Back Pain Relief Clinics

Chiropractor medicare

Thu, 26 Apr 2012 16:10:52 +0000

Did you bill with the –AT modifier and Medicare approved chiropractor dx codes? If not contact Blue Shield explain your error and have the claim refunded and re-bill with the correct modifier and dx codes. Once you receive the EOB for the corrected claim send in an appeal to Medicare and they may pay for the $25.00 copay. If you did all of that and obtained a signed ABN start at the beginning and place the correct modifier on the BS claim and Medicare should apply the amount to the patient. If the care is not necessary then there isn’t much you really can do. I would not charge the patient unless you have a Medicare EOB that states you can. I would not want to deal with the ramifications that Medicare can cause you if you bill the patient when you were “told” not to for chiropractic visits.

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Chiropractor Seminar

Fri, 30 Mar 2012 15:06:04 +0000

The doctor just came back from a CLA sponsored seminar in Colorado called Total
Solutions, I don’t know if anyone else has heard of it. Anyway, now the doctor
is wanting to send me for a seminar and I am actually very excited about going
to one because I feel I can grow a lot as a CA from it. Now my question is has
anyone heard of any semiars going on in the New York area in the coming months?

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Chiropractor helped me!

Tue, 20 Mar 2012 15:05:22 +0000

Hi everyone! I’m a new member to the list and just wanted to introduce myself.
My name is Michelle and I have been working as a CA for 2 years now in Marietta,
GA. I used to work in the healthcare field but once I discovered chiropractic in
2006, I was never able to view my job in healthcare the same way. I fell head
over heels in love with chiropractic! My husband even decided to become a
chiropractor after working as an engineer for 5 years. He is currently in the DC
program at Life University. He has 1 year left of schooling and then we plan on
moving to New Hampshire where we will open our own office right away. I am so
excited for our future office and looking so forward to being the office
manager. I am very interested in learning more about running an office, the
legalities, and different ways of doing things. We are planning on being a cash
only practice so I am always looking for ideas on how to do that best also. I
have already learned a lot
> just from the few days I have been on this list. I am currently in a CA
training program also which has been so beneficial. That is where I got the idea
to join one of these online groups. Looking forward to learning tons from you
all! Thanks in advance to all who contribute to this group. You will all be a
tremendous part of our life’s journey!

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Chiropractor and ASHP

Sun, 15 Jan 2012 13:56:00 +0000

So, I know I don’t post here often, but I certainly use this group for
resources!

Here’s a question: What’s up with Cigna contracting ASHP for out of
network providers to prove medical necessity?

We are not contracted with insurance companies, but do bill for our
patients. All the sudden, we’re being asked to jump through the ASHP
hoops. Same paperwork I had to do when we WERE contracted.

Am I obligated to do this for out of network claims? Do we really have
to do all this paperwork? Can we charge for it?

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Cigna and chiropractors

Fri, 13 Jan 2012 13:55:46 +0000

I do not know of ANY chiropractor whose notes
have resulted in payment through Cigna, in other
words, it does not seem to matter how bad off the
patient is, ASHN usually does NOT approve the
visits. The upshot of this is that CIGNA gets to
keep their money. I tell most of my doctors not
to bother with the notes, unfortunately that is
that the insurance company is counting
on: making it so hard to receive payments that
we just give up and go CASH. I am very
interested in any one else’s experiences with this situation.

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Case for chiropractor

Sat, 07 Jan 2012 19:45:12 +0000

MEMORANDUM OPINION AND ORDERMATTHEW F. KENNELLY, District Judge.The
plaintiffs in this case are chiropractic physicians, an occupational
therapist, and a clinical social worker/trauma specialist who have
provided services to members of health care plans insured or
administered by the defendants; professional associations whose members
are chiropractic physicians; a residential treatment facility; and a
subscriber to a health care plan.1
The defendants are Blue Cross and Blue Shield of America (BCBSA) and
individual Blue Cross and Blue Shield entities (BCBS entities). BCBSA is
a national umbrella organization that facilitates the activities of
individual BCBS entities. Individual BCBS entities insure and administer
health care plans to Blue Cross and Blue Shield customers (BCBS
insureds) in various regions.Plaintiffs
allege that defendants improperly took money belonging to plaintiffs.
They allege that defendants would initially reimburse the provider
plaintiffs for medical services they provided to BCBS insureds. Sometime
afterward, plaintiffs allege, defendants would make a false or
fraudulent determination that the payments had been in error. Defendants
then would demand that individual plaintiffs repay the supposedly
overpaid amounts immediately. If plaintiffs refused to return the
payments, defendants would forcibly recoup the amounts they sought by
withholding payment on other, unrelated claims for services plaintiffs
provided to other BCBS insureds. The subscriber plaintiff, Katherine
Hopkins, alleges that she was held liable for portions of a bill for
services she received at Miami Valley Hospital after her insurer, Anthem
Ohio, demanded recoupment from the chiropractic provider who treated
her.Plaintiffs
allege further that when defendants made these repayment demands, they
typically did not provide adequate information regarding available
review procedures. Plaintiffs allege that defendants sometimes failed to
offer any appeal process at all. When an appeal process was available,
plaintiffs allege, defendants refused to provide details about which
patients, claims, and plans were claimed to be the subject of
overpayment or “effectively ignored” plaintiffs’ appeals. Fourth Am.
Compl. ¶ 18. Plaintiffs contend that this conduct deprived them of their
right to a “full and fair review” under section 503 of ERISA, 29 U.S.C.
§ 1133.Plaintiffs
sue on behalf of themselves and, in the case of association plaintiffs,
on behalf of their members. They also sue on behalf of a putative class
of similarly-situated individual plaintiffs.Plaintiffs
filed their first amended complaint on November 16, 2009. In that
complaint, plaintiffs alleged that defendants’ actions violated the
Racketeer Influenced and Corrupt Organizations Act (RICO), the Employee
Retirement Income Security Act (ERISA), and Florida law. On May 17,
2010, the Court granted a motion by defendants to dismiss the RICO
claims for failure to state a claim. Pennsylvania Chiropractic Ass’n v. Blue Cross Blue Shield Ass’n, No. 09 C 5619, 2010 WL 1979569 (N.D. Ill. May 17, 2010).

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NEW YEAR CHIROPRACTOR NEW DEDUCTIBLES.

Thu, 22 Dec 2011 15:19:12 +0000

We collect in full what the EOB would tells us to collect. When chiropractor patients say something I put the blame to the insurance saying I can be fined or the insurance can drop me ect ect. Unless there is a hardship we have a contract that the patients signs saying about the hardship we keep on file both blue cross and medicare have told me (also get it in writing from them) that hardship case are allowed. When patients call I remind them about the deductible I try to collect everything on date of service but I will bill patient or allow payments as well. I do not divide the deductible I put the actual approved amount from the carrier.

Jeff Kotchounian C.A.
Chiropractic Dollar

http://www.chiropracticdollar.com

— In ChiroAssistants@yahoogroups.com, “Brittany” wrote:
>
> I was just curious how other offices handle deductibles at the beginning of the year. Do you just charge 100% until the deductible is met? Make payment arrangements or just bill the patient once you find out the total that was applied for your office? We usually make payment arrangements with the patient on their first visit of the year and divide the deductible into 5-10 payments that are spread out for the first 5-10 visits but we always have cases where the patient meets deductible in 2 visits and stops making payments. We are looking at a more efficient system. Thank you!

__._,_.___

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Chiropractor CareCredit

Wed, 21 Dec 2011 16:30:16 +0000

we don’t use their machine…the main incentive for the chiropractic patient ,anyway, is they have a few options of interest free payment plans, like 6,12,18 months they can stretch the payment over that amount of time interest free as long as they pay on time. Your practice can choose if they want to do extended payment plans which only cost the provider 5% of the total. you can set a minimum of what the patient has to spend (ours is $300) The best part for the provider is the amount is auto deposited into his/her acct minus the interest (highest is 13.5% but you don’t have to offer that one) and then you pretty much wipe your hands clean of it ~ we get the money, alot of times the patient gets interest free and if they have any problems paying their bill they deal with GM Moneybank collections…not us everyone is happy, happy! Oh and another thing that is nice is not everyone can get approved for a credit card, but Carecredit is alot more lenient.

Thank you for your input, I’m not trying to say they are the best option, I’m still trying to figure it out, I’m just stating how I see it right now. Also, the main reason we got involved with them wasn’t for our chiropractic care, but we offer microcurrent facial/body sculpting, which insurance doesn’t cover & yes some people do use their credit cards, but still sometime the interest free is a big selling point.

Kerri

To: ChiroAssistants@yahoogroups.com
From: nat_dar2004@yahoo.com
Date: Tue, 20 Dec 2011 08:18:44 -0800
Subject: Re: [CA] CareCredit

We looked into it but I don’t understand what the incentive is for us or the patient? Most patients use their own credit cards that they can rack up their points.
The doctor also has to pay carecredit to use their service, use their credit card machine or process the payment online and the percentage rate is not great.

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Hot off the presses from CMS for chiropractor

Tue, 20 Dec 2011 02:42:59 +0000

Attention Health Chiropractor Professionals: Information Regarding the Holding of
2012 Date-of-Service Claims for Services Paid Under the 2012 Medicare
Physician Fee Schedule

The negative update under current law for the 2012 Medicare Physician
Fee Schedule is scheduled to take effect on Sun Jan 1, 2012, eight
business days from today. Consequently, as on numerous occasions in
the past, CMS will instruct its Medicare claims administration
contractors to hold claims containing 2012 services paid under the
Medicare Physician Fee Schedule for the first 10 business days of
January 2012 (i.e., Sun Jan 1 through Tue Jan 17). The hold should
have minimal impact on provider cash flow because, under current law,
clean electronic claims are not paid sooner than 14 calendar days (29
days for paper claims) after the date of receipt.

Medicare Physician Fee Schedule claims for services rendered on or
before Sat Dec 31 are unaffected by the 2012 claims hold and will be
processed and paid under normal procedures and time frames.

The Administration is disappointed that Congress has failed to pass a
solution to eliminate the sustainable growth rate (SGR) formula-driven
cuts, and has put payments for health care for Medicare beneficiaries
at risk. We continue to urge Congress to take action to ensure these
cuts do not take effect.

CMS will notify you on or before Wed Jan 11, 2012, with more
information about the status of Congressional action to avert the
negative update and next steps regarding the claims hold.

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Chiropractor Listings: How Businesses Can Benefit From Chiropractor Listings

Mon, 21 Nov 2011 23:26:35 +0000

Chiropractor Listings: How Businesses Can Benefit From Chiropractor Listings

By Chris Burns

Chiropractor listings open up a whole new world of opportunities to business owners. With a regularly updated database of about 57,000 Chiropractors throughout the United States, many opportunities are available to this market. Often, such a database would contain information such as the Chiropractor’s name, address, and telephone number, fax number, etc.. We provide you with a variety of suggestions on how businesses can benefit from our Chiropractor mailing list.

Of central importance would be the ability of these businesses to gain access to a huge market of Chiropractors. This is especially important for businesses structured around the sales and provision of Chiropractic products. Through vital information such as telephone numbers and mailing addresses, business owners in this field would be provided with extremely important sales leads which they can work on to sell their products. They would then be able to formulate various strategies which they can implement in order to achieve this. For instance, with mailing addresses, they might find it cost effective to send out regular newsletters, updating their potential clients on the new products which their company is offering. This way, business owners would be able to gain access to the huge market of Chiropractors in America, allowing them to generate valuable sales leads.

Businesses in non-sales fields relating to the Chiropractic industry would also benefit from a Chiropractor list. Such fields include complementary products and services such as orthopedic consultation. With a Chiropractor list, such businesses would be able to explore working opportunities with Chiropractors from across America. One of the best examples of such working opportunities would be to enter into an agreement for referrals. You could either refer your current customers to the Chiropractors for a fee or do the opposite, by entering into an agreement whereby the Chiropractor refers his clients to you for a fee. In this way, you would be able to explore an alternative way of marketing your product or service through active referrals. As in most cases, referrals often constitute one of the most effective ways of marketing a product or service.

Lastly, Chiropractor lists would provide you with the opportunity of engaging in merger and acquisition activities. If you are thinking of running a Chiropractor business which has branches all around the United States, then you would find a Chiropractor list useful. By providing you with a list of Chiropractors throughout America, you would be able to enter agreements with Chiropractors throughout the country on the possibilities of acquiring their business. Often, it is common for Chiropractors to do that when they seek to expand their business. As such Chiropractor listings are important in such a manner, by putting business buyers into contact with business sellers.

Rounding things off, a Chiropractor list would allow you to expand your business contacts effectively. Whether it is for sales leads, referrals, joint ventures or merger and acquisition activities, Chiropractor lists provide a useful and necessary means of allowing you to achieve your business goals and targets. The methods listed above are by no means exhaustive. In any case, it would be up to your imagination and creativity in getting things to work for you.

About the Author: Chris Burns is an authority on mailing list services providing valuable advice at http://www.MailingListsUSA.com where you can learn more about Business Mailing Lists. Click Here to learn more about the services that he provides.

Source: www.isnare.com

Permanent Link: http://www.isnare.com/?aid=268999&ca=Business

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