chiropractic insurance seminar

Chiropractic Insurance Billing, Coding, Documentation MASTERY Seminar

Get the LATEST Need-to-Know Insurance Updates to Get Paid for What You Do AND Stay Compliant for Chiropractic, Massage & Rehab Services in 2019 & Beyond! Presented By:  Tom Necela, DC, CPC, CPMA, CCP-P of The Strategic Chiropractor 2019 is already looking to be a year of big changes for chiropractors in the arena of insurance billing, coding, documentation, compliance …

adminChiropractic Insurance Billing, Coding, Documentation MASTERY Seminar
2019 ICD-10 Codes for Chiropractors.

Yes, the 2019 ICD-10 Codes for Chiropractors Start NOW

We’ve been receiving a number of emails from confused docs and their billing staff who are asking if the 2019 ICD-10 codes for chiropractors begin now (in October 2018) or later (in January 2019). The short answer is: even though the newest code set is named ICD-10 2019, the codes go into effect starting October 1, 2018! What 2019 ICD-10 …

adminYes, the 2019 ICD-10 Codes for Chiropractors Start NOW

Is Your Chiropractic Non-compete Agreement Enforceable?

Although a chiropractic non-compete agreement is not part of every chiropractic associate contract, most have them. In fact, many chiropractors who are seeking an associate employment position are unable to avoid signing a non-compete agreement. For a business owner that is seeking to employ an associate chiropractor, there are obvious practical advantages of having a non-compete agreement, plus the experience …

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ACA Objects to United Healthcare Chiropractic Policy — And Why Chiropractors & Their Patients Should Be Concerned!

The American Chiropractic Association (ACA) just sent a polite, but firm, letter that objects to the new United Healthcare Chiropractic policy that is presently creating quite a stink in our profession. The letter was co-signed by State Association Presidents as well as other prominent political advocates for the chiropractic profession such as Jay Greenstein, DC of Clinical Compass, Don Cross, …

adminACA Objects to United Healthcare Chiropractic Policy — And Why Chiropractors & Their Patients Should Be Concerned!
Aetna chiropractor

Aetna Chiropractor? Your Payments Are in Jeopardy if You Adjust, Do Rehab or Don’t Follow Their Latest Policy Updates!

If you are an Aetna chiropractor, receiving payment for many of your services may now be in jeopardy thanks to three of their recent policy updates: one for chiropractic services and one for complementary and alternative medicine (both updated in June) and physical therapy services (updated earlier this year). The bad news is that this will affect all chiropractors – …

adminAetna Chiropractor? Your Payments Are in Jeopardy if You Adjust, Do Rehab or Don’t Follow Their Latest Policy Updates!
united healthcare chiropractor

(Policy Update) If You’re a United Healthcare Chiropractor, Here’s What You Can No Longer Treat

If you are a United Healthcare® chiropractor (regardless of whether you are in or out of network), beware of their new limitations of what you cannot treat (at least if you want to be paid).  UHC’s June 2018 policy update on spinal manipulation provides a very significant and admittedly strange entry into their widening “experimental and investigational services” category. Of course, …

admin(Policy Update) If You’re a United Healthcare Chiropractor, Here’s What You Can No Longer Treat
chiropractic audits woman worried

Why Your Exams are the Easiest Chiropractic Audits to Fail (& to Fix So You Can Keep Your Money)

It’s a dirty little secret among auditors that E/M codes are easy money to take back from doctors.  Unfortunately, as chiropractors, we are no exception and your exams may possibly be the easiest chiropractic audits to fail.  Of course, failure means repayment, which is obviously unpleasant and painful. Obviously the news is no secret to insurance companies who love to …

adminWhy Your Exams are the Easiest Chiropractic Audits to Fail (& to Fix So You Can Keep Your Money)
cpt code 97140

CPT Code 97140 Problems & Strategies for Chiropractors to Get Paid

A few years back, I wrote about challenges that chiropractors were having with CPT Code 97140 and getting reimbursed from Aetna.   Since that time, there has been some progress, some frustrations over the lack of it and a few distinct changes that affect chiropractors getting paid for CPT Code 97140 (Manual Therapy) on the same day as their chiropractic adjustment. …

adminCPT Code 97140 Problems & Strategies for Chiropractors to Get Paid
cpt code 98943 problems

Continued Problems With CPT Code 98943 for Chiropractors

It is with sadness that I report at the problems with CPT code 98943 (for a chiropractic extremity adjustment)  have continued for well over 5 years now  and it  does not look like that the challenges will be disappearing anytime soon. Unfortunately, we routinely get emails from confused chiropractors and their staff regarding problems they are having while wrestling with …

adminContinued Problems With CPT Code 98943 for Chiropractors
stop chiropractic pre-authorization

Getting Around a Payer’s Chiropractic Pre-Authorizations: Are There Possible Exceptions?

Patients, providers and staff alike are frequently frustrated by chiropractic pre-authorizations.  But unfortunately, the process is likely here to stay and, in many states, getting much more common. After all, by installing chiropractic pre-authorizations, insurance payers create an effective way to block the patients from truly accessing the benefits they have paid for and, simultaneously, setting you (the contracted provider) …

adminGetting Around a Payer’s Chiropractic Pre-Authorizations: Are There Possible Exceptions?