As if it wasn't difficult enough to receive proper reimbursement from some carriers, Aetna is throwing in another wrench in the process. They are now ROUTINELY bundling and denying reimbursement for manual therapy (97140) when billed with a CMT code (98940-43). According to Aetna, “there are very few indications for the application of manual therapy [...]
As we anticipate a vast number of changes due in 2014 with the implementation of ICD10, we will not see many changes this year. Listed below are the changes in CPT coding that will affect Chiropractic billing. Therapy / Rehabilitation Codes 97530 = Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve [...]
Effective with dates of service on or after Sept. 1, 2012, Highmark commercial and Medicare Advantage members must be registered at their initial visit to receive physical therapy, occupational therapy and manipulation services. Read about it here: https://www.highmark.com/health/pdfs/pubs/sb-bcbs-physical-med-program-06142012.pdf
The deadline for the Version 5010 upgrade was January 1, 2012, and the enforcement discretion period for all HIPAA-covered entities to complete their upgrade to the Version 5010 electronic standards ends on June 30, 2012. The Version 5010 transaction standards have different requirements than those of Version 4010 and 4010A. There are a few things [...]
The Centers for Medicare & Medicaid Services (CMS) announced Thursday the extension of the HIPAA 5010 deadline – enforcement will begin March 31, 2012 instead of the January 1, 2012. This gives HIPAA covered entities (any healthcare organization that processes, stores or transfers any type of patient health information, PHI) an extra three months to prepare [...]
Complimentary ICD Webinar Scheduled for Nov. 17, 2011 ICD-10 changes EVERYTHING about medical coding. If you haven't already started to upgrade, you're already late. The federal mandate requires conversion from ICD-9 to ICD-10 on Oct. 1, 2013. Even though that’s well over a year away, the Centers for Medicare & Medicaid suggest you should have [...]
