Part IV NBCE Soon Required for Illinois Chiropractic Physician Licensure
To qualify for licensure as a chiropractic physician, Illinois requires only Parts I, II, III of the exam of the National Board of Chiropractic Examiners.
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New Updates for 2021
There are a number of items that we want to remind you to take care of in your practice today. These updates include PQRS G codes, New ABN form, E/M changes, Medicare fees, and poster requirements. Watch the video to learn more!
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Strategies to Improve Recordkeeping, Coding, and Compliance
Question: Dr. Kotlar, “My recordkeeping, coding, and collection systems are outdated. I’ve been documenting the same way for the last eight years even though I’ve added more services and products. I am seeing more patients but not collecting more money. Can you share some tips to help me improve?”
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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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NGS Changes Chiropractic LCD
The ICS previously announced that NGS would be making significant changes to the chiropractic Local Carrier Determination (LCD) for our region.
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Are Your Medicare Notes Functional
Many are seeing increased denials of care for medical necessity in Medicare. A closer look at the reasons for the denials reveals a change in Medicare’s interpretation of medical necessity and progress in care. The evolution of their interpretation actually complements what chiropractors have been saying for several years – we do not only treat pain!
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59 Modifier Comes Under Fire in Medicare
The 59 modifier is used to indicate to the carrier that a “distinct procedure code” is involved and the procedures should be paid separately.
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EHR Audits on the Rise
In January 2014 the Department of Health and Human Services Office of Inspector General (OIG) announced that electronic health records (EHRs) have created new exposures to healthcare fraud and abuse, and, as a result, they requested CMS and their contracted MACs revise their approaches to protect against fraud and abuse.
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