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However, it is important to note that if your state guideline pertaining to this is more strict than HIPAA, you must adhere to that rule that is the most stringent. In order to ensure compliance, providers must be aware of both the HIPAA guideline as well as that set forth by their state. To learn state specific rules on this topic, searching the internet can generally provide the information needed or otherwise calling your local organization or board.
If I perform a regular high-velocity adjustment, side posture, on the low back, as well as COX distraction on the cervical region, may I bill aCMTcode as well as97140for the flexion-distraction?
A COX technique is considered manipulative therapy and does not meet the criteria for 97140, manual therapy. Therefore, it would be inappropriate to bill this code for the COX technique. TheCMT code includes the work described above.
I am looking for the specific wording from Medicare as to their “opt-out” policy with regards to Chiropractors. Can you provide that?
Opting out of Medicare is not an option for Doctors of Chiropractic. Note that opting out and being non-participating are not the same things. Chiropractors may decide to be participating or non-participating with regard to Medicare, but they may not opt-out. For further discussions of the Medicare “opt out” provision, see the Medicare Benefit Policy Manual (Chapter 15, Section 40; Definition of Physician/ Practitioner) at http://www.cms.hhs.gov/manuals/ downloads/bp102c15.pdf
Our EHR software says that one way to meet meaningful use is for us to be able to provide patients with timely electronic access to their records via email. I read somewhere that emailing patients is not recommended because both parties emails must be encrypted, but we don't know if the patients email is encrypted, therefore we should not do this. Do you know of other ways to meet this requirement for the EHR?
We have a patient who on two separate occasions came in in the morning for a chiropractic adjustment and then in the afternoon of the the same day for another chiropractic adjustment. Do I need to use a modifier on the second chiropractic adjustment when this happens?
Did Medicare pass a change on billing 98943 extremity adjustment with a 98941 manipulative adjustment? Is the modifier 51 still required when billing with the 98941 manipulative adjustment? Also, have all insurance companies accepting this change?
I electronically sign my records; but if I find a mistake, I re-enter the SOAP notes for the same date and add the correction because once the records are electronically signed, you cannot change them; Is that OK for Medicare purposes to duplicate the SOAP notes twice to fix the error ?
What percentage of improvement is REQUIRED using outcome questionnaires for Medicare to support treatment and how often do we need to do Outcome Assessment questionnaires; every 2 weeks or every 4 weeks?
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