Rapid Solutions

Proper Coding For Full Spine Adjusting

This Rapid Solution will examine the compliant way to code and document for full spine adjusting.

Maintenance Coding

When treatment is no longer considered medically necessary but still needs to be reported to payers, determine if it is most appropriate to use a maintenance diagnosis code, procedure code, or append a modifier.

The Re-Evaluation Conundrum

Re-evaluations, when used properly, strengthen your patient care compliance and increase your ability to prove medical necessity for care.

Medical Necessity vs. Clinical Appropriateness

The best way to advocate for the benefits your patients are entitled to is to understand the definitions of medical necessity and clinical appropriateness and to learn how to document these services correctly.

MRP What it Means

It is important to know the policy and play by the rules of the plan in accordance to your contract with the payer to ensure proper claim payment.

Documentation and Coding for Dry Needling

Medical necessity requires that the patient’s history and exam findings indicate the patient is suffering from some type of injury or condition that has resulted in myofascial trigger points, reduced range of motion, decreased strength, and/or pain.

Insight on 97140 Manual Therapy

This Rapid Solution provides a brief overview of the requirements for billing code 97140 for manual therapy.

Understanding 97124 Massage Therapy

Proper documentation, billing, coding, and office procedures are needed to ensure that massage therapy is being used in a compliant manner.

Timed Treatment Codes

This training outlines the key points necessary to apply proper methodology for counting time when billing CPT codes that are timed based.

OATs

When used correctly, OATs assist the practitioner in meeting third-party requirements for the treatment of functional impairment(s) and, at the same time, give tangible need for care beyond the management of pain alone.

The Basics of HCPCS Coding

In this Rapid Solution, you will learn the fundamentals of the different Health Care Procedure Coding System (HCPCS) codes including the Level II code set.

Using the 25 Modifier

This Rapid Solution will help you understand when it is appropriate to use modifier 25, and when it is not.

Diagnosis Hierarchy & Chiropractic Services

A provider can spend much time documenting a patient’s condition and treatment perfectly and still have the claim denied. The cause could be your diagnosis coding.

Proper Use of Box 14 for Billing

Box 14 is one of the most important compliance-related concepts that every DC and CA must understand.

Importance of Explaining Medical Necessity to Patients

Explaining medical necessity to patients early in their care may help to keep them compliant with their treatment plans and understand their financial responsibility for the services they receive.

Short and Long Term Treatment Goals

This training outlines the high points that are required for excellent case management.

History for Screening Marketing

Marketing is one of the more highly scrutinized areas of compliance.

Incident Burst Episode

This is the very core of case management, and this Rapid Solution outlines the options so every provider has a rule of thumb.

Coding and Billing Kinesiotaping

This brief training will help you stay on the right side of the rules.

Timely Documentation

Establishing efficient and effective processes and policies for successful documentation saves time and keeps busy doctors on track.

Discharging from Active Treatment

This module explains what discharge means within the concept of putting a "pin" in the end of an active episode of care.

Daily Assessment-The Essence of Medical Necessity

Proving medical necessity opens the door to payment, and Assessment is its' key.

Routine Office Visit-Subjective

It helps demonstrate the story of the patient's experience as s/he returns to functional health, by illustrating the patient's reasons and needs at the time of the visit.

Important Elements of the Treatment Plan

This Rapid Solution outlines the key elements necessary in a treatment plan, the differences between the plan and the treatment, and how that differs from a "care" plan.