HJ Ross Company

Billing & Coding: Medicare Physician Fee Schedule Update Welcome to your billing and coding weekly solutions by HJ Ross Company where getting your bills paid is what we do best! Are you aware of the 2021 Medicare fee schedule update?... On December 27, the Consolidated Appropriations Act, 2021 modified the Calendar Year (CY) 2021 Medicare Physician Fee Schedule to: Provided a 3.75% increase in Medicare Physician Fee Schedule payments for CY 2021 Suspended the 2% payment adjustment (sequestration) through March 31, 2021 Reinstated the 1.0 floor on the work Geographic Practice Cost Index through CY 2023 Delayed implementation of the inherent complexity add-on code for evaluation and management services (G2211) until CY 2024. Centers for Medicare & Medicaid Services has recalculated the Medicare Physician Fee Schedule to: Provided a 3.75% increase in Medicare Physician Fee Schedule payment rates and conversion factor to reflect these changes. As a chiropractor, Medicare fees are important, since many carriers, including the VA use Medicare rates as their benchmark for setting fee schedules. Billing with incorrect chiropractic CPT codes can lead to claim rejections and delays in payments, which can have a devastating impact on generating revenue and keeping you in business. If you are experiencing insurance claim denial, staff spending too much time trying to get claims paid, and patients asking why their claims have not been paid then H. J. Ross Company is your solution. H.J Ross Company stays ahead of the curve on the latest trends and changes in billing and coding by utilizing their direct channel of communication with the insurance companies and organizations that set the guidelines. There is a reason chiropractors have trusted H.J. Ross Company with their business for over 40 years.

JOIN ChiroSecure Malpractice Insurance for another exciting episode of Empowering Women In Chiropractic as Julie McLaughlin of Vital Health Protocols Presents: Making the Invisible Visible "What is the most important thing you can do right now to improve your health and your practice?"... -Covid-19 was a big factor in mortality climbing between 2019 and 2020, but it wasn't the only one. -Case Study - What’s the risk of NOT knowing the facts when it comes to the invisible? -In a perfect world, what should you do now? All you need to do right now is click on the REMINDER link below and you will be notified as the show is about to start. Make sure you share this with everyone you know and remember, this is a show for all chiropractors. We are so proud to have these amazing hosts as part of the ChiroSecure Family. If you can't make the live show text the word WOMEN to (480) 500-6574.

21st Century Cures Act & Chiropractic Welcome to your billing and coding weekly solutions by HJ Ross Company where getting your bills paid is what we do best! How will your practice be impacted by the 21st Century Cures Act?... All healthcare providers are affected by the 21st Century Cures Act, which goes into effect April 5, 2021. The act requires that all healthcare providers, including chiropractors, give patients access without charge to all their health information without delay. Under the 21st Century Cures Act, information blocking is now ILLEGAL. Thus, if you get a request from another provider for patient information, you are required to provide that information. 21st Century Cures Act applies to all Health Information including but not limited to: Electronic health records (EHR) information in certified software EHR information in non-certified software Digital Images Paper Chart Consultation notes Discharge summary notes History & physical Imaging narratives Laboratory report narratives Pathology report narratives Procedure notes Progress notes Plain Films Any and all other patient health information No matter how you keep your records, if you block the transfer of information you are in violation of this rule. If you are using electronic health records it is imperative to contact your vendor to assure their system has a protocol for such compliance. Find this information helpful? Remember H.J. Ross Company keeps you ahead of the curve on the latest trends and changes in billing and coding by utilizing their direct channel of communication with the insurance companies and organizations that set the guidelines. There is a reason chiropractors have trusted H.J. Ross Company with their business for over 40 years.

JOIN ChiroSecure Malpractice Insurance for another exciting episode of GROWTH WITHOUT RISK as Dr. Judson Sprandel of Sprandel Chiropractic Clinic PRESENTS: Non-coverage of Evidence-based Chiropractic Treatment Dr. Sprandel will focus on:... 1. The increase of Opioid overdose deaths during the months of the COVID-19 pandemic and why chiropractic should have been the treatment of choice. 2. A new study indicating that the opioid crisis in the US is deepening and the role chiropractic plays. 3. Complicating Issue: Nationally, Americans do not have the ability to choose non-pharmaceutical chiropractic treatment due to third-party coverage limitations. 4. How our current third-party payer benefit coverage fuels the opioid epidemic by limiting and or non-coverage of evidence-based chiropractic treatment. All you need to do right now is click on the REMINDER link below and you will be notified as the show is about to start. Make sure you share this with everyone you know. If you can't make it you can get a copy of the transcript by texting GROWTH to (480) 500-6574. We are so proud to have these Chiropractic Powerhouses as part of the ChiroSecure Family.

Guidelines for Using Modifier 59 vs. XS Welcome to your billing and coding weekly solutions by HJ Ross Company where getting your bills paid is what we do best! Did you know there are requirements related to modifier 59 when utilizing the CPT codes 97124 (therapeutic massage) and 97140 (manual therapy), or 97112 (neuromuscular re-education)?... According to the Correct Coding Initiative Edits, physical medicine and rehabilitation services described by CPT codes 97112, 97124, and 97140 are not separately reportable when performed in a spinal region undergoing chiropractic manipulative treatment (CMT). "When these physical medicine and rehabilitation services are performed in a different region than CMT, and the provider is eligible to report physical medicine and rehabilitation codes, the provider may report CMT and the above codes using modifier 59 or XS. The use of modifier 59 or XS indicates the service is a separate and distinct service from manipulation; however, the use of modifier XS would technically be more correct or accurate than 59. Make sure you are only using 59 or XS for massage and manual therapy; and only on the same visit as a CMT service. Billing with incorrect chiropractic CPT codes can lead to claim rejections and delays in payments, which can have a devastating impact on generating revenue and keeping you in business. If you are experiencing insurance claim denial, staff spending too much time trying to get claims paid, and patients asking why their claims have not been paid then H. J. Ross Company is your solution. H.J Ross Company stays ahead of the curve on the latest trends and changes in billing and coding by utilizing their direct channel of communication with the insurance companies and organizations that set the guidelines. There is a reason chiropractors have trusted H.J. Ross Company with their business for over 40 years.

JOIN ChiroSecure Malpractice Insurance for another exciting episode of GROWTH WITHOUT RISK as the Foundation for Chiropractic Progress President Dr. Sherry McAllister PRESENTS: "Optimizing Performance with Chiropractic" On Tuesday, February 23, F4CP President Dr. Sherry McAllister will present "Optimizing Performance with Chiropractic." ... Get the inside scoop on a brand-new marketing campaign that will surely help to grow your practice, inspire your patients and advance chiropractic. Chocked full of testimonials from professional athletes touting the benefits of chiropractic, tune in to learn more about the campaign and how it can influence your marketing. All you need to do right now is click on the REMINDER link below and we will notify you as the show is about to start. Make sure you share this with everyone you know and remember, this is a show for all chiropractors. If you can't make it you can get a copy of the transcript by texting GROWTH to (480) 500-6574. We are so proud to have these Chiropractic Powerhouses as part of the ChiroSecure Family.

JOIN ChiroSecure Malpractice Insurance for another exciting episode of GROWTH WITHOUT RISK as health care lawyer Mike Miscoe of Miscoe Health Law PRESENTS: Compliance Risks Associated with Nutrition and Wellness Programs At this event you will better understand:... 1) Scope of practice issues. 2) Marketing 3) Use of patient testimonials. 4) Licensure liability 5) Strategies for Minimizing Risk Every show that Mike has done for ChiroSecure has saved doctors time, money, and aggravation and this will be no different. All you need to do right now is click on the REMINDER link below and we will notify you as the show is about to start. If you can't make it you can get a copy of the transcript by texting GROWTH to (480) 500-6574. We are so proud to have these Chiropractic Powerhouses as part of the ChiroSecure Family.

E & M Denial When Billed with CMT Welcome to your billing and coding weekly solutions by HJ Ross Company where getting your bills paid is what we do best! Are you getting insurance denials for payment of Evaluation and Management (E&M) codes 99201-99215 when billed with chiropractic manipulation? You are not alone!... Here are 3 solutions to this insurance claim denial. 1. Modifier 25: Modifier 25 should be appended to the E & M code when billed with chiropractic treatment. The 25 indicates there was a separate and distinct evaluation above and beyond the pre- and post-evaluation associated with treatment. 2. Letter of Appeal: After coding the claim properly with the appropriate E & M code appended with modifier 25, your next step is to write a letter of appeal explaining the necessity of the separate examination. 3. Splitting claims: Split the claim using the same date of service with one claim for the E & M with modifier 25 and a second claim for the chiropractic treatment. Billing with incorrect chiropractic CPT codes can lead to claim rejections and delays in payments, which can have a devastating impact on generating revenue and keeping you in business. If you are experiencing insurance claim denial, staff spending too much time trying to get claims paid, and patients asking why their claims have not been paid then H. J. Ross Company is your solution. H.J Ross Company stays ahead of the curve on the latest trends and changes in billing and coding by utilizing their direct channel of communication with the insurance companies and organizations that set the guidelines. There is a reason chiropractors have trusted H.J. Ross Company with their business for over 40 years.

Welcome to your billing and coding weekly solutions by HJ Ross Company where getting your bills paid is what we do best! Are there any 2021 updates to ICD-10 diagnosis codes impacting your chiropractic claims? The answer is Yes! This year sees lots of changes. Just take a look at some of the changes to the codes for temporomandibular joint (TMJ) issues. ... These new codes give additional information and specifics to include arthritis and arthropathy involving the TMJ. Of course we can’t list them all here, but if you were an HJ Ross Network member you would know exactly which codes to use and when. M26.641 Arthritis of right temporomandibular joint M26.642 Arthritis of left temporomandibular joint M26.651 Arthropathy of right temporomandibular joint M26.652 Arthropathy of left temporomandibular joint Did you know 2021 updates to ICD-10 diagnosis codes that will affect your chiropractic claims were updated on October 1, 2020? You would have as a HJ Ross Network client! This means any date of service or billing on or after October 1st must include the new and revised code or it will be denied. Billing with incorrect chiropractic CPT codes can lead to claim rejections and delays in payments, which can have a devastating impact on generating revenue and keeping you in business. If you are experiencing insurance claim denial, staff spending too much time trying to get claims paid, and patients asking why their claims have not been paid then H. J. Ross Company is your solution. H.J Ross Company stays ahead of the curve on the latest trends and changes in billing and coding by utilizing their direct channel of communication with the insurance companies and organizations that set the guidelines. There is a reason chiropractors have trusted H.J. Ross Company with their business for over 40 years.

NEWS- 2021 Evaluation and Management Coding Update There is a short but content filled video from Sam explaining the changes that have occurred this year related to Evaluation and Management coding. Click below to view the video and transcript https://www.hjrosscompany.com/2021-evaluation-and-manageme/... Want to learn more? Need help with billing and coding? Check out the Network with our in-house Billing and Coding expert, Dr. Sam Collins. https://www.hjrosscompany.com/chiropractic-insurance-billi/