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 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

5 Chiropractic Audit Errors You Need to Fight (Every Time!)

As upsetting as it may be to receive a notice that you are being audited, there is equal (or perhaps greater) frustration when the payer demands repayment for services you feel were correctly reimbursed, properly documented and rendered according to standards of medical necessity. In those cases, an appeal of your chiropractic audit is absolutely necessary for several big reasons: …

admin5 Chiropractic Audit Errors You Need to Fight (Every Time!)

Conquering Colossus (& Other PI Claims Processing Software) in Your Chiropractic Practice

Anyone who has cared for personal injury patients is likely familiar with the claims processing software known as Colossus (or you should be). Depending on your data sources (because auto insurance payers aren’t likely to reveal them), the list of carriers who use Colossus to determine your patient’s claim value and how much treatment to permit is pretty beefy. Most …

adminConquering Colossus (& Other PI Claims Processing Software) in Your Chiropractic Practice

Are Your Chiropractic Revenues Tied to Emotions or Logic?

When faced with decisions on major life purchases – house, car, building purchase, even expensive remodels or repairs – most of us responsible adult chiropractors tend to do some comparison shopping. We may go out and get three or four quotes, make a list of the pros and cons and then pick the best choice, right? Wrong.  While most consumers …

adminAre Your Chiropractic Revenues Tied to Emotions or Logic?

Common 98943 Chiropractic Extraspinal Adjustment Errors That Are Causing You Trouble

Since CPT Code 98943 (which is chiropractic adjustment to the extremities) is a procedure performed by exclusively by chiropractors, there seems to be some misunderstandings and misinterpretation of proper coding rules when it comes to getting paid. This certainly is not a one-sided problem. Both chiropractors and insurance payers appear to be missing the mark on how to get 98943 …

adminCommon 98943 Chiropractic Extraspinal Adjustment Errors That Are Causing You Trouble

How to Audit a Chiropractic Audit

There has been quite an upswing in chiropractic audit activity in the profession lately.  I’m not sure if this is “audit season,” if payers have determined that once and for all they are going to “teach” us chiropractors a lesson and/or if we seem to be getting more proficient at making mistakes.  Regardless audits are up and so are the …

adminHow to Audit a Chiropractic Audit

How the New Modifier FX Will Affect Your Chiropractic Xray Payments

Effective January 1, 2017 Medicare released a new requirement and an accompanying new modifier that may have slipped under the radar for many chiropractors…for now. The new modifier is FX and is required when you take plain film x-rays (as opposed to digital x-rays). While chiropractors may think this ruling has no bearing on them (because Medicare does not reimburse x-rays …

adminHow the New Modifier FX Will Affect Your Chiropractic Xray Payments

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. …

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