Article Archives - Chiropractic Coding and Billing

Date:January 11, 2021Posted By:ccadminCategory:ArticleTag:Chiropractic, CPT Coding, Fees, HCPCS Coding, Physical Medicine|Physical Therapy, Practice Management, Reimbursement

Good and Bad News Regarding the 2021 Medicare Physician Fee Schedule

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 really big problem. Professional organizations lobbied and everyone tried to stop the proposed changes, and the 10.2% decrease didn’t happen, but other changes will still be taking place. So how bad is it really and how will it affect your organization?

Date:January 11, 2021Posted By:ccadminCategory:ArticleTag:All Specialties, Compliance, HIPAA

HIPAA Penalty Changes

On January 5, 2021, H.R. 7898 was signed into law by President Trump. This new law modifies the HITECH Act such that when an organization experiences a breach, fines and/or penalties may be reduced if (for at least a year) they have instituted “recognized security practices” as defined within the law.

Date:December 31, 2020Posted By:ccadminCategory:Article

CMS Final Rule Changes E/M Reporting Guidelines

Just when we thought we had figured out Evaluation and Management (E/M) reporting for 2021, CMS released their final rule and now we will need to make some adjustments. While CMS stated that they were adopting the AMA guidelines for E/M office or other outpatient services, they did make a few changes.

Date:October 12, 2020Posted By:ccadminCategory:Article

Medicare Improper Payment Report for Chiropractic (2019)

CMS audits claims on an annual basis to identify improper payments. These improper payments do not measure fraud. Rather, they estimate the share of payments that did not meet Medicare coverage, coding, and billing rules. In the most recent Improper Payment Report by specialty, chiropractic has the highest Part B improper payment …

Date:September 29, 2020Posted By:ccadminCategory:ArticleTag:Chiropractic, Code Updates, ICD10CM Coding

ICD-10-CM 2021 Coding Updates for Chiropractic

October 1st is just around the corner and that means it’s time for updates to the ICD-10-CM code set. This year there are some interesting changes such as a new headache type, new codes related to TMJ, several new codes for reporting accidents involving micro-mobility devices (e.g., hoverboard), and some other changes.

Date:September 15, 2020Posted By:ccadminCategory:Article

More COVID-19 Codes Added as of September 8, 2020

The American Medical Association (AMA) recently announced the addition of two more CPT codes in relation to COVID and the Public Health Emergency (PHE). Codes 99702 and 86413 were posted to the AMA website on Tuesday, September 8, 2020 and new guidelines have been added as well.

Date:September 1, 2020Posted By:ccadminCategory:Article

Not Following the Rules Costs Chiropractor $5 Million

Every healthcare office needs to know and understand the rules that apply to billing services and supplies. What lessons can we learn from the mistakes of others? What if we have made the same mistake?

Date:August 7, 2020Posted By:ccadminCategory:Article

Impact of 2021 Proposed Medicare Fee Schedule on Chiropractic Offices

On August 3, 2020, the proposed Medicare Physician Fee Schedule for 2021 was released. This 1,355 page document includes some sweeping changes to the Medicare program. There are a few items in particular which should be noted by chiropractic offices.

Date:July 7, 2020Posted By:ccadminCategory:Article

New ABN Form is Here

The anticipated changes to the Advanced Beneficiary Notice of Non-coverage (ABN) Form (CMS-R-131) have arrived. This important form is issued to the patient or client by providers, physicians, practitioners, and suppliers in situations where Medicare payment is expected to be denied.

You can begin using the new ABN immediately if you so wish. However, it becomes mandatory on August 31, 2020.

Date:June 3, 2020Posted By:ccadminCategory:Article

Watch for Payer Telehealth Coverage Changes

As our country moves forward with a phased approach to reopening, be sure to pay close attention to individual payer policies regarding how long these changes will remain in effect. Keep in mind that private payer, federal programs (Medicare, Medicaid), and Medicare Advantage plans can all have different timelines as well as different coverage.