/Billing and Coding
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Version 5010 – Are YOU Prepared?

Do you conduct HIPAA transactions electronically? Have you contacted your software vendors regarding HIPAA Version 5010? Do you know what you have to do to be fully compliant with HIPAA Version 5010? HIPAA version 5010 is a group of standards that are used when submitting claim information and other healthcare information electronically.  HIPAA requires the [...]

By |September 25th, 2011|Billing and Coding, Compliance|1 Comment

Important Update on Medicare Pecos Ruling on Referring Dr.

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 [...]

By |January 17th, 2011|Billing and Coding, Compliance, Medicare Billing|2 Comments

839 Versus 739 Diagnosis Codes

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 [...]

By |October 12th, 2010|Billing and Coding, Questions and Answers|3 Comments

Chiropractic Billing Software

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 [...]

CPT Code 97535

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 [...]

By |June 14th, 2010|Billing and Coding, Reimbursements|7 Comments

CPT Code 29220 Deleted

As of Jan. 1, 2010, CPT Code 29220 (strapping of low back) has been deleted.  According to the American Medical Association’s CPT® 2010 Professional Edition, CPT Code 29799 (unlisted procedure, casting or strapping) should be used to report low-back strapping.  When reporting an unlisted code to describe a procedure or service, be sure to submit [...]

By |April 8th, 2010|Billing and Coding, Compliance|0 Comments