Best Resources for Chiropractic Billing & Coding

Best chiropractic procedure code resources for better business, increased revenue, and less stress.

If the mere thought of chiropractic billing and coding has you feeling a little crazy, you’re not alone. Claim denials, confusing changes and internal billing processes can make even the most competent of workers feel stressed, overwhelmed and a little off-kilter.

Best Chiropractic Coding Resources

When coding and modifiers are inaccurate, your chiropractic practice suffers the consequences, including decreased revenue, too many unpaid claims, and unwanted attention from auditors.

That’s why it’s so important to get them right. And you can … with a little help. For starters, check out our best chiropractic procedure code resources that will point you in the right direction – and have you feeling better in no time.

Learn the Language of Coding

Documentation and coding is its own language, but unfortunately, it’s usually not part of the curriculum in school. The better you understand it, the better you’ll communicate with payers and reviewers – and the quicker you’ll get paid.

However, it’s hard to learn any new language without instruction and repetition. That’s why webinars are so helpful; you can listen and learn and take your time with absorbing the information.

Sign up now for this 30-minute webinar presented by Brandy Brimhall, designed especially for doctors, billers and CAs who are involved in data entry.

Brandy is a recognized expert in chiropractic billing, coding & compliance, a sought after speaker at state and national chiropractic conferences, and a regular contributor to multiple chiropractic publications.

Decrease Claim Denials

Claim denials are bound to happen, and when they do, it’s important to know why. CPT coding is an area where denials are particularly high.

For example, some payers are denying Mechanical Traction (CPT Code 97012) on the same date of service as the Chiropractic Manipulative Treatment (CMT 98940-98942).

Rationale for those denials are varied, and have implied that DCs should trade-in their adjusting tables for another intersegmental traction table.

Find out here how these CPT codes differ, and how various modalities might assist in accomplishing and/or complementing some of the same objectives as the CMT codes or 97012.

Also included is a three-step plan that will help you handle denials, and an alternative plan that can ease all that coding stress.

Beware of Red Flags

Every chiropractor and in-house biller will say that being audited is one of their biggest fears. But without even knowing it, their coding and billing patterns include red flags that attract unwanted attention from auditors.

Fortunately, there are specific things you can do to avoid scrutiny and keep your practice protected, and they’re right at your fingertips.

Find out here about:

• The seven elements of payable claims
• What auditors are looking for
• Common causes of billing errors
• The importance of modifiers with coding

Stay Current with Coding & Compliance

When it comes to Medicare coding, compliance and documentations, it’s easy to feel overwhelmed. Fortunately, there are industry resources and experts you can count on to help.

This previously recorded webinar hosted by Dr. Marty Kotlar is the perfect example. He discusses the topic in detail, and includes guidelines on chiropractic, subluxation according to Medicare. In addition, you’ll learn more about:

• The Medicare P.A.R.T. evaluation
• Initial and subsequent visit documentation requirements
• The new Medicare MIPS program
• ICD-10 & Medicare
• The ABN form
• Participating vs. non-participating

To view this informative session, click here.

Develop Good Coding Strategies

While there are numerous elements that make up a successful practice, keeping your revenue up and consistent is obviously a key component.

But that can be quite the challenge, given the current state of high deductibles and decreased reimbursements.

One solution is to create documentation and coding strategies that meet the ever-changing regulations, requirements and complexities of practice. Piece of cake, right? Especially given the current state of high deductibles and decreased reimbursements.

This previously recorded webinar, presented by Mario Fucinari, DC, CCSP, CPCO, MCS-P, will help doctors and staff learn how to avoid governmental and disciplinary scrutiny, avoid missed revenue, and maintain billing and coding integrity.

Improve Billing Modifier Accuracy

As mentioned before, learning the language of documenting and coding is vital to improving billing practices.

Chiropractic modifiers, in particular, tell insurance companies that there is something different about the services related to the CPT code being billed.

If you’re inaccurate with your modifiers, it will have a negative effect on collections.

This handy and easy-to-use flyer will help. It illustrates the Top 10 Most Common Modifiers in Chiropractic Billing, and how to use them accurately.

Consult With Experts

The ultimate resource for billing and coding questions or problems is a team of professionals who know what they’re talking about.

Our U.S.-based billing experts not only fit that description, they are also able to provide comprehensive insurance billing services while increasing your practice revenue (an average of 11.6%).

That means less hassle and more money in your pocket. Find out more with a free consultation. We’ll be happy to talk to you about billing and coding, and how we can help make your in-house billing process better.