Chiropractic Resources

For many providers, the ability to verify a patient’s eligibility prior to submitting a claim has been out of their reach. However, patient eligibility verification is a crucial part of any practice’s process to reduce claim rejections and...

How much time does it take your practice to manage claims denials? It’s probably much more than you would like to spend.   Of all efforts you put toward ensuring your practice is financially successful, managing denials may be the most critical...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...