Don’t Be in Documentation Denial
The HHS Office of Inspector General reported that as many as 94% of chiropractic records are missing, or inadequately reflect, some key elements.
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BCBSIL E/M Claim Appeal Template Language
As a result of these two major changes, we are encouraging chiropractic physicians to appeal and include references to these important documents.
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Illinois Chiropractic Society Works with American Medical Association (AMA)
The Illinois Chiropractic Society (ICS) has been working with the American Medical Association (AMA) in 2018 to clarify problematic language published in 2007 in the CPT® Assistant. The ICS noted that the 2007 guidance was overly inclusive in the number and types of services bundled as part of chiropractic manipulative treatment (CMT). We are happy to report that the AMA has recently revised this language to remove from the CMT narrative some of the elements that are more appropriately characterized as part of a patient re-evaluation.
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BCBSIL Modifier Denial Update
The Illinois Chiropractic Society is continuing efforts to resolve with BCBSIL the problematic claims processing protocol implemented in November 2017. Many of our doctors continue to receive denials when billing services that require a billing modifier (primarily 25, 59, XS, and XU).
Read MoreHow Do All of the Dates Work on the Claim Form?
How Do All of the Dates Work on the Claim Form? Marc and Dr. Mario Fucinari discuss the date requirements on the 1500 claim form.
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