Q/A: What’s Wrong with the Diagnoses on my Claim?
Question: I got a denial on my claim and it said the problem was with the diagnoses codes that I used. I used M54.15 and M79.2. I don’t understand why this is a problem.
Can They Deny Electrical Stimulation by Saying There is no Evidence that it Works?
Topic: Electrical Stimulation (EMS)
Question: An orthopedic surgeon/IME recommended a denial for all electrical stimulation
(EMS) by stating that “according ODG electrical stimulation is experimental therefore not
medically necessary or eligible for reimbursement.” Is that true?
Q/A: How do I Bill Class 4 Deep Tissue Hot Laser Treatment?
Is there a way to bill out for Class 4 deep tissue hot laser treatments?
Plain Film Xray Penalty 2017
Watch Another quick tip from the ChiroCode HelpDesk – Plain Film Xray Penalty 2017. Even though this news comes from Medicare, who does not reimburse chiropractic physicians for x-rays, private payers nearly always follow their example. This represents the trend of X-ray reimbursement for all of healthcare.
Q&A: Will Using Lower Level Codes Reduce Our Chances of Being Audited?
Q&A: If we use low level codes on each visit (such as 98940, 99212, 99202), will our chances of being audited be less than if we billed higher level codes?
Q&A: Is There a Better Supply Code to Use Than 99070?
Are there more specific codes for supplies rather than using 99070?
Everything a Chiropractor Needs to Know About 97110, Therapeutic Exercises
97110, Therapeutic Exercises, is one of the most commonly used CPT codes for Chiropractors. Unfortunately it is also misunderstood and misused far too often. For instance, did you know that it should not be reported with modifier 52, ever? Find out all you need to know about this code in the 2016 ChiroCode DeskBook Common Procedure Codes chapter.
DeskBook 101: Common Procedure Codes
In this webinar, Dr. Gwilliam will review chapter 4.2 Common Procedure Codes. More than half the chapter is brand new for 2016 and it is crammed full of coding and documentation tips for the codes you use most. Figure out all the little tricks you need to keep your claims clean and survive an audit. Bring your copy of your DeskBook to follow along.
Adjunctive (Add-On) Codes
Stop losing hard-earned dollars. Too often, dollars are left on the table at billing time. Adjunctive codes for associated services should be added when they are appropriate. Here are a few examples of coding that are often overlooked.
97014 & 97032 Electrical Stimulation Supplies
According to the Relative Value Update Committee (RUC), …
Codes for Coverage: Locum Tenens & Reciprocal Billing
Presenting Problem
Some doctors fail to code properly for a temporary doctor who is covering an office, or for mutual coverage with a colleague.
History/Subjective
It is a common practice for doctors in solo practice to find someone to “cover” for them while they are away from the office for a temporary or extended period of time.
During such …
