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News and Important Information
Articles
- Chiropractic ICD-10-CM Changes for 2024 (2023-10-03)
- Billing and Documenting for Therapeutic Exercises versus Therapeutic Activities (2022-10-13)
- CMS- Chiropractic General Coverage and Subluxation
Learning Corner
Access the below chiropractic services related information from this page.
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Resources
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Chiropractic ICD-10-CM Changes for 2024
by Wyn Staheli, Director of Content - innoviHealth
When Is a Shared Visit Not a Shared Visit?
by David M. Glaser, Esq.
CMS Unveils 2024 Medicare PFS, OPPS Proposed Rules
by Mark Spivey
UnitedHealthcare Updates Manipulation Policy
by Wyn Staheli, Director of Content - innoviHealth
Understanding, Identifying, and Reporting Combination Codes
by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT
What’s Going on with the COVID Vaccines Now?
by Wyn Staheli, Director of Content - innoviHealth
Second Quarter 2023 Updates are Different This Year
by Wyn Staheli, Director of Content - innoviHealth
HCC Re-Structuring Coming Soon!
by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS
CMS Announces Changes to DME Program
by Wyn Staheli, Director of Content - innoviHealth
by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS
Is the End Really Near?
by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS
Relative Value Units (RVUs) the Easy Way, Really?
by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS
by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS
2022-11-23-MLNC - Weekly Edition
2023 ICD-10-CM Code Changes
by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS
ICD-10-CM 2023 Code Changes for Chiropractic
by Wyn Staheli, Director of Content - innoviHealth
Emergency Department - APC Reimbursement Method
by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS
CMS says Less Paperwork for DME Suppliers after Jan 2023!
by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS
by Evan M. Gwilliam, DC MBA CPC CCPC CPC-I QCC MCS-P CPMA CMHP AAPC Fellow
E/M Changes Coming Our Way in 2023!
by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS
There are 387 related documentation, coding and billing tips.
Select the title to see a summary and a link to the full webinar information. some webinars require a subscription to view.
Proving Medical Necessity 2023
by Ron Short, DC MCS-P CPC
Tuesday @ 10:15 AM PT, 11:15 AM MT, 12:15 PM CT, 1:15 PM Lack of Medical Necessity is the reason commonly used by Medicare and other third-party payers to deny payment for the services that you have performed. But what is medical necessity and how do you prove it? Dr. Ron Short will cover this information in this webinar. In this webinar you will learn: • What is medical necessity • What examinations should you perform to prove medical necessity • How do you report medical necessity in the patient’s documentation • Why re-exams must be conducted every 30 days You can obtain the notes for this webinar by subscribing to my e-mail updates at http://www.chiromedicare.net/mailing-list-signup/ or by following the link provided in my e-mail update. They will be available by the Monday prior to the webinar presentation.Modalities Used in Your Chiropractic Office
by Evan M. Gwilliam, DC MBA CPC CCPC CPC-I QCC MCS-P CPMA CMHP AAPC Fellow
Electrical stimulation, ultrasound, and mechanical traction are modalities commonly used in chiropractic offices. And they are commonly documented incorrectly or billed improperly. Learn the right (and wrong) ways to get paid for these kinds of services. Join Dr. Evan Gwilliam, certified coder, and all-around nice guy, as he answers your most burning questions about the CPT codes 97012, 97014/G0283, 97032, and 97035.by Evan M. Gwilliam, DC MBA CPC CCPC CPC-I QCC MCS-P CPMA CMHP AAPC Fellow
'Reduce pain" may be a real goal of chiropractic care, but is it enough? While you may want to help your patients to reduce their pain, goals need to focus on what kinds of functions are affected by that pain. Does it keep the patient from sleeping, from sitting at a desk, from washing their hair when in the shower? Learn how to create goals that are easy to defend and use to justify ongoing treatment in this fun-filled webinar by Dr. Evan Gwilliam, a Certified Professional Medical Auditor.Use the Right Modifiers for Chiropractic Billing
by Evan M. Gwilliam, DC MBA CPC CCPC CPC-I QCC MCS-P CPMA CMHP AAPC Fellow
Do you really know when to use the 59 modifier? What about the AT? There are relatively few modifiers to consider when it comes to chiropractic billing and coding, but some payers have their own rules and it can be tricky to know when to use one modifier and not another. In this exciting webinar, Dr. Evan Gwilliam, a certified coder, will clear up all the questions you have about the modifiers you need to consider.Medical Necessity: it’s far easier to prove than you think, and far more important than you realize.
by Tom Grant DC, Med-Legal Consultant, Pragma Intel Director of Education
Besides coding errors, it’s the 2nd most common tool used by health insurers and 3rd party payers to deny care and deny liability. How do you decide what to use as a tool to prove your care is viable and needed? Expensive equipment and elaborate testing procedures are not what you need. It’s as simple to prove as opening a can of beans, unless you don’t have a can opener. I’ll share with you my insider tips and experience as a medical expert on over 3000 successful PI case settlements and give the can opener that you and your patients need you to use to prove medical necessity, and why you’ll need it in treating what I feel is the next great opportunity for Chiropractic: V_______ care.Medicare and the ABN for Chiropractic
by Evan M. Gwilliam, DC MBA CPC CCPC CPC-I QCC MCS-P CPMA CMHP AAPC Fellow
Medicare can be intimidating, but fortunately, the rules can be made simple and actually reduce anxiety when applied properly. All you need to know about ABNs and Medicare modifiers will all be covered in this presentation so that you can feel confident you know you are doing things right.by Evan M. Gwilliam, DC MBA CPC CCPC CPC-I QCC MCS-P CPMA CMHP AAPC Fellow
Anyone who sees patients who have services that are not covered by insurance needs to know about the No Surprises Act. In this quick webinar, Dr. Gwilliam will show you how to properly notify patients of their options and create a Good Faith Estimate, as required by this law. Expect this…Medicare Audit, Do-it-yourself
by Evan M. Gwilliam, DC MBA CPC CCPC CPC-I QCC MCS-P CPMA CMHP AAPC Fellow
Don't wait for Medicare to look over your records and try to find deficiencies. Dr. Gwilliam, a Certified Professional Medical Auditor, will show you how to find your own deficiencies, and fix them before they become a compliance or financial concern. This isn't just for Medicare either. If you can…Chiropractic Documentation: The Subjective Element
by Ron Short, DC MCS-P CPC
The Subjective element of S.O.A.P. is where we document what the patient tells us. But what is the best way to gather this information? In this webinar Dr. Ron Short will review the guidelines for the subjective element and explain the best way to gather information from the patient.&…by Ron Short, DC MCS-P CPC
We have all heard of the S.O.A.P. format for our documentation. But what does each element mean and what additional information do we need in our documentation? In this webinar Dr. Ron Short will review the S.O.A.P. documentation format and discuss what additional information you need document. In…by Evan M. Gwilliam, DC MBA CPC CCPC CPC-I QCC MCS-P CPMA CMHP AAPC Fellow
The most commonly used procedure in chiropractic is the chiropractic adjustment, also known as chiropractic manipulative treatment or CMT. There are nuances to the CPT and ICD-10 codes and Medicare guidelines that must be mastered by any chiropractor hoping to find success when creating their…Chiropractic Treatment Paradigm 2021
by Ron Short, DC MCS-P CPC
Chiropractic care is different from medical care. We know that but how do we explain it. Reviewers deny claims that are medically necessary because they don’t know what they are looking at when they review our claims. Dr. Ron Short will explain how to approach these reviewers in this…by Brandy Brimhall, CPC CMCO CPCO CCCPC CPMA QCC
August 18, 2020 Join this webinar for a birds-eye review of crucial components of your practice revenue cycle system. Inefficient or unattended revenue cycle systems result in a tremendous loss of time and money for practices. So often, that additional cash flow that practices are seeking, are…Rock Solid Care Plans
by Evan M. Gwilliam, DC MBA CPC CCPC CPC-I QCC MCS-P CPMA CMHP AAPC Fellow
Don't ever let anyone challenge your care plans ever again. If you can know what the regulators are looking for while still being free to deliver the care you deem to be best for your patient, then you win. And your patient wins. Join Dr. Gwilliam, certified professional medical auditor, and all around nice guy, as he guides you to the steps to create rock solid care plans that will stand up to third party scrutiny.Proving Medical Necessity and Functional Improvement
by Ron Short, DC MCS-P CPC
Medicare is required by law to pay for care that is medically necessary. Medicare considers functional improvement to be the primary indicator of medical necessity for chiropractic care. It is up to you, the doctor, to prove functional improvement and medical necessity with your documentation. Dr. Short will show you how to use common practice tools to document functional improvement, medical necessity and maximum medical improvement.Inappropriate Payments Made to Chiropractors – An OIG Review
by Evan M. Gwilliam, DC MBA CPC CCPC CPC-I QCC MCS-P CPMA CMHP AAPC Fellow
In this webinar, Dr. Gwilliam will take you on a fun filled journey through all of the reports created by the Office of the Inspector General based on their reviews of chiropractors. If you can understand what they see, and what advice they give Medicare when dealing with chiropractors, then you will be better prepared to not become their next target. This webinar may feel a little frightening with hundreds of thousands of dollars paid back to CMS, but, by the end, you will know exactly what to do and what not to do.ICD-10-CM Changes Effective October 1, 2019
by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT
Are you aware of the ICD-10-CM code changes set take effect as of October 1, 2020? Do any of them apply to your organization? Which of them will be assigned as an HCC? What are the documentation and coding guidelines applicable to them and which guidelines are changing or being ...Telehealth Policies for Medicare and Commercial Payers
E/M and the Organ Systems Part 2 of 2
E-M and the Organ Systems (Part 1)
by Evan M. Gwilliam, DC MBA CPC CCPC CPC-I QCC MCS-P CPMA CMHP AAPC Fellow
In this CE webinar, Dr. Gwilliam will continue his discussion from the webinar delivered Dec. 18 about chiropractic manipulative treatment. But this time, it is all about Medicare. If you don't treat Medicare beneficiaries, you should probably listen anyway. Usually whatever Medicare wants is the same thing as all the other payers. Find out the difference between acute, chronic, and maintenance, as well as when to use certain modifiers.by Evan M. Gwilliam, DC MBA CPC CCPC CPC-I QCC MCS-P CPMA CMHP AAPC Fellow
The most used codes in chiropractic are 98940, 98941, 98942, and 98943. In this webinar, Dr. Gwilliam will go over the fundamentals of these codes and make sure you are proficient with them. They probably play a bigger part of your practice than any other code, so it is worth it to make sure you are reporting them correctly. By the end of this presentation you will be able to diagnose, document, and code properly for CMT, as well as avoid common mistakes.by Tom Grant DC, Med-Legal Consultant, Pragma Intel Director of Education
Presented by Tom Grant Jr. DC December 11, 2018 Tuesday @ 10:15 AM PT, 11:15 AM MT, 12:15 PM CT, 1:15 PM ET *How to recognize this injury *The most effective documentation terms to use *The best combination of ICD-10 codes to validate it Register here: https://attendee.gotowebinar.com/register/8562161323381676035 ...HCC Coding Tool
by Find-A-Code™
How to use Find-A-Code's HCC Coding Toolby Find-A-Code™
In this webinar Maxine will be presenting information and tips for understanding and billing Employment Retirement Income Security Act (ERISA) insurance plans. She will explain the rules and regulations concerning ERISA plans, as well as procedures for handling/appealing "adverse denials" of claims. Coders and Insurance Billing Specialists should not miss this informative presentation.by Find-A-Code™
In this webinar Maxine will be presenting information and tips for understanding and billing Employment Retirement Income Security Act (ERISA) insurance plans. She will explain the rules and regulations concerning ERISA plans, as well as procedures for handling/appealing "adverse denials" of claims. Coders and Insurance Billing Specialists should not miss this informative presentation.Joints: Rotator Cuff, Elbow, Wrist, and Hand
by Find-A-Code™
In this webinar, Brandon will review the bones and major joints of the upper extremities (arm, forearm, wrist, hand, and digits), as well as their supporting structures and how they are affected by injury, disease, and other conditions.All About Knee Coding & Auditing
by Find-A-Code™
Total knee replacement now acceptable ASC procedure also, not auditing for a year. Knee replacement coding, knee joint injections, auditing using FAC, LCDs, drugs, modifiers.Evaluation and Management Coding and Auditing
by Find-A-Code™
Are you responsible for selecting or reviewing Evaluation and Management service levels? Do you wonder how well you know the rules and how to apply them? Join Aimee in this webinar to review and then applly the rules of E/M coding. She will also do a live demonstration of the new Find-A-Code E/M Calculator Tool to assess the level of E/M service for two office visits, one new (99201-99205) and the other established (99212-99215).Coding and Auditing TeleHealth Services
by Find-A-Code™
Do you report or audit Telemedicine services now or are you considering offering them? Come and learn more about the rules and guidelines surrounding Telehealth services including, documentation requirements, eligible CPT and HCPCS Level II codes, modifiers, and the newest updates to Medicare Telehealth policies.Using Find-A-Codes Anatomy Images
by Find-A-Code™
Diagnosis coding is difficult when clinician documentation does not match up with the definitions found in the ICD-10-CM code set. Find-A-Code's anatomy images educate both coders and students - bridging the gap between coders and clinicians while simplifying code selection.FAC Updates Plus Tools for HCC Coding Chart Review February
by Find-A-Code™
Join Taylor to see how you can access free CEUs in 3 clicks, included with top-tier Find-A-Code subscriptions! Also highlighting our New and Improved NCDs system, and how to use the WK Drug Database for HCC Coding/Chart Review2018 Updates and New Tools
by Find-A-Code™
2018 Find-A-Code updates and new toolsby Find-A-Code™
Proper Coding and Billing for Drugs, Biologicals and Injectionsby Find-A-Code™
The Importance of Gathering Organizing and Using Fee Schedulesby Find-A-Code™
Using Find-A-Code's New Evaluation and Management Calculator ToolHCC Risk Adjustment
by Find-A-Code™
HCC Risk AdjustmentHow to Report MIPS
by Evan M. Gwilliam, DC MBA CPC CCPC CPC-I QCC MCS-P CPMA CMHP AAPC Fellow
If eligible, you need to start reporting for MIPS by October 2th, 2017. Do you know who is exempt? Are you familiar with the quality measures that apply to chiropractors? Do you understand how to report on the Advancing Care Information or Improvement Activities? Don’t worry, Dr. Gwilliam has done all your homework and, in this presentation, you will get the crib notes containing just what you need to know. You don’t need to feel overwhelmed with Medicare regulations, you just need to know what to do.by Tom Grant DC, Med-Legal Consultant, Pragma Intel Director of Education
This is the easiest of therapies to initiate and it adds great medical value. Most DC's do not prescribe/proscribe self-care instructions. Self-care Rx's have defined timelines for implementation and updates. Done incorrectly, self-care Rx's damage medical value and decrease reimbursements.How to Check NCCI Edits Using FindACode
by Find-A-Code™
How to Check NCCI Edits Using FindACodeICD-10-CM Updates for the Auditor, a NAMAS webinar
by Find-A-Code™
ICD-10-CM Updates for the Auditor, a NAMAS webinarICD-10-CM Training - Session 01
by Find-A-Code™
ICD-10-CM Training - Session 01ICD-10-CM Training - Session 02
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ICD-10-CM Training - Session 02ICD-10-CM Training - Session 03
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ICD-10-CM Training - Session 03ICD-10-CM Training - Session 04
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ICD-10-CM Training - Session 04ICD-10-CM Training - Session 05
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ICD-10-CM Training - Session 05ICD-10-CM Training - Session 06
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ICD-10-CM Training - Session 06ICD-10-CM Training - Session 07
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ICD-10-CM Training - Session 07ICD-10-CM Training - Session 08
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ICD-10-CM Training - Session 08ICD-10-CM Training - Session 09
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ICD-10-CM Training - Session 09ICD-10-CM Training - Session 10
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ICD-10-CM Training - Session 10ICD-10-CM Training - Session 11
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ICD-10-CM Training - Session 11ICD-10-CM Training - Session 12
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ICD-10-CM Training - Session 12ICD-10-CM Training - Session 13
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ICD-10-CM Training - Session 13ICD-10-CM Training - Session 14
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ICD-10-CM Training - Session 14ICD-10-CM Training - Session 15
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ICD-10-CM Training - Session 15ICD-10-CM Training - Session 16
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ICD-10-CM Training - Session 16ICD-10-CM Training - Session 17
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ICD-10-CM Training - Session 17ICD-10-CM Training - Session 18
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ICD-10-CM Training - Session 18ICD-10-CM Training - Session 19
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ICD-10-CM Training - Session 19ICD-10-CM Training - Session 20
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ICD-10-CM Training - Session 20ICD-10-CM Training - Session 21
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ICD-10-CM Training - Session 21ICD-10-CM Training - Session 22
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ICD-10-CM Training - Session 22ICD-10-CM Training - Session 23
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ICD-10-CM Training - Session 23ICD-10-CM Training - Session 24
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ICD-10-CM Training - Session 24ICD-10-CM Training - Session 25
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ICD-10-CM Training - Session 25ICD-10-CM Training - Session 26
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ICD-10-CM Training - Session 26ICD-10-CM Training - Session 27
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ICD-10-CM Training - Session 27ICD-10-CM Training - Session 28
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ICD-10-CM Training - Session 28ICD-10-CM Training - Session 29
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ICD-10-CM Training - Session 29ICD-10-CM Training - Session 30
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ICD-10-CM Training - Session 30ICD-10-CM Training - Session 31
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ICD-10-CM Training - Session 31ICD-10-CM Training - Session 32
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ICD-10-CM Training - Session 32ICD-10-CM Training - Session 33
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ICD-10-CM Training - Session 33ICD-10-CM Training - Session 34
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ICD-10-CM Training - Session 34ICD-10-CM Training - Session 35
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ICD-10-CM Training - Session 35ICD-10-CM Training - Session 36
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ICD-10-CM Training - Session 36HIPAA Has New Requirements (New as of 2013-11-07)
by Wyn Staheli, Director of Content - innoviHealth
HIPAA Has New Requirements ...Use the Right Modifiers for Chiropractic Billing
by Evan M. Gwilliam, DC MBA CPC CCPC CPC-I QCC MCS-P CPMA CMHP AAPC Fellow
Do you really know when to use the 59 modifier? What about the AT? There are relatively few modifiers to consider when it comes to chiropractic billing and coding, but some payers have their own rules and it can be tricky to know when to use one modifier and not another. In this exciting webinar, Dr. Evan Gwilliam, a certified coder, will clear up all the questions you have about the modifiers you need to consider.Links and resources by topic.
For additional information, visit ChiroCode.com. Since 1993 Chiropractors have depended on ChiroCode as a reliable source of information for the Chiropractic community. View current and recent webinars, order the ChiroCode DeskBook (comprehensive go-to chiropractic reimbursement manual), and much more. Because of its dependability and education, ChiroCode has earned much renown.
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