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Posts tagged cpt
Are You Giving Your Services Away?

Most chiropractors are performing a great deal of services that they are not billing for. You should bill and get paid for the services that you perform. You may be able to increase your reimbursement by $100-$200 per visit and you are giving the service away by not properly billing. You can do this by simply using the appropriate Chiropractic codes. Here are some examples:
Examples of services with high RVU (Relative Value Units)
*97110 - Therapeutic exercises to develop strength, endurance, range of motion and flexibility (i.e. stair stepper, stationary bike, exercise ball)
*97112 Neuromuscular Re-education of movement, balance, kinesthetic sense, posture (i.e. wobble board, balance board, wobble chair, exercise ball)
*97140 Manual Therapy as defined by CPT, manipulations, manual lymphatic drainage. Manual therapy applied to the soft tissue to increase joint range of motion, restore joint integrity and improve overall performance
*97535 Self Care Home Management Training
These codes are billed per units. One unit is equivalent to 15 minutes. Be sure that you have documented the time spent on each service. You must use the -59 modifier to CPT code 97140 when billing this service in addition to the adjustment code.
Now add any of the above mentioned services to your adjustment code and you will see how much you have been giving away.
Be sure that your fee schedule is appropriate for your geographical region. Having an outdated or inappropriate fee schedule is costly.
Chiropractic vs. Physical Therapy. If you are performing physical therapy services and the patient has reached the maximum benefits allowed for chiropractic services, you may be able to receive payment for the physical therapy services that you are performing. When verifying insurances, be sure to ask if these services (Chiropractic and Physical Therapy) will be reimbursed separately. Whether or not the DC is able to perform PT services may vary from state to state. Be sure to check with your Chiropractic Board to be certain.