Providers who participate in third-party payer networks have rules and restrictions that do not affect their nonparticipating colleagues. A common regulation enforced by most payers is that when a recommended service or product is not covered or excluded, the patient must have the opportunity to opt-in and acknowledge that they want it and agree to…

Orthotics FAQ’s Q: My carrier denied the claim I sent saying the diagnosis codes were wrong. What diagnosis codes are covered for custom orthotics? A: As with healthcare coverage for any service, you are bound by two things: The coverage the patient or his/her employer purchased and, The carrier’s Medical Review Policy (MRP) which provides…

Download Reference Documents Medical Review Policy (MRP) is published by payers to outline the rules, requirements, and guidelines set forth for a particular service. Always seek out, download, and review MRP before offering a service to an insured patient in a third-party payer network with whom the doctor participates. These samples include an MRP as…

This video training reminds practices of the good and useful products that patients often need to supplement their care in the office. Offering the good to the patient right in the office makes it more convenient for them, but also adds to the bottom line. This Rapid Tutorial opens up the possibilities that exist when…

DME in Your Practice Although your patients may have originally come to the practice for chiropractic care, they also seek maximum value and convenience. Today’s consumer cultures want an experience that caters to their lifestyle. If the provider regularly recommends healthcare items to enhance the chiropractic care experience, it makes sense to have them available…

This video provides an overview to the concept that people will pay cash for massage and offering it in your office is good for both patients and your bottom line. Start here to see the possibilities that exist when providing this popular service with the ease of doing so without the hassle of insurance reimbursement.