Why ICD-10 Has Been Bad For PI Cases (& What to Do About It)

Historically, chiropractors have enjoyed good success in personal injury work but the changes brought on by ICD-10 have not seemed to help in the matter and from the emails and comments we receive at our chiropractic seminars, it appears there is a good portion of the profession made significantly worse by ICD-10 when it comes to chiropractic personal injury work. …

These Auto Injury Payers are Ready for ICD-10 and These are…

As I stated in a previous article, these payers have been frustratingly quiet about what their plans are in respect to ICD-10 and virtually no information has been clearly stated online. And since PI carriers are technically exempt from HIPAA, this has led to a little anxiety and a lot of confusion from chiropractors wondering how they will bill auto …

Regence Clarifies Chiropractic ICD-10 Implementation Questions

For those of you who have been diligently preparing for ICD-10, you have perhaps noticed a curious and frustrating lack of clarity on behalf of how payers are responding (or not responding) to the transition process. At my recent ICD-10 Intensive Workshops, a few common questions kept coming up in regards to how different payers were handling ICD-10 preparations and …

How Will PI & WC Carriers Handle Chiropractic Claims in ICD-10?

One of the most common questions I’ve been getting at my ICD-10 Intensive Workshops is in regards to implementing ICD-10 with Auto Insurance Carriers (PIP, MedPay) and with Worker’s Compensation Insurance. While everyone understands that Auto and WC carriers have a different relationship with you (the provider) than commercial payers, there appears to be some major confusion as to exactly …

The ICD-10 Code Converter Iceberg (& How to Avoid It)

As all of healthcare creeps closer to the ICD-10 deadline, there are a few mistakes that chiropractors want to avoid during their training and implementation. In today’s post, we will start with perhaps the most innocent (and dangerous) errors: the code converter “iceberg.” Here’s how to avoid this mistake: The Code Converter Iceberg Many chiropractors naively assume that the crosswalk …

Medicare Reveals Exactly How to Get Audited in Latest Chiropractic Review

  CMS carrier Palmetto GBA Railroad Medicare (who administers claims for Railroad Medicare beneficiaries nationwide) recently conducted a “widespread review” of chiropractic services submitted between October and December 2013. Specifically, Railroad Medicare reviewed 21,109 services that were submitted by chiropractors for CPT codes 98940 and 98941.  As you can see below, the results were eye-opening.