Chiropractic Diagnosis Codes for Medicare in 2019: Choose Wisely!

Many Chiropractors think that diagnosing Medicare patients is one of the simpler things they must do. After all, most Part B Medicare Administrative Contractors (MAC) provide a list of approved diagnosis codes to use. Many even provide guidance on the frequency limitations that they deem appropriate for categories of diagnosis codes. However, as we review […]

Chiropractic CPT Codes: Everything You Need to Know

Chiropractic CPT Codes – Current Procedural Terminology or CPT Codes are intended to provide consistent information about a patient’s condition for procedures, medical services and healthcare billing. Learn more! Chiropractic CPT Codes The American Medical Association (AMA) maintains CPT codes via its CPT Editorial Panel. CPT codes are used to describe all medical procedures a […]

What to Look for When Choosing Chiropractic Malpractice Insurance

Doctors in other fields are more likely to experience lawsuits than a chiropractor, but that doesn’t mean it can’t happen to you. If you are hit with a lawsuit and don’t have sufficient insurance, you could end up in bankruptcy while also losing your license. Chiropractic malpractice insurance is an absolute necessity. Consider how much […]

How to Help Your Patients Make the Most Out of Their Annual Insurance Benefits

It’s nearly the end of 2018, and while people are getting into the holiday spirit, there are also practical matters to consider when it comes to insurance benefits. Advising your patients on how to make the most of their benefits by year’s end is a win-win for them as health consumers and for you as […]

Unusual Medicare Billing Codes: Don’t Make These Mistakes in the New Year!

Selecting Medicare billing codes may be one of the simplest tasks we have, because there are only three spinal chiropractic manipulative treatment (CMT) codes that are covered under Medicare. However, our audits reveal significant errors. Most revolve around these three services: physical medicine CPT codes 97014, electrical muscle stimulation, 97010, hot/cold packs and the spinal […]

What are Chiropractic SOAP Notes?

What are SOAP Notes? The term chiropractic “SOAP notes” has nothing to do with working up a lather. So what does “SOAP” stand for? It stands for “Subjective Objective Assessment Plan,” which provides documentation of a patient’s condition, diagnosis and treatment. SOAP notes were invented in the 1960s by Dr. Lawrence Weed of the University […]

QPP Advancing Care Information Category Rebranded as Prompting Interoperability

The Centers for Medicare and Medicaid Services (CMS) organization has recently made a terminology change to the Advancing Care Information (ACI) category of the Quality Payment Program (QPP). This category, which includes the measures that must be completed in your EHR software, has now been rebranded as the Promoting Interoperability category. This change falls in […]

Therapy Codes for DC’s and Rejected Claims

Are you noticing that you have been receiving rejected claims for physical therapy services?  On January 1, 2017, the Center for Medicare and Medicaid Services (CMS) released MLN Matters Number: MM10176 a notice indicating that certain services were subject to a therapy cap and that to you must start using one of three modifiers (GN, GO, or GP).  […]

New Medicare ID Cards

The Center for Medicare & Medicaid Services (CMS) recently announced that they will be issuing new ID cards.  Starting in April 2018 Medicare will be mailing new cards to beneficiaries. These cards will have a new identification number that is different from the beneficiaries Social Security Number.  These new numbers will be called the Medicare Beneficiary […]

What is Chiropractic Software? The Complete Guide

Even if you are a solo practitioner, you have a partner in your practice – your chiropractic software.  Just as you would want the best possible human partner to share your practice, it’s also critical to do your homework and take the time to choose the chiropractic software that’s the best fit for your practice.  […]

5 Things to Know About Chiropractic Compliance

Have you noticed that more of your peers are receiving records requests?  Are there more stories circulating about chiropractic audits? These are not rumors, unfortunately, the number of records requests has been increasing.  The increase in requests is due to the Office of the Inspector General (OIG) urging The Centers for Medicare & Medicaid Services […]

Preparing for 90-Day Reporting?

If you haven’t started reporting to the Merit-Based Incentive Payment System (MIPS), this may mean a few things. Maybe you are reporting to the test pace and waiting for the right moment to get that one submission in order. Perhaps you are taking the penalty. Or, you are using the last 90 days to focus […]

Proposed Changes to MIPS in 2018

The Centers for Medicare & Medicaid Services (CMS) released another proposal regarding calendar year 2018, the second year of the Quality Payment Program (QPP). In this latest release, CMS is focusing on reducing burden to both reporting providers and those practicing at small or rural clinics. Some of the specific proposals include plans to increase […]

PQRS Experience Report

As of January 1st, 2017, the Physician Quality Reporting System (PQRS) ended and gave way to the Quality category under the new Quality Payment Program. Attestation for PQRS was accepted until March 31st, 2017. Any penalty or payment incurred under that program will be in effect throughout 2018. At this time, the 2016 reporting penalties […]

Maximizing Your Benefits from MACRA/MIPS

The long wait is over! On Friday, October 14, 2016, Centers for Medicare and Medicaid Services (CMS) released the final rule implementing The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). The MACRA act establishes new ways to pay chiropractic physicians for caring for Medicare beneficiaries and will likely have an impact on your […]