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.
Q/A: What if my Patient Refuses to Fill out the Outcome Assessment Questionnaire?
What if my Medicare patient refuses to fill out the outcome assessment questionnaire?
Inform the patient that Medicare requires that you demonstrate functional improvement in order for them to determine if the care is medically necessary. In other words, they may have to pay for the care out of pocket if …
The Role of Chiropractic in Value Based Payment Systems
Chiropractic care can play a valuable role in overall patient health. It is important to realize that chiropractors can effectively participate in Medicare’s new value based payment systems. Read about one organization who has made this transition.
New MIPS Reporting Option for 2017 Data
If you were eligible clinician in 2017, this new reporting method could help you.
American Chiropractic Association Comments on MACRA 2018 Proposed Rule
Arlington, Va. – The American Chiropractic Association (ACA) recently submitted comments to the Centers for Medicare and Medicaid Services (CMS) in response to the federal agency’s proposed rule changes to the Quality Payment Program (QPP) for 2018.
QPP is a new payment model for physicians, including chiropractors, created by the Medicare Access and CHIP …
How to Launch Your Associate Into Instant Success and Profit
Win-Win Associate Development: Get the help you need, the freedom you desire and the extra income you deserve. Most associateships don’t work out and end badly. But it doesn’t have to be that way. Dr. Lloyd has discovered strategies, systems, processes and techniques for hiring and developing successful motivated associates who produce their own new patients, make more money than they cost, and are great to work with in long-term relationships.
Can I be Forbidden from Billing 99204 or 99214?
Q: An insurer told me that chiropractors cannot bill 99204 or 99214 because those exams “require a level of decision making that would typically only occur in an emergency room.” Is this true? Do I have any recourse?
Chapter 5.2 – Part 6 Therapeutic Procedure Coding (97530, 97510, 97139)
Let Dr. Gwilliam, ChiroCode’s Vice President, walk you through Chapter 5.2 on all the common procedure codes used in chiropractic. This is part 7 of 7.
1500 Claim Form Tips
The following rules for the 1500 claim form are excerpts from NUCC and Medicare instructions, but they are generally universal and apply to claims submitted either electronically or on paper. Please note that payment rules can change frequently for any payer, so consult with specific insurance payers for their adaptations.