The Four Step Formula for Billing CMT
Chiropractic manipulative therapy (CMT) is crucial in many clinics. This article outlines a process to ensure reimbursement for this service. Read on to discover more!
Read MoreAuthor: Evan Gwilliam, DC, MBA, BS, CPC, NCICS, CCPC, MCS-P, CPMA
Billing and Documenting for Therapeutic Exercises versus Therapeutic Activities
Some chiropractic physicians may struggle to determine if they should bill for therapeutic exercises or for therapeutic activities. This article from Dr. Evan Gwilliam may help to provide some clarification.
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Evaluation and Management Coding is Manageable
As chiropractic physicians, we use evaluation and management codes frequently, but not at every encounter, as do our medical counterparts. These are the CPT® codes used to describe the work involved in figuring out what is wrong with a patient and creating a plan to manage him or her.
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Results of an Audit: a Case Study
Some time ago I worked with a client who needed help with an appeal. The provider had seen a patient over the course of four weeks for severe low back pain with radiculopathy to the left calf and foot. The provider put together a care plan and outlined goals based upon functional deficiencies. At each encounter, the following codes, among others, were billed:97110 Therapeutic exercises, 97140 Manual therapy. The therapy services were denied for most of the visits. The claims reviewer provided the following partial explanation for the denial:
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Medicare’s Quality Payment Program
As part of the latest proposal to fix this problem, the Medicare Access and CHIP Reauthorization Act (MACRA) was passed in 2015.
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