Claims Processing Archives - Chiropractic Coding and Billing

Date:March 17, 2021Posted By:ccadminCategory:ArticleTag:Claims Processing, CMS|Medicare, Diagnosis Coding, ICD10CM Coding

Q/A: Why is My Claim Being Denied When I Report a Secondary Diagnosis Code?

Question: Recently my claims to Medicare are being denied when I submit a secondary diagnosis code. I’ve heard that this is happening in several states including Washington, California, and New York. Has there been a recent change in what secondary diagnosis codes are allowed?

Date:September 30, 2019Posted By:ccadminCategory:ArticleTag:Claims Processing, CPT Coding, E+M Documentation and Coding, Modifier Coding, Procedure Coding

Q/A: How Do I Bill a House Call?

Question
If a provider makes a house call to/for a patient, is there a way that it is represented on the claim form? A modifier, or something else?
Answer
Modifiers are not used to identify that a service was performed in the patient’s home. However, other modifier rules must be followed (e.g., modifier GP …