Mar 26, 2011 | Medical billing basics
Required Documentation That Was Deficient – Physical Exam Component of the Documentation That Was Missing or Incomplete The missing information included: * Previous diagnosis. * An exam of the area of the spine involved in the diagnosis. * Assessment of change...
Mar 24, 2011 | Medical billing basics
SUBSEQUENT VISITS The following documentation requirements apply whether the subluxation is demonstrated by X-ray or physical examination: 1. History: * Review of chief complaint. * Changes since last visit. * System review if relevant. 2. Physical exam: * Exam of...
Mar 23, 2011 | Medical billing basics
DOCUMENTATION REQUIREMENTS A subluxation may be demonstrated by an X-ray or by physical examination. (If the X-ray is used to demonstrate the subluxation, it is required on the claim form. Refer to the “Claim Requirements” section of this manual.) If the X-ray is to...
Mar 22, 2011 | Medical billing basics
BILLING FOR ACTIVE/CORRECTIVE TREATMENT Chiropractic services that provide acute or chronic active/corrective treatment must be billed with the AT modifier. However, the presence of the AT modifier may not in all instances indicate the service is reasonable and...
Mar 21, 2011 | Medical billing basics
LOCATION OF SUBLUXATION The mere statement or diagnosis of “pain” is not sufficient to support medical necessity for the treatments. The precise level of the subluxation must be documented by the chiropractor in the medical records. Area of Spine ...
Mar 21, 2011 | Medical billing basics
Modifier 25 25 Modifier Significantly Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service: The physician may need to indicate that on the day a procedure or service identified by a CPT code...
