I submitted a claim to the VA and it’s being denied. Why?
There are several reasons why your claim might be denied by the Veterans Administration (VA). However, without more information about the claim itself (e.g., services billed), we can only provide the following general information about the VA and chiropractic …
Medicare creates and maintains the National Correct Coding Initiative (NCCI) edits and NCCI Policy Manual, which identify code pair edits. When performed on the same patient, on the same day, and by the same provider, the secondary code is considered an integral part of the primary code, and payment for …
The waiting is over, the Final Rule for CMS’ 2019 Medicare Physician Fee Schedule (MPFS) is available – all 2,379 pages for those looking for a little light reading. As anticipated, there are some pretty significant changes. Most of us were carefully watching the proposed changes to the Evaluation and …
Noridian’s pilot program Provider Self-Audit with Validation and Extrapolation (PSAVE) has been extended which means that it has been successful for the payer, which means that they are saving money. Historically, when a pilot program is proven to be successful, it isn’t too long before other MACs follow. Before signing up to participate, providers need to carefully evaluate the program. Are the benefits worth the costs?
Liens have been the salvation and anathema for doctors involved in personal injury care treatments. While an essential part of extending needed injury recovery care to those whose insurance coverage is minimal to non-existent, they are not a fool-proof way to secure reimbursement. How do you protect yourself against insurers and attorneys who refuse to honor the agreement? This webinar will explore various methods that have proven to be successful in enforcing a lien to secure reimbursement of your skillful services.
How Spine Care Experts Utilize & Get Paid for X-rays. How to select what x-ray views to bill for in certain diagnostic cases. New rules for x-ray reimbursement for 2018. HIPAA requirements for digital x-ray back up, EHR integration, and transmission. What findings are needed to justify medical necessity for spine x-rays? How to maximize your x-ray imaging department productivity. Discover the ROI of digital over plain film and in-house vs referring out. Biomechanical line drawings and measurements in your ROF – the key to better patient compliance.
MIPS is a program that allows Medicare to collect data from providers about high quality low cost care that uses technology effectively. There are four categories and providers need to learn about the available measures so that they can pick the ones that make them look the best.
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.
2017 is a year of changes in some areas as well as a year for improvement and catch-up in others. This ChiroCode webinar is going to discuss some of these changes, what it means to your practice as well as need-to-know details and strategies to help you improve upon and catch-up in those other areas.
Bring your questions to this webinar session as well as our presenters will address as many of your questions as possible!