A large number of questions I receive deal with appealing denied insurance claims and these denials cause most doctors headaches. When a claim has been denied because of medical necessity or because a service is not covered, an important step in the appeals process is to determine if the patient’s plan is a self-funded ERISA plan.
Read More
When you treat family, often your family will want to help you out and suggest that you file the claim for services with the insurance company. Whenever you are going to file a claim for services rendered to family members, always check the policy first.
Read More
Using flexible tape such as Kinesio tape or McConnell tape has become more common, and many chiropractic physicians want to bill insurance for these services. Although there are CPT® codes for taping and strapping, based on information within CPT® supporting documents, these codes should not be used for flexible taping.
Read More
I suggest that before submitting a claim to a 3rd party payer for T.E.N.S. reimbursement, it is important to read the medical policy of the 3rd party to determine if the rental or sale of the machine meets their definition of medical necessity.
Read More
Will billing for foot orthotics cause me to be audited? Unfortunately, I cannot tell you if an insurance company will audit you because you billed them for foot orthotics.
Read More
We went into the 2nd year of the 97th General Assembly predicting a political minefield of Education, Pension, Medicaid & Healthcare reform while legislators simultaneously struggled with maintaining tenuous public favor while running in entirely new legislative districts. Although no agreement was reached on pension reform, the Legislature adjourned on time (May 31st) choosing to avoid even tougher votes in an overtime session (when a supermajority would be required for passage).
Read More
Many chiropractors do not realize that they must comply with OSHA laws. Each office must have a written control plan. The extent that each office needs to be compliant depends on the number of employees an office has and the services each office provides.
Read More
Regardless of your practice philosophy, it is of utmost importance to address neurological lesions at their source. When I say this, I am referring to the patient that walks into your office with a list of complaints that may include neck pain and upper extremity numbness.
Read More
