Best In-Class Chiropractic Medical Billing Services by Bikham

The field of chiropractic has gained much popularity in the recent years because it has greatly helped to promote holistic healing with drug-free treatments. Chiropractic care is widely used amongst the people looking for such a non-surgical and non-invasive approach of treatment. Day by day, more patients are seeking regular chiropractic adjustments and along with this increasing popularity, the need of accurate chiropractic billing services has also witnessed a significant rise.

According to a report published by Illinois Chiropractic society, around 6 percent of the population prefers chiropractic care over other treatment procedures.

A chiropractic treatment plan includes several procedures including, spinal manipulations, physical therapy, soft tissue therapy, rehabilitative exercises and nutritional and lifestyle counseling. These procedures have specific codes and Bikham’s team of certified billers is well versed with all the terminologies of chiropractic treatment.

Some Important Facts about Chiropractic Billing Services:

·         The claims and invoices for chiropractic services must include details like the date of service, the condition treated, diagnosis codes, procedure codes, and other relevant information. Missing out or mentioning incorrect details about any of these items is a direct invitation to claim denials and reimbursement delays.

·         There are coverage limitations with the major money making treatments. Medicare coverage for the chiropractic services is limited to the treatment by means of manual spinal manipulations and the diagnostic or therapeutic services rendered by a chiropractor still remain uncovered and non-reimbursable.

·         X-ray or any other diagnostic tests to determine patient condition are only used for claim processing purposes, whereas coverage and payment are not available.

·         The treatment performed for intra-spinal regions including the head, the upper and lower extremities, rib cage and abdomen are excluded from Medicare coverage.

With the frequent changes in chiropractic billing codes and regulations, the billing process can become quite cumbersome for a chiropractor. When the processing of claims is done in-house, it often leads to increased stress level amongst the staff and directly affects the business performance, builds a backlog unfiled claims, denials and also deteriorates your patient relations.

For minimizing claim denials, a comprehensive chiropractic billing process must include:

1.       Enrollment: The demographic and insurance details of patients must be well recorded and kept on file by a chiropractor and registering the correct dates of treatment is also important.

2.       Charges Entry: The charges for treatment procedures performed need to be entered in the billing system. This helps determine the reimbursement for services rendered. This process also includes the tasks of linking the proper medical codes to appropriate procedures.

3.       Insurance verification and authorization: Verification of insurance coverage for the chiropractic treatment procedures is the most important task if one wants to avoid denials. The plan type, effective and term dates, policy status, in-network, and out-of-network benefits, out-of-pocket expenses, referrals and pre-authorizations, and other necessary details need to be verified.

4.       Accurate Coding: Correct CPT codes according to the latest ICD-10 terminology need to be assigned, along with the proper modifier and HCPCS codes, for obtaining timely payments.

5.       Submission: The prepared invoices or sales orders should then be submitted through the electronic billing software to execute the claim submission process. It becomes important to submit the prepared invoices before the filing due date.

6.       Follow up: Some claims get paid, others get denied. This step is crucial as it requires skillful analysis of the denial reasons and then there correction to obtain payments.

Successful execution of all the aforementioned points requires a professional medical billing practice that is experienced in chiropractic billing services and has the complete knowledge of chiropractic procedures and billing guidelines. Here at Bikham Healthcare, you can benefit from the services of our team of certified medical billers who have years of experience in dealing with the chiropractic medical billing.

To know more, please visit bikham.com and book a free consultation with us!