California Division of Workersâ Compensation (DWC) announced the 2021 reimbursement changes to the Physician Services section of the Official Medical Fee Schedule (OMFS), to conform to relevant 2021 changes in the Medicare payment system as required by Labor Code section 5307.1.  Read more…
Did you know there are requirements related to modifier 59 when utilizing the CPT codes 97124 (therapeutic massage) and 97140 (manual therapy), or 97112 (neuromuscular re-education)? https://www.youtube.com/watch?v=KCJgoY_jsl4 Welcome to your billing and coding weekly solutions by H.J. Ross Company where Read more…
Are you getting insurance denials for payment of Evaluation and Management (E&M) codes 99201-99215 when billed with chiropractic manipulation? You are not alone! Here are 3 solutions to this insurance claim denial. https://www.youtube.com/watch?v=pEe5uRhQv8g Welcome to your billing and coding weekly Read more…
Are there any 2021 updates to ICD-10 diagnosis codes impacting your chiropractic claims? The answer is Yes! This year sees lots of changes. Just take a look at some of the changes to the codes for temporomandibular joint (TMJ) issues. Read more…
So for this year, there’s been a major update to E&M codes, not only the codes themselves, their descriptions, and how we choose and use them. This finally is a change to CPTÂ that has made something more accurate and Read more…
Are there any 2021 updates to ICD-10 diagnosis codes impacting your chiropractic claims? The answer is Yes, in fact there will be over 72,000 codes in ICD-10CM (clinical modification) which includes 490 additions, 58 deletions and 47 revisions. Welcome to Read more…
Did you know neck pain is the fourth-leading cause of disability globally? As a chiropractor you are no stranger to this common complaint so it is important to be on top of the latest changes in billable ICD-10 code used Read more…
The Functional Reporting requirements for pain and functional scales (G8539, G8730 by example) to Medicare are no longer required. In fact use of the codes will result in the claim being denied effective for dates of service on and after Read more…
On December 27, the Consolidated Appropriations Act, 2021 modified the Calendar Year (CY) 2021 Medicare Physician Fee Schedule (MPFS): Provided a 3.75% increase in MPFS payments for CY 2021 Suspended the 2% payment adjustment (sequestration) through March 31, 2021 Reinstated Read more…
Medicare rates were to have been reduced by about 10% for all services other than E&M codes. However, due to the recent senate and congressional voting funding additional monies to Medicare this cut was averted and will only be about Read more…