What Do They Want From Me?

A Records Request: A Common Occurrence So, you check the office mailbox – a few EOBs, checks from patients, a menu from the local pizza place, and (sigh) a love note from an insurance company requesting records for a patient. Before panic sets in, understand that this is a common occurrence in the chiropractic profession....
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How Do You Respond to a Records Request?

When is a simple request for records not really a simple request for records? Almost every time. When a payer is asking for notes, whether for a current claim, or a retroactive review, it means something. It could be random, or it could be targeted and focused. Because you may not know, this is the...
OOPS, this page contains content reserved for KMC University members. We’d love to welcome you to the KMC University family because there is an amazing amount of helpful content in the trainings and resources of the KMC University Library. Click here to learn more.

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...
OOPS, this page contains content reserved for KMC University members. We’d love to welcome you to the KMC University family because there is an amazing amount of helpful content in the trainings and resources of the KMC University Library. Click here to learn more.

Excluded Service Modifiers Can Make or Break Your Claims

Now that you’ve learned about the difference between modifiers for spinal CMT codes, and those for excluded services, let’s dig a bit more into two critical excluded service modifiers. The GP and GY modifiers may seem unimportant because they are appended to codes that are not covered by Medicare. But misuse or omission of either...
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Maintenance Care Coding

Coding for maintenance care is different from coding for active care. And there are as many opinions on how it should be done as there are ways to do it. It’s critical to remember that for Medicare maintenance, the rules are different from coding for non-Medicare maintenance care. This short training explores the differences and...
Oops, your level of membership doesn’t include access to these advanced materials. They are reserved for members working 1-on-1 with our specialists for analysis and training. Please reach out to the HelpDesk to learn more about accessing these materials. Click here to learn more.