Chiropractic Billing Guide

You can’t implement a streamlined chiropractic billing system if your office is not being managed efficiently. As a benefit, the two systems are interdependent upon one another. Strong office management will benefit your billing system and an effective chiropractic billing system will improve your office management. If you get these two in balance, your practice will achieve great success. A streamlined and efficient financial process is crucial for any successful practice, and key to a healthy revenue cycle. Check out these seven monthly revenue tips that will improve your financial process and ultimately free up more time to focus on what matters – your patients.

They are:
• Evaluate accounts receivable
• Reduce excessive accounts receivable
• Improve code accuracy
• Analyze denied claims
• Improve verification stage
• Send clean claims
• Hire help
• Look into chiropractic practice management software

CPT Coding & Documentation

Proper coding and documentation for the most common diagnoses. Chiropractors typically diagnose only a few types of musculoskeletal conditions. In this presentation by Dr. Evan Gwilliam, you’ll learn the code options, code detail considerations, common diagnostic tests and top procedure code linkage. You’ll also see sample subjective and objective documentation for muscle conditions, headaches, radiculopathy, and pain. Dr. Gwilliam, D.C., MBA, CPC, NCICS, CCPC, CPC-I-MCS-P, CPMA, has a Bachelor’s degree in accounting and a Master’s of Business Administration. He is one of the few clinicians who became a certified ICD-10 Instructor through the American Academy of Professional Coders.

Tips for billing codes. These top five tips for chiropractic procedure codes will help you with everything from tracking less attention from auditors, to learning the deeper meaning of codes and modifiers.

Tips for billing lower limb orthoses. Based on information available from the Centers for Medicare & Medicaid Services (CMS), here’s a guide for ordering lower limb orthoses that details denial prevention, and includes codes that are covered by Medicare.

CPT coding for mechanical traction versus CMT. Find out more about why some payers are denying Mechanical Traction (CPT Code 97012) on the same date of service as the Chiropractic Manipulative Treatment (CMT 98940-98942). This includes an action plan and possible solutions.

Audits & Auditors
One of the biggest fears for chiropractors and billing personnel is being audited. Unfortunately, your claim forms and billing patterns might be raising all kinds of bright red flags to the wrong people. Avoid attracting the wrong kind of attention with better billing patterns, and the tools you already have that will keep your practice billing protected, and help you avoid scrutiny.

Learn more about the seven elements to payable claims, along with:
• Common causes for billing errors
• How coding is a different language
• The importance of modifiers
• The impact of claim forms

Professional Chiropractic Billing Services, such as Telfonix Medical Billing
Outsourced chiropractic billing services can relieve the burden of in-house billing, so your office staff can spend their energy and time on what matters: patient care. In addition, billing experts – coupled with effective software – can help improve your cash flow, practice productivity and patient experience.

Explore whether partnering with insurance billing experts is right for you. Some of the benefits include:
• Increased reimbursements
• Quicker claim payments
• Reduced billing headaches
• Eliminated billing errors
• Steadier cash flow
• Increased patient retention

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