Download Support Tools Doctors communicate their clinical procedures, services, and dispensing DMEPOS (Durable Medical Equipment, Prosthetics, Orthotics and Supplies) through CPT and HCPCS II coding to third party payers, and for in house billing.  There are times when claims get denied because the payer needed additional detail attached to a CPT or HCPCS II code,…

Modifiers Clear Up Confusion It is truly wonderous how we can communicate across the country and globe at the touch of keystrokes compressed into computer language(s).  The Chiropractic office gets paid by third parties by communicating their procedures, services, and other items through codes, which are matched and describe them to the highest specificity.  This…

Payer Policy Rules the Game As with all services billed to third-party payers, one must look to the payer’s Medical Review Policy (MRP) to learn the rules of the game. Whether the practice is providing chiropractic treatment only or includes other modalities, the billed payer sets the guidelines for billing and coding and the provider…

Code Appropriately Once the office has determined that Kinesio taping can be billed to a third-party payer, the services must be coded appropriately. While it may not be reimbursable from insurance, the services must still be appropriately represented within the patient’s account. There are options for billing and coding these services, but there are several…

Movement vs. Immobilizing Kinesio means movement. Kinesio tape, whether in rolls or pre-cut strips, is considered a supply or a unit of Durable Medical Equipment (DME). The application of the tape is based on the patient’s specific patterns of weakness or strength. The tape itself should be considered separate and distinct from its application. The…

You can’t watch a live sporting event without seeing tape on the athletes’ bodies. K-taping has become increasingly popular because of the nature of the process. Kinesio means movement, and this type of taping supports the body without inhibiting movement. However, just because it’s a service doesn’t mean that we have CPT® codes for it,…