Top 5 CPT Codes And Modifiers For Chiropractic Medical Billing
It
is pretty challenging to run chiropractic practice as it tends to take
relatively longer to process the treatments, and in the wake of the same, the
other essential tasks go unnoticed. Effective chiropractic medical billing and
coding practices share several elements in common. This includes a properly
trained staff, proper coding and documentation, deft practice management, and a
healthy accounts receivable, taking care of ICD10/CPT Coding services amongst a
lot more.
What is CPT?
The
American Medical Association is responsible for mainly publishing and
maintaining the Chiropractic CPT Codes and specifications. These codes are
considered some of the essential principles for chiropractors, and they have to
become familiar with the same. All the CPT codes tend to feature five
alpha-numeric characters, which describe evaluations, diagnostic tests, and
medical procedures. All of them are performed either by a doctor or a
chiropractor on a patient. The codes tend to contain tens of thousands of
medical procedures as they are huge.
CPT
codes make an integral part of the entire chiropractic billing process.
Chiropractic billing codes tell the insurance company what procedures the
chiropractor is performing and would like to be reimbursed for. Insurance
companies use CPT codes to track health data and measure specific
medical procedures’ prevalence and value.
Some of the standard CPT
codes include:
- CPT Code 99203 – Initial Exam
- CPT Code 97110 – Therapeutic Exercise
- CPT Code 98940 Chiropractic
manipulative treatment (CMT); Spinal, 1-2 regions
- CPT Code 97035 – Ultrasound/
Phonophoresis
- CPT Code 97161 – PT Evaluation: Low
Complexity
Here you can learn about
some fantastic Chiropractic Medical Billing Services:
- Billing System Enrollment-
The
experts help the patients enroll in the billing system as soon as they sign up
for a consultation. They ensure that all the details have been captured
correctly and the regulations are also met. It includes information and
demographic capture.
- Patient Verification-
The
experienced professionals or medical coders perform in-depth patient
verification using proprietary tools and software when they do chiropractic
medical billing. They also ensure that they remove the patients who have bad
payment history, irregular insurance information, or other issues.
- Chiropractor Coding-
Besides
tracking the patient’s medical history, coding helps in receiving insurance
payouts on time. It is challenging to determine the medical codes for
chiropractors, and it takes a lot of time. So one can also consider outsourcing
the same, so as to be relieved of the lengthy process.
- Medical Billing and Account
Reconciliation-
The
step-by-step process assures that charges are mentioned correctly so insurance
companies can deal efficiently in terms of payout.
- Accounts Receivable Collections-
The
professionals ensure that balances are appropriately checked, and there are
follow-ups regularly when it comes to outstanding payments.
Some of the tips for
Chiropractic Billing Codes:
There
is nothing surprising to know that chiropractic billing can be
challenging, but the reimbursements can happen successfully with perfect CPT
codes.
Firstly,
you need to understand the insurance coverage of the patient. For example,
there can be a possibility of two patients having a similar policy, but their
cases are pretty different. One insurance carrier can reimburse the same while
the other cannot when it comes to CPT codes, so you need to check the claim
cycle’s eligibility criteria.
Before
starting any treatment, one needs to complete the pre-authorization. And if you
fail to do so, then there are chances of your claim being denied. Lastly, you
need to analyze the denied claims so you can get an idea of how to correct
them. Above all, one can use the tips given here.
Conclusion
There
is a lot that goes into managing and maintaining Chiropractic Billing well in
place. In such a scenario, an organization can opt for outsourced medical billing services, which
will help them in streamlining their operations and also concentrate on core
activities. 24/7 Medical Billing Services is a renowned medical billing service
providers who can effectively handle all your chiropractic billing needs and
claim settlements.
About
24/7 Medical Billing Services:
We
are a medical billing company that offers ‘24/7
Medical Billing Services’ and
support physicians, hospitals, medical institutions and group practices with
our end to end medical billing solutions. We help you earn more revenue with
our quick and affordable services. Our customized Revenue Cycle Management
(RCM) solutions allow physicians to attract additional revenue and reduce
administrative burden or losses.
Contact:
24/7
Medical Billing Services
Tel:
+1 888-502-0537
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