Chiropractic billing tips in 2021

Current Procedural Terminology codes are a set of codes published and maintained by the American Medical Association (AMA) for chiropractors and chiropractic billing specialists.

Mistakes such as incorrect chiropractic CPT codes can lead to claim rejections and delays in payments and put your practice at risk for failure.

Hence to avoid errors you should consider these chiropractic billing tips in 2021 to boost revenue:

Accurate verification

Verification is important for reimbursement because it ensures that everything is recorded as it should be. Any errors in the patient data, providers eligibility, patient’s insurance information may lead to loss of full payment hence accurate verification is needed.

Analyze Denied Claims

Denied claims affect the revenue cycle and put your practice at risk for failure. Hence analyzing and identifying the denied claim is important.

You need to look for if the names are spelled right, the numbers entered are for two parties or more, and if the beneficiaries are being treated outside their networks without their knowledge, etc.

Need Expert billing professionals

Expert billing professionals can help you to send error-free claims every time and saves your time. Moreover, they scrutinize each claim thoroughly before the submission which reduces the claim denial rate drastically.

Experts will require about 30 seconds or a minute for processing of each claim and they will make sure that you don’t lose revenue.

Improve Coding Accuracy

Most Frequently Used Chiropractic CPT Codes by Chiropractors are given below:

CPT Code 98940 Chiropractic manipulative treatment (CMT); spinal, 1-2 regions
CPT Code 98941 Chiropractic manipulative treatment (CMT); spinal, 3-4 regions
CPT Code 98942 Chiropractic manipulative treatment (CMT); spinal, 5 regions
CPT Code 98943 Chiropractic manipulative treatment (CMT); extraspinal, 1 or more regions

Improving coding accuracy will be necessary. You will improve it by scrubbing codes in a routine manner before every submission.

Reduce Excess Accounts Receivable

You can reduce excess AR in many ways out of which are suggested here:

Separate all account receivables by patient balances and insurance. Another way is to set apart different payers’ insurance and have the know-how of their specific guidelines affect the receivable management of your accounts.

You can also view each payer’s monthly reimbursement trends or identify offending payers by their outstanding amounts.

Outsourced Chiropractic Billing Service

Outsourcing of Chiropractic Billing Service helps you to focus on your core competency, improve your revenue and have a smooth financial process. Your billing partner will help you to review all suspended claims and identify holes and gaps such as errors and timelines.

Collect copays:

To collect copays, have an established financial policy in place. Patients should sign a form acknowledging that their insurance may not cover all of their care. They can be offered flexibility and payment options to facilitate payment for all services and products as and when they are provided.

Periodic evaluation of AR

Periodic evaluation of AR is important. Average your chiropractic practice under 45 days and work harder to make it under 30 days.

Send Clean Claims

While sending the claim the first time make sure it’s a clean one. Because if you neglect to double-check, it could impact your revenue. The time required to go through for a claim is not more than a minute however if it’s denied, the rest of your claims might take about 15 minutes to go through.

Are you looking for the best Chiropractic billing services? We are expert professionals and help you in your all billing and coding activities to boost your revenue and you can focus on your patients.