memberss.  Also ChiroCode features a new Quick Question and Answer each week that appears on our home page along with the two prior questions.  These questions and answers are also shown below.  This page also contains the question portion from prior week's Quick Questions.  A full archive of all the ChiroCode Quick Questions and Answers can be found in the ChiroCode KnowledgeBase.

Premium Membership Sample:  Top 10 Frequently Asked Quick Questions - Answered by ChiroCode

Current Quick Questions

HIPAA Business Associate Agreement

Question: 
When do I need a HIPAA Business Associate Agreement?


Answer: 
A Business Associate is defined by HHS as, "a person or entity that performs certain functions or activities that involve the use or disclosure of protected health information on behalf of, or provides services to, a covered entity.  A member of the covered entity's workforce is not a business associate."  
For the complete description of a Business Associate as well as examples of who your Business Associates might be, please see the following link:

Out of State Patients

Question: 

We have a Medicare patient that recently visited from out of state.  Should we submit the claims to the Medicare carrier for her state or for ours?

Answer: 

The claims submit to Medicare should be submit to the Medicare Contractor that your doctor is enrolled with and thus, the Contractor responsible for the state that the services were rendered. 

Hand held unit for manual therapy

Question: 

Our office recently started using a hand held unit that does manual therapy.  Can we bill 97140?

Answer: 
Unfortunately not.  CPT does not allow the use of a device for manual therapy techniques.  CPT states the following, "Manual therapy techniques consist of, but are not limited to, connective tissue massage, joing mobilization and manipulation, manual traction, passive range of motion, soft tissue mobilization and manipulation, and therapeutic massage.  As the code descriptor states, "manual' providers use their hands to administer these techniques.  Therefore, code 97140 describes 'hands on' therapy techniques."  This information as well as an expanded explanation of 97140 and the use of this code can be found in the CPT Assistant, Volume 9, Issue 3, March 1999.


Quick Questions

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HIPAA Business Associate Agreement

When do I need a HIPAA Business Associate Agreement?


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Out of State Patients

We have a Medicare patient that recently visited from out of state.  Should we submit the claims to the Medicare carrier for her state or for ours?

read more...read more...

Hand held unit for manual therapy

Our office recently started using a hand held unit that does manual therapy.  Can we bill 97140?

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How long do we need to keep EOB's?

How long do we need to keep EOB's?

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Are Sign-In Sheets Allowed?

 

We continue to get conflicting information as to whether or not sign in sheets are allowed in our practice.  Do you have information on this?

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How to Legally Terminate a Patient

We have a patient that is very rude and angry toward us.  The doctor has asked me to find out whether or not we can legally terminate a patient?

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ICD-10 discussed in Congress

 We read that ICD-10 was recently discussed in Congress.  Do you have any information as to the outcome of this discussion?

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52 Modifier

We report the 52 modifier for reduced services for our time based codes but have recently been receiving denials.  Why could this be?

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PQRS

We successfully reported the PQRS Quality measures in 2013 but our 2015 Medicare payments are still being penalized by 1.5%.  How can we have this corrected?

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Code for Supplements

We sell supplements in our practice and have always used the 99070 code.  However, since this is a generic code, we use it for other supplies that we sell too.  I wonder if there is a more specific code that we can use for supplements?

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Medicare Advantage Plans

Q. We are seeing many Medicare Advantage patients, many of which have plans with a co-pay that is higher than the reimbursement amount for a service. An example is $32.66 for 98941. When sending these claims to the payer, the EOB returns the members responsibility as $35 for a 98941. Don’t these plans have to follow the Medicare fee schedule?

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Billing for Cupping and Moxibustion Treatments

Our office is considering adding a massage therapist that performs standard massage techniques as well as cupping and moxibustion.  We are wondering if there is a way to bill insurance for the cupping and moxibusion treatments?

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Fee Schedule

 

Our office has not ever updated our fee schedule.  We use the same fees for several of years.  We are concerned of this now because we have added a couple of new services and are unsure if our fee schedule makes sense.  Is there a way to evaluate fees?

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Blood Pressure Measure for PQRS in 2015

 

I was told that we are no longer required to do the blood pressure measure for PQRS in 2015.  Is this accurate and do you have a reference?


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Codes for Wellness or Integrative Services

Our office provides a lot of wellness or integrative services.  Many of these services are not covered by insurances.  Our obstacle isn't in trying to get by insurance as we collect the proper acknowledgement that these services are patient responsibility.  However, the struggle we do have is in understanding how to determine codes for these services for data entry.  Currently, we have a a list of codes that we have created internally which seemed to work for a while but now has become confusing.  It is difficult to decipher office statistics and when adding new staff, it is difficult to prevent errors in data entry since our codes are loosely defined and there isn't a reliable resource to verify them.  Due to these increasing obstacles I wonder if there is a better way?

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