Chiropractic State Associations
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May 12th, 2020
Getting Your Practice Back on Track
Published May 12th, 2020|
As we begin returning back to work, we will all face a new normal. The COVID-19 pandemic has changed the face of business. While it has certainly been a challenge to keep up with the ever-changing regulations (that’s likely to continue for a little longer), exciting new opportunities have also been created, such as the expansion of telemedicine. There’s also the maze of government funding that needs to be navigated and an increased awareness of OSHA standards to implement.
April 13th, 2020
COVID-19 Chiropractic Resources
Published April 13th, 2020|
COVID-19 Chiropractic Resources contains current, updated information regarding COVID-19. Included are lists of webinars, articles, websites and links pertaining to the ongoing changes.
April 7th, 2020
More Telehealth Changes Announced by CMS Chiropractic Offices Should Know About
Published April 7th, 2020|
On March 31, 2020, CMS announced further changes to their telehealth program in response to this unprecedented public health emergency (PHE). The announcement included far more information than is presented in this article which only summarizes the changes to telehealth. In fact, it does change a little of the information included in our March 31st webinar.
March 31st, 2020
CMS-Coverage for Therapeutic Shoes for Individuals with Diabetes
Published March 31st, 2020|
Therapeutic shoes and inserts can play a vital role in a diabetic patient's health. Medicare may cover one pair every year and three pairs of custom inserts each calendar year if the patient qualifies and everything is handled correctly. Medicare Benefit Policy Manual explains what is needed for a person with diabetes to ...
March 25th, 2020
COVID-19: Cybercrime, Telehealth, and Coding
Published March 25th, 2020|
Your inbox is probably like mine with all sorts of announcements about COVID-19. Here are just a few reminders of things we felt should be passed along. We have heard of several cases of cybercrime related to this outbreak. For example, there was a coronavirus map which loads malware onto your ...
February 20th, 2020
Published February 20th, 2020|
In the ChiroCode Newsletter released yesterday regarding Medicare coverage of acupuncture, one sentence in particular has let to some confusion. Read more about it here.
February 19th, 2020
Medicare Begins Covering Acupuncture Services
Published February 19th, 2020|
Medicare is changing their policy regarding coverage of acupuncture, but in order to provide these services, you must follow their rules.
January 14th, 2020
Billing for Telemedicine in Chiropractic
Published January 14th, 2020|
Many large private payers recognize the potential cost savings and improved health outcomes that telemedicine can help achieve, therefore they are often willing to cover it. While there are several considerations, there could be certain circumstances where telemedicine might apply to chiropractic care.
January 14th, 2020
Q/A: Can Chiropractors Bill 99211?
Published January 14th, 2020|
Can chiropractic offices bill code 99211? Technically it can be used by chiropractors, but in most instances, it is discouraged. Considering that 99211 is a low complexity examination for an established patient, this code is not really made for the physician to use. In fact, in 2021, changes are coming for this code...
December 3rd, 2019
Answering the Question: Does my Insurance Cover Chiropractic Care?
Published December 3rd, 2019 - Last Review/Update December 4th, 2019|
The question "Does my insurance cover chiropractic care" is the ongoing question chiropractic offices have struggled with for years. Unfortunately, when it comes to insurance, coverage often varies between payers — even varying between plans for a single payer so there isn't one easy answer.
November 19th, 2019
Changes to Portable X-Ray Requirements
Published November 19th, 2019|
On September 30, 2019, CMS published a final rule which made changes to portable x-ray services requirements as found in the law.
August 16th, 2019
Medical ID Theft
Published August 16th, 2019 - Last Review/Update August 20th, 2019|
Medical ID Theft "So, do you guys think you can do something with that?" John asked angrily at our first meeting with him in August 2017 as he slammed a stack of medical bills, EOBs and collection letters - three inches high - down in front of my partner and I. ...
August 9th, 2019
The OIG Work Plan: What Is It and Why Should I Care?
Published August 9th, 2019 - Last Review/Update August 14th, 2019|
The Department of Health and Human Services (HHS) founded its Office of Inspector General (OIG) in 1976 and tasked it with the responsibility to combat waste, fraud, and abuse within Medicare, Medicaid, and the other HHS programs. With approximately 1,600 employees, HHS OIG is the largest inspector general's office within ...
August 6th, 2019
Q/A: What if my Patient Refuses to Fill out the Outcome Assessment Questionnaire?
Published August 6th, 2019|
Question: What if my Medicare patient refuses to fill out the outcome assessment questionnaire? Answer: 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 ...
July 29th, 2019
The Role of Chiropractic in Value Based Payment Systems
Published July 29th, 2019|
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.
July 22nd, 2019
Q/A: What do I Need to Document for Periodic Adjustments on a Medicare Patient?
Published July 22nd, 2019|
Question: What type of documentation is required for a Medicare patient with degenerative joint disease who get adjusted once or twice a month for occasional flare-ups of the D. J. D. region? The noted adjustments give good relief of the patient's symptoms. Answer: There is no question that these adjustments would be considered ...
July 17th, 2019
Act Now on CMS Proposal to Cover Acupuncture for Chronic Low Back Pain
Published July 17th, 2019|
Now is the time to comment on a proposal to cover acupuncture for chronic low back pain. This comment period is the part of the HHS response to the opioid crisis. You only have until August 14th to officially comment.
July 12th, 2019
5 Ways to Minimize HIPAA Liabilities
Published July 12th, 2019 - Last Review/Update July 30th, 2019|
Last year was historic for HIPAA enforcement. The HHS Office of Civil Rights collected a record $23.5 million in settlements and judgments against providers guilty of HIPAA violations. To avoid becoming part of that unwanted statistic, it’s important to pay extra close attention to five key areas of HIPAA vulnerability. Take ...
July 8th, 2019
Q/A: Can I Put the DC’s NPI in Item Number 24J for Massage Services?
Published July 8th, 2019|
Question: Are there scenarios in which it is acceptable to put the DC's NPI in box 24j for massage services? Answer: While the answer to this is yes, it is essential to understand that there are very limited scenarios. In most cases, Item Number 24J is only for the NPI of the individual ...
July 8th, 2019
Will the New Low Level Laser Therapy Code Solve Your Billing Issues?
Published July 8th, 2019|
Low level laser therapy (LLLT), also known as cold laser therapy, is a form of phototherapy which uses a device that produces laser beam wavelengths, typically between 600 and 1000 nm and watts from 5–500 milliwatts (mW). It is often used to treat the following: Inflammatory conditions (e.g., Rheumatoid Arthritis, Carpal ...
July 1st, 2019
Rules for Rendering Unproven, Investigational or Experimental Procedures
Published July 1st, 2019|
If you haven’t reviewed your state guidelines or taken a recent look at third-party payer policies on unproven, investigational or experimental procedures, now is the perfect time to make sure you’re up to speed with this important information. Most providers are surprised to see commonly used devices or techniques listed ...
June 25th, 2019
Q/A: Can I Refuse to File a Patient's Medical Insurance for an Auto Accident?
Published June 25th, 2019|
Question: Can a Chiropractor refuse to file a patients Medical Insurance for an Auto Accident? Answer: There isn't a simple answer to this question. It depends on who is responsible and state laws. Who is responsible (the auto insurance or the medical insurance) can depend on state requirements as well as who is ...
May 27th, 2019
Your New Patient Exam Code Could Determine How Many Visits You Get
Published May 27th, 2019 - Last Review/Update June 6th, 2019|
The initial exam is where the provider gathers the information to determine the need for all the care that follows. It is billed most often as an office or outpatient evaluation and management (E/M) code from the 4th edition of the AMA’s Current Procedural Terminology book. There are actually five ...
May 13th, 2019
Electrical Stimulation and Electromagnetic Therapy Devices
Published May 13th, 2019 - Last Review/Update May 20th, 2019|
Electrical Stimulation and Electromagnetic Therapy Devices can be used for pain, muscle atrophy, help spinal cord injuries, treat symptoms caused by other medical conditions and can be used in the treatment of wounds. This Regence BC/BS article lists codes and devices and gives guidance on coding from Medicare Advantage viewpoint.
April 29th, 2019
Q/A: I’m Being Audited? Is There a Documentation Template I can use?
Published April 29th, 2019|
Question: Our Medicare contractor is auditing claims with 98942. Do you have any suggestions for a template for documentation to warrant the use of 98942? Answer: When you submit a claim with code 98942 you are stating that you have determined that it was medically necessary to adjust all 5 of ...
April 22nd, 2019
Auditing Chiropractic Services
Published April 22nd, 2019|
Chiropractic is unique from other types of health care and auditors need to be aware of the nuances of this field. Chiropractic has become the focus of more and more audits as doctors seem to struggle to create records that properly support the care provided to the patient throughout the entire episode.
April 1st, 2019
Q/A: I Submitted a Claim to the VA and it’s Being Denied. Why?
Published April 1st, 2019|
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 ...
April 1st, 2019
Corrections and Updates
Published April 1st, 2019 - Last Review/Update April 2nd, 2019|
One constant in our industry is change. Policies change, contracts change, and there are updates. Also, people aren’t perfect and mistakes can be made. So this article will cover a variety of topics. Published Articles We appreciate feedback from our valued customers. We have received feedback regarding two of our articles which ...
February 25th, 2019
Medicare Supplemental Policies (MediGap) and Extremity Adjustments
Published February 25th, 2019|
The nice thing about MediGap policies is that they pay for some of the healthcare costs that an original Medicare plan (Part B) does not cover. So when a patient has Medicare and a Medicare supplement (MediGap) and their condition is related to an extremity (a noncovered service), Medicare must ...
February 22nd, 2019
Q/A: What's the Difference Between Q5 and Q6 for a Substitute Provider?
Published February 22nd, 2019 - Last Review/Update March 5th, 2019|
It is important to understand that modifiers Q5 and Q6 are not interchangeable. So when do you use each of them?
February 1st, 2019
Physical Therapy Caps Q/A
Published February 1st, 2019 - Last Review/Update February 4th, 2019|
Question: How do I code it so that PT services in a chiropractic office don’t count against their PT visit max? Is there a way to code claims so that they are considered chiropractic only? But still get compensated enough? We have been running into some issues as of late ...
January 14th, 2019
AMA Issues new CMT Information
Published January 14th, 2019|
As many of you may already be keenly aware, there have been ongoing problems with many payers (e.g., BCBS of Ohio) regarding the appropriateness of reporting an E/M visit on the same day as CMT (CLICK HERE to read article). The AMA recently released an FAQ which renders their opinion ...
January 3rd, 2019
Published January 3rd, 2019|
The correct coding of dry needling, also known as trigger point needling, has been a subject of confusion for quite some time. The American Chiropractic Association (ACA) and the American Physical Therapy Association (APTA) have been working together for several years to obtain appropriate codes to describe this service. In ...
January 3rd, 2019
2019 Coding Changes for Chiropractic
Published January 3rd, 2019|
The new year is upon us and so it’s time to double check and make sure we are ready. Those with Premium Membership can use the ChiroCode Online Library and search all the official code sets: ICD-10-CM, CPT, and HCPCS. It also includes the updated NCCI edits and RVUs for ...
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Click the title to view the webinar (note: these Chiropractic-specific webinars are visible on Chirocode.com.Finally, the SOAP Note That Will Satisfy EveryoneProving Medical Necessity and Functional ImprovementInappropriate Payments Made to Chiropractors – An OIG ReviewExpanding Chiropractic Coverage in MedicareConfusing Codes for Chiropractors - 97110 versus 97112 versus 97530Evaluation and Management CodingChiropractic Manipulative Treatment and Medicare - Part 2Chiropractic Manipulative Treatment (CMT) Coding and Documentation (Part 1)The #1 most overlooked injury in PI, and it is found in over 90% of all casesDocumenting Diagnoses Like a Peer Reviewer (Part 2)What the Amazon Effect and Other Changes in the Business World Mean to Your Practice - November 27th, 2018Medicare ReviewsSkyrocket Cash Collections, Even When Patients Have High Deductibles and CopaysDocumenting Diagnoses Like Peer Reviewer (Part 1)X-Ray and the Evidenced Based Practice: How DC’s Can Demonstrate the Need for X-RaysNeuromuscular Reeducation, Massage Therapy - Proper Use, Documentation and CodingPain in the Ass*essmentChiropractic Practice For Sale - When, Where, Why & How Much?Mandatory Chart Reviews - What You Need to KnowPosture Rehab and Motor Control ExerciseConducting Your Own Chart Audit: Part 2 of 2How to Create a Medicare Compliance PlanMedicare ReviewsLift the Cloud: Part 1 of 2The KEY to EXCEPTIONAL Documentation in the LEAST Amount of TimeHow to Use Medical Codes for PI CareICD-10 Guidelines for the ChiropractorBilling Other Services with CMTHealthcare Compliance- Fraud/Waste/Abuse…Avoiding the PitfallsImprove your Over-the-Counter Collections NOWThe Most Expensive Documentation Mistakes Chiropractors MakeCoding and Documenting Physical Therapy Treatment ModalitiesHow X-rays Help Create an Evidence Based PracticeHow to Handle High Deductibles, Cash Plans and Pre-PaysProving Medical Necessity and Functional ImprovementOutsourcing Your Insurance Verifications to Increase Profits, Save Time & Decrease OverheadLiens and PI care — How to Make Them Work Better...How to Add Acupuncture to a Chiropractic OfficeHow to PREVENT and HEAL Dental Problems so You Can Enjoy a Healthy Body and LifeProper Coding and Billing for Drugs, Biologicals and InjectionsDocumentation Mistakes that Can De-value your Personal Injury CaseProving Medical Necessity and Functional ImprovementThe Phased Transition: How to Slow Down Without Killing Your Profits or Potential Chiropractic Practice SaleConducting a Self-AuditConfessions of an IME DoctorHIPAA, Complete and EasyTreatment PlansWhich is the Most Profitable E/M Code for PI: 99203 or 99204?Checklist Manifesto for Your Office2018 Coding and Documentation IssuesHow to Report MIPSBetter Financial Planning and ManagementThe New Local Coverage Determinations and What They Mean to YouThe Benefits and Use of Hemp OilIn-Network or Out-of-Network....Which is Best for You?The Chain of Medical NecessityHow to Launch Your Associate Into Instant Success and ProfitHow to Document Subsequent Visits for Medicare and Everyone Else REALLY REALLY FAST Without Driving Yourself Crazy in the ProcessKeys to a Successful Chiropractic Practice Sale or TransitionEvidence-based Care Plans for ChiropracticHow to Convert Your Medicare Patients to Cash to Avoid the Penalties of MACRAImproving Your Over the Counter CollectionsSo What Exactly IS Medical Necessity?Better Financial Planning and ManagementAudit Your Evaluation VisitsChapter 5.3 - Evaluation and Management for ChiropracticHow to Check NCCI Edits Using FindACodeChapter 4.2 - Part 2 Record KeepingChapter 4.3 - Evaluations 1: History and ExamChapter 4.3 - Evaluations 2 SubluxationsChapter 4.3 - Evaluations 3: Diagnosis and Treatment plansChapter 4.5 - Treatment Plan GoalsBuilding your Practice during Spinal Health MonthNon-Traditional Exit Strategies: How to Leave Chiropractic WITHOUT Giving Your Business AwayAlert!! THOUSAND$ at Risk for Chiropractors in 2016New Patient Tsunami!ICD-10-CM Training - Session 34ICD-10-CM Training - Session 35HIPAA Has New Requirements (New as of 2013-11-07)
2020 ChiroCode Deskbook2020 Chiropractic Diagnosis & Documentation Cards2020 Chiropractic ICD-10-CM Coding BookAdvanced Beneficiary Notice of Noncoverage (ABN) Form Instructions ToolAmerican College of Radiology Practice Parameter for Communication of Diagnostic Imaging FindingsBilateral Surgeries: Claim SubmissionCommonly Used Medicare Modifiers - GA, GX, GY, GZDetailed Information on the New Safety Data Sheets (SDS)Discount Plan or Health Insurance? by FTCDisposal of Protected Health InformationFair HealthHHS, Justice Department warn hospitals on EHR-related payment fraudHIPAA: Health Insurance Portability and Accountability Act by AMAMedicare Part B Clinical Laboratory Fee ScheduleMedicare Recovery Audit by HHS Office of the Inspector GeneralMedicare: To Participate or Not to Participate?Modifier 59 MLN Matters #MM8863Noridian Chiropractic PoliciesNoridian: Allowed Amount ReductionsOfficial HIPAA Guidelines for Media SanitationOIG Compliance Program for Individual and Small Group Physician Practices - Federal RegisterOSHA Small Business Resources - includes trainingOSHA's Computer Workstations eToolPhysician Assistant (PA) Resources NoridianSecurity Risk Analysis Tip Sheet: Protect Patient Health Information by CMSSonomaSummary of the HIPAA Privacy Rule by HHSSummary of the HIPAA Security Rule by HHSTemporary Worker Injury and Illness Recordkeeping Requirements by OSHATop 10 Chiropractic Fee Questions: How Much Can I Charge?United States Department of Labor; Occupational Safety and Health AdministrationVeteran's Patient-Centered Community Care Program Chiropractic Reference Card
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