Q/A: I Submitted a Claim to the VA and it’s Being Denied. Why?

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 …

Understanding NCCI Edits

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 …

Are you Ready for CMS’ 2019 Medicare Physician Fee Schedule Final Rule?

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 …

PSAVE Pilot Program – What Does it Mean to You?

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 and PI care — How to Make Them Work Better…

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.

What Every Spine Care Expert Needs to Know NOW- The X Factor

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.

ChiroCode Hot Topics

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!