ICD-10 Coding Updates ICD-10-CM diagnosis codes are updated each year on October 1, and this year is no exception to the rule. This year’s changes will not impact most chiropractors as much as some of the ICD-10-CM updates in the recent past did. However, thanks to a valued colleague of ours here at KMC University,…
Documentation Elements of Manual Therapy
Documentation and proper prescription orders for manual therapy are constantly on the hot seat in audits and recoupment requests.
Optum Announces Coverage for Routine Chiropractic Services
If you have patients that are part of a Medicare Advantage plan managed by Optum, you will want to check out the Optum Policy Number 0069 Supplemental/Routine Chiropractic Services prior to submitting claims for active or maintenance care.
BCBS Low Back Imaging Requirements
BCBS of Illinois released a Tip Sheet on Use of Imaging Studies for Low Back Pain. Based on the intent to improve quality of care, they are recommending that providers avoid imaging in the first four weeks of new-onset of back pain. These recommendations are based on NCQA’s HEDIS Measures. A similar notice was posted in early 2022 by BCBS of Texas and in July by BCBS of NC.
Provider Impact on Coding 98943
Optum rolled out a revised Chiropractic Manipulative Treatment Reimbursement Policy in May of 2022. Although at first glance it may appear as nothing has changed, the revision table says otherwise. And now a few months later, providers who perform extraspinal CMT are feeling the impact.
Daily, Routine Office Visits: Documentation Lite!
In this helpful video, KMC addresses the most common questions we get about what goes in the documentation for an ROV. She explains what auditors are looking for in this documentation, and as usual, makes it easy to understand and to duplicate. Watch this short explanatory video and watch the documentation of ROVs in your practice go from good to great!