Medicare announced yesterday, January 11th, that they will be continuing to delay the initiation of the ordering/referring provider edit. Originally they had announced that they would initiate an edit that would deny any claims with referring or ordering providers who were not entered into the PECOS system. The PECOS system, or Provider Enrollment, Chain, and [...]
All Medicare beneficiaries will be subject to the new deductibles and co-payments, as outlined below. Medicare Part B covers physician services as well as qualifying out-patient hospital care, durable medical equipment, and certain home health services, among other services. Following are all the new Medicare figures for 2011: Basic Part B premium: $115.40/month Part B [...]
Question: I have recently received a memorandum from my carrier stating that I should now use the 739 series ICD-9 codes as opposed to the 839 series. Is this a new CMS policy, and if so, will it have any affect on reimbursement of CMT procedures? Answer: There is no new CMS policy on this [...]
The original deadline set by CMS for all ordering and referring providers to enroll in the Provider Enrollment Chain and Ownership System (PECOS) was set for July 6, 2010. However, in a news release dated June 30th, CMS announced that they will not make the changes that will automatically reject claims based on ordering or [...]
Choosing the right software for your office can be a difficult one considering the extensive number of vendors offering applications. Just because a specific software application is popular among chiropractors, doesn't necessary mean it's the best for your office. Keep in mind that when it comes to Chiropractic billing software, they are not all created [...]
Do you provide patients with information on how they should modify their normal daily activities from an ergonomic and injury prevention point of view? Can you bill patients or insurance companies for this type of work? The answer is absolutely YES. You can charge patients and insurance companies for this type of service. The CPT code that most [...]