As we approach October 1, 2024, healthcare providers must prepare for the latest updates to the ICD-10-CM code set. This year, the changes are significant, with 301 code modifications, including 252 new codes, 36 deletions, and 13 revisions. The total number of codes now stands at 78,260. Key Changes and

Chiropractors are among the last people who wake up in the morning and get excited about learning about medical coding.  In the healthcare business world, a provider must select a diagnosis code (ICD-10), link it to a procedure code (CPT), and place it on a claim form (CMS-1500) and then submit

Chiropractic Manipulative Treatment (CMT) is the lifeblood of most chiropractic clinics. And Medicare (CMS) is the gold standard when it comes to rules and regulations. If a provider is able to satisfy Medicare guidelines, odds are good that he/she can satisfy any third party. CMS only pays chiropractors for Chiropractic Manipulative Treatment

If you were hoping that this article was going to help you find shortcuts for coding ICD-10, then you will be sorely disappointed.  This article is actually an exposé on the dangers of using shortcuts when selecting ICD-10 codes.  Sorry if you feel misled, but please read on.  A valuable

Best Defense Against an Audit?  Do it Yourself.  The Chiropractic business model was much simpler 40 years ago.  Perform a service, bill for it, and get paid.  Unfortunately this allowed for a few bad eggs to abuse the system and collect payment when they shouldn’t have.  In addition insurance companies

Part 2  There are no specific CPT codes for telehealth services provided by chiropractors.  However, it is possible that some payers might allow billing a therapy code such as 97110 with the 95 modifer and the 02 place of service code.  This assumes that the same criteria for medical necessity

With the advent of the Covid-19 pandemic many chiropractic offices are facing cancelled appointments and even temporary closure.  Though it may have limited application in a chiropractic setting, telehealth could be a way to keep patients and providers safe while still possibly generating a little revenue from delivering healthcare from

This is a continuation of our previous blog. 2) [From Find-A-Code] The health care attorney who wrote this article contends “there are ways to appeal an unreasonable denial and audit when the work has actually been done.”        a) While being reluctant to assign any ulterior motive for this statement, I must remind you

If it isn’t written, it wasn’t done – is not a myth (2 parts) – Part 1 A rebuttal by Steven R. Levinson MD CHCA, with some comments from Evan M. Gwilliam DC MBA BS CPC CCPC CPC-I QCC MCS-P CPMA CMHP, Executive Vice President, Find-A-Code  A few weeks ago we ran an article

By Evan M. Gwilliam, DC MBA BS CPC CCPC CPC-I QCC MCS-P CPMA CMHP AAPC fellow  The initial exam is where the provider gathers the information to determine the need for all the care that follows. It is billed most often as an office or outpatient evaluation and management (E/M) code from the 4th edition of the AMA’s Current