Image
Chronicles Banner 1

Don't miss the April 2023 edition!

We know you count on us to keep you up to date with the most important information in the profession. We have compiled updates, blogs, and news for you into this convenient digital publication.

Download Now
Telemedicine

Need more guided help? Work with a KMC coach 1-on-1

Sometimes you need more than a self-service, on-demand program and need an expert to analyze your issues, train the corrections, and help you implement the changes, so they stick

Learn More
FWA announcement

New Course! | Fraud, Waste, and Abuse

Each year, billions of dollars are spent improperly because of Fraud, Waste, and Abuse. It affects everyone—including Chiropractic providers and teams.

Learn More!
OIG

There's no need to fear the OIG. We've got your back!

The most effective chiropractic OIG compliance programs are scaled according to the size of the practice!

Learn More

Common Chiropractic Modifiers

Chiropractic Modifiers Are Essential Codes Capable of Increasing Reimbursements

Chiropractic modifiers communicate to the insurance company that something is different about the services related to the CPT code being billed. Modifiers must be used correctly, and often they can increase reimbursements for patient care.

Proper Use Common Modifiers in Chiropractic Coding

Understand each payers’ recommended usage prior to billing in order to ensure proper reimbursement. Because Chiropractic Manipulative Treatment (CMT) modifiers are used to clarify treatment provided, when billing CMT to Medicare, you would append the proper modifiers as required by Medicare.

Medicare Has Specific Modifiers for Locum Tenens

Another critical chiropractic coding choice when it comes to Medicare is to ensure that you understand locum tenens billing and implementations, including the proper use of modifiers. In the use of locum tenens billing, specific guidelines must be followed to ensure reimbursement.

HCPCS

Back to: Chiropractic Coding Basics

Image Image

...Not only is the Library impressive, but our one-on-one coaching with our Subject Matter Expert, Jill, was what really got us through this process. Jill got us set up with a portal to organize our work and keep us on task, coached us via phone call to discover any risks and resolve them, and continued to meet with us until all our assignments were completed. We still have some things to finish up throughout the remainder of the year, but Jill expertly trained us so that we can stand on our own from here and complete the process ourselves. To me, the ability to feel confident enough in this process to continue on my own is the most valuable thing, and Jill and KMC have provided us with that ability...

Neomi Hunt, M.S.