It can be a challenge to navigate the world of timed codes. The first step is to have a solid understanding of the different types of procedure codes such as supervised modalities, constant attendance modalities and therapeutic procedures. This tutorial provides a nice simple breakdown of each of the levels of service.
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…
The Relationship Between Box 14 and Medical Necessity
A provider of service communicates important information about a patient’s episode of care by placing important information in Box 14 of the 1500 billing form. The date that is placed in this important field on the billing form communicates the first date of the current episode of care. This brief training will outline it’s importance…
Medicare’s Definition of Medical Necessity
The essence of medical necessity in Medicare is being able to prove that a subluxation exists, since the only coverage for chiropractic treatment is manual manipulation of the spine to correct a subluxation. However, a subluxation that is not associated with a secondary neuromusculoskeletal condition, and/or is not causing a loss of function may not…