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2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

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Click here for more sample CPC practice exam questions and answers with full rationale

Clean Chiropractic Claims Require Coders to Know Where It’s “AT”

Ever since the publication of the Office of Inspector General’s (OIG’s) portfolio “Medicare Needs Better Controls to Prevent Fraud, Waste, and Abuse Related to Chiropractic Services” in February 2018, chiropractic services have been on the OIG’s radar for improper payments. So, what can you do to avoid the OIG’s scrutiny and keep the auditors from […]

The post Clean Chiropractic Claims Require Coders to Know Where It’s “AT” appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Clean Chiropractic Claims Require Coders to Know Where It’s “AT”

Ever since the publication of the Office of Inspector General’s (OIG’s) portfolio “Medicare Needs Better Controls to Prevent Fraud, Waste, and Abuse Related to Chiropractic Services” in February 2018, chiropractic services have been on the OIG’s radar for improper payments. So, what can you do to avoid the OIG’s scrutiny and keep the auditors from […]

The post Clean Chiropractic Claims Require Coders to Know Where It’s “AT” appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Responding to a Request for Chiropractic Medical Records

A request for documentation from a Medicare contractor does not have to be daunting to doctors of chiropractic and their billing staff. This checklist breaks down what medical data you need to include to properly respond to a request for chiropractic medical records. The documentation should include, but is not limited to: Patient Information Name […]

The post Responding to a Request for Chiropractic Medical Records appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Chiropractic Modifiers with ABN

Can someone please answer this question? We have a voluntary ABN for a service Medicare never covers. When we use the GX/GY Modifier for G0283 and 97012 codes, Medicare says this is an "inconsistent modifier(s)" for the service. I have researched this everywhere I can think of, including ChiroCode which says GX/GY Modifier is correct. I would appreciate any information. I am not a newbie, this is just something that started about 8 months ago with Medicare.

Medical Billing and Coding Forum

FQHC Chiropractic Services billed to Medicare

We are an FQHC located in Ohio and recently added Chiropractic Services. Medicare’s FQHC guidelines state the Chiropractic is covered however, it does not have CPT’S 98940 or 98941 listed as "Qualified visit" attached to a "G" code.

Can an FHQC get reimbursed for Chiropractic services rendered to a Medicare patient?

Any guidance will be greatly appreciated.

Thank You!

Patty Leber

Medical Billing and Coding Forum

Chiropractic Health Care Treatment is a Controversial Subject Within Medical Care

The definition of chiropractic health is a lengthy one. One that’s hard to understand, even for a writer. What it basically means is that, disorder of the spine and other areas of the musculoskeletal system affect someone’s general health through the nervous system. Did you understand all of that? Neither do most doctors.

The Yankee Medical organisation chose to boycott the chiropractic health injury until 1987 when they lost a highly publicized antitrust suit. In released statements the Association called the chiropractic approach an unscientific cult. They point out the fact that no definitive proof has been found to support concepts that chiropractic can help alleviate pain anywhere, but in a patient’s back.

Since the ruling in 1987 the methods and treatments involved in chiropractic health have gained a wider acknowledgment. Physicians sometimes endorse their patients to a trustworthy chiropractor. Although it’s affect on general health remains debatable, spinal manipulation has proven to be useful in treating back wounds.

The back is a crucial part of our existence that demands in the industry remain constant. However, I do not see family chiropractors coming into the principal anytime soon. The industry remains divided amongst themselves about the right techniques of treating patients or diagnosing sickness. There are two methods of chiropractic health that stand at odds with each other.

Doctors using the 1st approach are called ‘Straights’. Straights are recounted to emphasize vitalism, intelligence, and adjustments of the spine. The pioneers of the straight method are D. D. Palmer and his boy B. J. Palmer. D. D. Palmer started what’s now know as chiropractic in the 1890s. Straight chiropractors believe that subluxations of the spine or the vertebrae are probably the under lying cause of all illness and diseases. Also, they believe that realigning the vertebrae will cure initial stages of most sicknesses and you should not mix differing kinds of treatments and therapies.

The second kind of chiropractic health doctor is referred to as a mixer. They represent the bulk of chiropractors working today. Mixers are more accepted in the main stream due to their softer more scientific view toward the root of illness and sickness. Mixers accept treatment approaches from many different view points in the medical community and mix them to meet their patients’ needs.

Chiropractic health is recognized everywhere in the world, even if it is not accepted. Asian populations tend to lean toward acupuncture to alleviate back pain. By accident, acupuncturists have the same beliefs that straight chiropractors do. Believing that healing aliments of the spine will lead to overall healthiness.

Chiropractic health is most distinguished in Canada, Australia, and the US. Today there are of sixty five, 000 doctors of chiropractic working in English speaking nations. The U.S. has the most by far. Almost 20 accredited colleges in the U.S. Offer doctorates in this type of hospital therapy. With the amount of doctors growing, pressure has been put on the chiropractic health industry to better control itself. This form of medicare has the most grouses of fraud.

Before you investing time in finding relief, go to Triangle Wellness Chiropractic and Holistic Care, to get more information on chiropractic wellness center and chiropractic alternative medicine. Visit us today!

Chiropractic

Hello,
I have a denial for 97140 because it was listed as 2 separate procedures. The front office states that the first charge the Chiropractic doctor performed on one specific site. The second was from the office massage therapist and the massage therapist chose 97140 instead of 97124 because Lymphatic drainage was involved in the massage. The insurance company denies because duplicate CPT codes. Any thoughts? Thanks in advance.

Medical Billing and Coding Forum