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This page contains articles, resources/links and tips related to Chiropractic State Associations.

  • Articles:  152
  • Tips:  41
  • Resoures/Links:  33
  • Webinars:  80
  • Podcasts:  0

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Watch out for New ICD-10-CM Codes

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New ICD Codes for: Low Back Pain, Cervicogenic Headache, Non-Radiographic Axial Spondyloarthritis (nr-axSpA), and Social Determinations of Health (SDOH). These codes became effective on October 1, 2021.

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ICD-10-CM 2021 Codes for your Specialty

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18. Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99) Code:            Description:R51.0            Headache with orthostatic component, not elsewhere classifiedR51.9            Headache, unspecifiedR74.01          Elevation of levels of liver transaminase levelsR74.02     ...

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Stay out of Trouble — Understand the Qualified Medicare Beneficiary (QMB) Program

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To assist low-income Medicare beneficiaries, CMS created the Qualified Medicare Beneficiary (QMB) program; a Medicaid benefit which pays for Medicare deductibles, coinsurance, or copays for any Medicare-covered items and services for Medicare Part A, Part B, and Medicare Advantage (Part C). Providers/suppliers are prohibited from billing premiums and cost sharing to Medicare beneficiaries who are enrolled in QMB.

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ICD-10-CM 2021 Coding Updates for Chiropractic

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October 1st is just around the corner and that means it’s time for updates to the ICD-10-CM code set. This year there are some interesting changes such as a new headache type, new codes related to TMJ, several new codes for reporting accidents involving micro-mobility devices (e.g., hoverboard), and some other changes.

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Watch for Payer Telehealth Coverage Changes

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As our country moves forward with a phased approach to reopening, be sure to pay close attention to individual payer policies regarding how long these changes will remain in effect. Keep in mind that private payer, federal programs (Medicare, Medicaid), and Medicare Advantage plans can all have different timelines as well as different coverage.

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Getting Your Practice Back on Track

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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.

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COVID-19 Chiropractic Resources

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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.

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More Telehealth Changes Announced by CMS Chiropractic Offices Should Know About

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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.

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CMS-Coverage for Therapeutic Shoes for Individuals with Diabetes

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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 ...

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COVID-19: Cybercrime, Telehealth, and Coding

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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 ...

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Acupuncture Clarification

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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.

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Medicare Begins Covering Acupuncture Services

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Medicare is changing their policy regarding coverage of acupuncture, but in order to provide these services, you must follow their rules.

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Q/A: Did Noridian Stop Covering the M99.0- Codes?

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Question: I heard that Medicare Noridian Jurisdiction F (Alaska) has been denying claims with M99.00, M99.01, M99.02, M99.03 etc codes when billed with the CMT CPT codes. Did Medicare change their policy?

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Billing for Telemedicine in Chiropractic

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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.

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Q/A: Can Chiropractors Bill 99211?

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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...

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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, 2018Documenting Treatment Plan and Goals That Actually WORK - November 20th, 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 BookACA Coding Policy: Coding Misuse Prompts Fraud InvestigationsAmerican College of Radiology Practice Parameter for Communication of Diagnostic Imaging FindingsCapture Billing Medical Services - Commonly Used Medicare Modifiers - GA, GX, GY, GZCGS - Medicare Advanced Beneficiary Notice of Noncoverage (ABN) Form Instructions ToolCGS Medicare - Bilateral Surgeries: Claim SubmissionCMS - Medicare Part B Clinical Laboratory Fee ScheduleDetailed Information on the New Safety Data Sheets (SDS)Discount Plan or Health Insurance? by FTCDisposal of Protected Health InformationFair HealthHHS - Summary of the HIPAA Privacy Rule by HHSHHS, Justice Department warn hospitals on EHR-related payment fraudHIPAA: Health Insurance Portability and Accountability Act by AMAMedicare Recovery Audit by HHS Office of the Inspector GeneralMedicare: To Participate or Not to Participate?Modifier 59 MLN Matters #MM8863Noridian - Allowed Amount ReductionsNoridian - Physician Assistant (PA) ResourcesNoridian Chiropractic PoliciesOfficial HIPAA Guidelines for Media SanitationOIG Compliance Program for Individual and Small Group Physician Practices - Federal RegisterOSHA Small Business Resources - includes trainingOSHA's Computer Workstations eToolSecurity Risk Analysis Tip Sheet: Protect Patient Health Information by CMSSonomaSummary 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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