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Our AMA and AAPC-certified coders and billers have wide experience in billing for a range of chiropractic services. We have assisted in billing for services, including spinal manipulation, mobilization, soft tissue therapy, therapeutic exercise, electrical stimulation, ultrasound, cold laser therapy, etc. This expertise ensures accurate documentation, minimizing claims denials and maximizing your revenue. Here’s how our team handles billing services for you:
- Integrate digital capabilities like electronic health records (EHR), electronic medical records (EMR), and electronic data interchange (EDI) into your existing or new chiropractic-specific billing software to digitize the processes from electronic billing to receiving electronic payments.
- Gather patient demographics, medical history, physician referral information, and complete insurance details (coverage type, prior authorization status with effective/expiration dates, and claims address) to validate them for accurate electronic claims processing.
- Adhere to coding guidelines, documentation standards, and payer policies to facilitate accurate electronic claims processing for diverse chiropractic billing models, such as membership or subscription-based billing, cash-based or direct pay billing, value-based billing, and telehealth billing.
- Stay up-to-date with CMT CPT and ICD-10-CM codebook changes, and E/M codes, HCPCS, to avoid costly errors in coding. Assign correct codes for Chiropractic Manipulative Treatment (CMT), CPT codes (98940-98942), ICD-10-CM diagnoses, and modifiers 25 and 59.
- Manage accurate billing and coding for various chiropractic procedures, such as the diversified techniques, activator methods, gonstead techniques, applied kinesiology, etc, for treating back pain, neck pain, headaches, joint pain, sciatica, herniated discs, and more.
- Align with evolving regulations and reimbursement structures for all payers, including Medicare, Medicare Advantage Plans, Medicaid, Workers' Compensation, Personal Injury Protection, VHAs, and private insurers like Kaiser Permanente and Aetna. This ensures adherence to the latest fee schedules, filing guidelines, and coverage limitations.
- Receive EOBs from insurance payers, verify claims for services rendered, and initiate an appeal process after resolving the claims disputes. This helps to receive maximum reimbursement for rendered services.
- Provide a proper breakdown of out-of-pocket expenses (deductibles, copayments, and coinsurance) for each service to help patients understand their financial responsibilities. This helps to prevent unpaid claims for our clients.
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