Question: We would like to start billing for report of findings using the proper documentation. We would also like to go through the past year or so and bill for all of the previous reports as well. How legal is this and is there an expiration on how far back I can bill?
Answer:
“Report of Findings” is a common term used in chiropractic offices; however, there is no such term in the CPT code language. Your “report of findings” is a component of E/M Counseling. Select an appropriate E/M code based on the extent of your counseling session time, if you qualify. How far back you can go for a corrected claim depends on your state law and/or your contracts with your payers.
You can’t bill for a report of findings! AMA says code 98940, 98941, 98942 are for adjustments and also includes “preservice”, which covers going over xrays and treatment plan. Most doctors are not aware of this.
Jdk2565,
Thank you so much for visiting the site. I agree with you in that the ‘Report of Findings’ does not exist as I stated in my response. What I am speaking of in my response is an EXAM, not an adjustment. There are some Chiropractors who do not adjust until AFTER their so-called ‘Report of Findings’. So again, I am referring to the EXAM, not the adjustment.
Thanks and visit again,
Jacque