Radiology: Rationale for Medical Necessity

Explain Why the X-ray is Necessary You must have a specific reason to expose a patient to ionizing radiation in order to visualize his/her spine and meet the criteria of medical necessity. “I want to see what I am adjusting” is no longer a sufficient reason to take X-rays and ask a third-party payer to…

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X-Ray and Imaging in Chiropractic Practice

This module gets started with a short training by one of the best Chiropractic Radiologists in our profession, Dr. Peggy Saron. In this review, she provides expert overview about the use of x-ray in practice and shares some interesting case studies for your benefit. Dr. Saron created a quick review X-ray Report and Checklist that…

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Massage as a Cash Profit Center

Make More Money with Massage Insurance benefits can be incredibly restrictive when it comes to massage therapy. Payer policies dictate what services are considered medically necessary, who can perform the service, and the maximum benefit amount per year. This leaves practice owners with a big decision to make—is it better to play the insurance game…

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Massage Therapists as Employees or Independent Contractors

The Business Aspect of Adding Massage Every chiropractic office is different – what works for one may not for another. Massage Therapy is a very popular service offered in many offices and Licensed Massage Therapists (LMTs) are experienced professionals that can help patients on their journey to wellness. Adding massage to a practice can have…

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CMT and 97140 General Appeal

Download Support Tool What do you do when you feel or know you have documented your 9894X and 97140 CPT codes for the same visit correctly, you used the appropriate and correct diagnosis codes, appended the correct modifiers, all in accordance with the payer’s policy, but you get your services denied? The curbside appeal to…

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Post Isometric Relaxation (PIR)

How to Code PIR stretching Providers of manual and exercise therapy find a great deal of difficulty getting a straight answer about how PIR stretching should be coded. We know of providers who have been audited and had all claims denied for PIR when billed as 97110, Therapeutic Exercise. They were told it should be…

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