Resolve the Complexities of Chiropractic Billing with Outsourcing

Resolve the Complexities of Chiropractic Billing with Outsourcing

Relying on professional chiropractic billing services to manage the revenue cycle helps ensure maximum reimbursement for chiropractic care.

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Chiropractic care is proving useful to treat many different spinal disorders that cause musculoskeletal or nerve pain – from back sprains and strains and degenerative disc disease (DDD) to piriformis syndrome, sciatica, and whiplash. With the increased influx of patients, it’s hardly surprising that these specialists are relying on professional chiropractic billing services to manage their revenue cycle. The recent changes in medical codes, forms and billing processes have made billing for this specialty even more complex and outsourcing the billing task is helping to address this issue.

Complexities of Chiropractic Insurance Billing There are many complications involved in billing for chiropractic services and these relate to: -

The wide array of insurance plans Claims filing with Medicare and private insurance Increasing complexity of forms to be filled out for reimbursement Specific procedures for submission of Workers' Compensation and auto accident claims Handling prior authorizations and benefits verification Use of code modifiers

Using the correct modifiers for federally funded programs like Medicare is crucial to get appropriate reimbursement. Billing staff need to be knowledgeable about all the common modifiers that are used by chiropractors. This is a challenging task as there are many different types of modifiers in chiropractic and these are also constantly changing.

A professional chiropractic billing service can handle all these tasks and ensure maximum reimbursement for chiropractors.

How Outsourcing to a Chiropractic Billing Company Helps An established chiropractic coding and billing company would have a team of AAPC-certified coders who are well versed and up to date about the specific rules and regulations that need to be followed to maximize reimbursement. Professional revenue management services would cover everything from enrollment into the billing system, insurance verification and authorization, medical coding, medical billing and reconciling of accounts to medical coding, charge entry, cash posting reconciliation, Accounts Receivable collections, insurance collection, patient collection and AR follow up and collections. Benefits would include: 

Use of the latest technology and software: The team in a reliable company would be skilled in using the latest billing software and can even manage the process on the client’s software system.

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Awareness about chiropractic claim submission: They would be also aware about chiropractic billing for Medicare claims and requirements including proper use of codes and modifiers, which would ensure adherence to standard practices for maximum reimbursement. In professional companies, the team is regularly trained

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and updated on interpretations.

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Knowledge about use of modifiers: The billing team would be knowledgeable about using the correct modifiers which would ensure appropriate payment.

Outsourcing helps avoids issues such as missing or incorrect coding modifiers – the most common reasons for chiropractic claims denial.

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Correct documentation: Request for complex documentation is one of the challenges that chiropractors face. For instance, the Centers for Medicare and Medicaid Services (CMS) specifies that coverage of chiropractic services is specifically limited to manual manipulation of the spine to correct a subluxation. To establish medical necessity, this subluxation has to be properly documented, failing which Medicare may reject the claims. A professional chiropractic billing company will see that all clinical documentation requirements are met during claim submission, thereby ensuing timely payment.

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Claims follow-up: A reliable service provider will also aggressively follow up on delayed and denied claims. They will also provide patients accounts and collection services.

Chiropractic Billing Services -- Make the Right Choice Choosing the right service provider is crucial. Partner with an experienced chiropractic billing company that can work as an extension of your practice, maintains the highest ethical standards, and adheres to coding guidelines and HIPAA compliance. A reliable service provider will work with you to identify and resolve your problem areas and ensure adherence to best billing practices to improve your productivity and revenue.

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