Articles

There were 13 new modifiers released in 2018, be sure you are using them if appropriate.  The five new HCPCS modifiers or the  "X" modifiers are used for voluntary reporting and do not change the meaning of the procedure being reported. These are used for MACRA patient relationship categories and codes. 

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There has been some controversy over the use of the ICD-10-CM subluxation codes commonly referred to as traumatic (S13.1-S23.1-, and S33.1-). Are they appropriate for chiropractors to use? The answer to that question is complicated.

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Have you ever had a patient take more time with the provider than they were scheduled for? Do you understand which codes to report and the rules that govern them to allow for better reimbursement?

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Medicare's MLN Matters Number: MM10176 was recently revised to identify services subject to their therapy cap. The revision became effective on January 1, 2018 and some providers have begun to receive claim rejections because they are not using the appropriate modifier. The article states the following:

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BACKGROUND

Intensive Outpatient Programs (IOPs) are considered to be an intermediate level of care which is commonly considered after the patient has been discharged from inpatient care. For some patients and/or conditions they can also provide an effective level of care when hospitalization is not clinically indicated or preferred. The following are the broadly defined non-inpatient types of programs:

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