Documentation & Coding Archives

Fee-for-Time Compensation vs Reciprocal Billing Arrangement

Fee-for-Time Compensation vs Reciprocal Billing Arrangement Fee-for-time compensation is appropriate when a physician is absent for less than 60 days (e.g., an extended vacation, schooling, maternity leave, or temporary disability). With fee-for-time compensation, the regular physician pays the substitute physician a fixed amount per diem. The substitute physician is an independent contractor rather than an…

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Fee for Time – Locum Tenens

Fee for Time – Locum Tenens Is it probable that a doctor will work without taking a break or vacation for years on end? For whatever reason, doctors may need to be out of the office and patients still need to be cared for by a covering doctor. Depending on the circumstance, the doctors will…

Therapy-Modality Cheat Sheet

Therapy-Modality Cheat Sheet Supportive Therapies are a great addition to the primary Chiropractic Adjustment. Sometimes, these therapies are the primary or only therapeutic procedure delivered to the patient during a routine visit. Documentation requirements by various regulating bodies or payors detail the specific information needed for these therapies. This page is a printable tool illustrating…

Modifying Extraspinal CMT Codes

Extraspinal CMT Codes – Modify or Not? There are a few times when you append a modifier to Chiropractic Manipulative Treatment (CMT) codes (e.g., when billing CMT to Medicare, the proper modifiers are appended as required by Medicare (see the Fact Sheet titled Commonly Used Medicare Modifiers)). Other than Medicare, you should consider two things…

When Modifier 25 is Denied

What to Do if Modifier 25 Gets Denied In the realm of coding and documentation, it is often thought that “more is better.” However, when it comes to adding the 25 modifier to Evaluation & Management (E/M) services, it is important to understand when it is really needed and when it’s best to leave it…

When to Use Modifier 25

When to Use Modifier 25 (And When Not To) If the work of both a Chiropractic Manipulative Treatment (CMT) and a distinct Evaluation & Management (E/M) service are performed on the same day, it’s completely appropriate to bill both. At other times, while it may be clinically indicated to assess a patient’s condition prior to…