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OUR GUIDEBOOKS
The "pecking order" in which you place your diagnoses in Box 21 of the CMS-1500 claim plays a major role in the way insurance companies interpret the severity of your patient's condition and ultimately how much they'll pay. For example, in most states, Medicare will pay your claim ONLY if a primary/subluxation diagnosis (739 or 839 series) is in position number 1 and the short, moderate and long term diagnoses are placed in positions 2 through 4. Why are your claims are being denied? It could be the diagnosis. There are 4 positions in Box 21 of the CMS-1500 claim form. Do you know which get paid the best? Do you know which to avoid? Let this Guidebook provide you with a simple pick and choose format. Make copies of the Guidebook Worksheets that you use the most and give them to your insurance CA's to study. You can also place copies in every treatment room.
Item# 2401………$99.00
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In order for your services to be considered reimbursable, insurance companies are requiring that your CPT codes be compatible with your ICD-9 codes. You pick the chiropractic/modality CPT code and let this guidebook provide you with a comprehensive list of the most compatible diagnoses codes used in the chiropractic setting. Use it at your staff meetings to help train your insurance CA's the CPT and ICD-9 codes that combine the most efficiently. No more "winging-it."
Item# 2402………$99.00
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Spinal Decompression Therapy involves more than just having a patient positioned on the table.
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This program will teach you how to create quick and simple SOAP notes that are compliant, do not look canned and will help you get paid for more visits. We discuss Travel Cards (use them or get rid of them?), how to prove and document the need for more care upon re-exam and why it is so important to know about CPT Code Linking & Diagnosis Pointing. We also discuss how to avoid the most common SOAP note taking “errors” made by DCs, how to avoid insurance carrier denials, plus much more. Sample SOAP notes are provided. Also included is a Comprehensive Manual and Audio CD.
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This program will teach you how to understand and implement Medicare's guidelines for chiropractic services. We show you how to submit claims to Medicare that increase your chances of getting paid and decrease your chances of getting audited. We discuss how to establish medical necessity on the initial visit, subsequent visits and how to document subluxation (according to Medicare). We also cover how and when to complete the ABN/NEMB forms, Medicare modifiers, Par vs. Non-Par and how to troubleshoot some of the most common Medicare denials, plus much more. Sample Medicare SOAP notes, Audio CD and a Comprehensive Manual are included.
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This program will teach you how to compliantly incorporate and document E/M services. E/M services are a vital ingredient to getting paid properly and they can set the tone to increase your chance of getting paid for more visits. Many DCs and CAs do not know how to properly bill and code for all the E/M services available in CPT coding. We discuss how to get paid for exams, re-exams, consultations, counseling/coordination of care, prolonged visits, review of records, what E/M codes to avoid, what ammunition you should use in an appeal, plus much more. Sample E/M documentation, Comprehensive Manual & Audio CD are included.
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This program will teach you and your CAs how to get your patients to pay for your services - whether they have insurance or not!! We go over a sample Patient Financial Consultation and Office Policy form that every chiropractic practice should be using. You'll learn a stress-free way to collect co-pays, deductibles and co-insurance. After you incorporate this information, your patients will understand their financial obligation and will gladly (well, almost gladly) pay your bill. We also provide detailed information on the very important topic of Insurance Verification. We provide a system on what should be collected and discussed with patients - before, during and after the initial visit. This program will provide strategic advice in order to make your CAs job a lot easier. Sample policy, procedure & insurance verification forms are provided. Also included is a Comprehensive Manual and Audio CD.
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