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Foundations of the Billing and Collections Process

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Latest posts

It’s Half-Way Through the Year—Are You Half-Way to Your Goals?

Here are some things to think about, regardless of your situation, as we ponder the first half of this year and gear up to finish strong.

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Business Essentials

The Form and Purpose of Routine Office Visits (ROV)

The term “Routine Office Visit” describes treatment visits where the patient is being seen for the execution of the written treatment plan at the beginning of the Episode of Care. The documentation of these visits contains the details of patients’ progress, or lack thereof, as they advance through the stated plan.

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Documentation & Coding

Document Medical Decision Making (MDM) with Ease

Now that we've had a month to settle into the new Evaluation and Management (E/M) coding rules that went into effect at the beginning of the year, the questions are getting more specific and refined.

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Documentation & Coding

Managing and Storing Paid Explanations of Benefits

One of the more common questions we get at our Help Desk is what to do with Explanations of Benefits (EOBs) for paid claims once the payment has been posted. Regardless of the payer class, whether personal injury, worker’s compensation, or simple commercial insurance, you have many choices and can select one that is best for your practice.

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Practice Finances

Evaluation and Management (E/M) Coding Changes Take Effect January 1, 2021

We have been preparing all year for the inevitable start date in January, and now is the time to learn how the coding changes affect you!

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Documentation & Coding

Why So Many Chiropractic Audits?

With private insurers falling in line behind the government, it has become increasingly common for records requests and audits to come flying in from all directions. Because of this focus, DCs and CAs must learn more about rules and regulations, adding “documentation experts” to their many hats.

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Compliance

What’s SOP, Doc?

During a recent after-dinner trip to a favorite ice cream eatery, I happened into the ladies’ room. Hanging next to the sink was a detailed and illustrated explanation of how to wash your hands. Honestly, do any of us really need a primer on how to wash our hands? Of course not! But this national chain ice cream eatery was practicing what most of corporate America knows is vital to running a business: Standard Operating Procedure (SOP). If they wanted their employees to properly wash their hands, they were going to spell it out, step by step.

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Compliance

CA, Interrupted

A new patient stands before you, intake paperwork in hand. The phone is ringing. Your DC has a question. Another patient’s child is crying in the reception area. Your stomach rumbles—you didn’t have time for breakfast. You wonder when you’re going to get to those reach-outs to patients with outstanding balances. The UPS guy walks in.

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Business Essentials

My Documentation is Fine

Many of the doctors we meet tell us they’re not too worried about their documentation. “We’ve got that covered,” they say. “I think we’re probably fine.” “I’m fine, right?”

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Documentation & Coding

Paper Claims: Not a Dinosaur Yet!

Electronic claims processing is still the fastest, most efficient way to file insurance claims, where possible. However, there are times when a paper billing process still applies for your practice.

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Practice Finances