by NCCA | Dec 5, 2024 | Billing, Insurance
Courtesy of Sheri Frost You cannot convert a patient to cash if their condition meets medical necessity based on the payer guidelines. If you do not receive the requested number of visits for prior authorization, then you must submit for more based on medical...
by NCCA | Nov 26, 2024 | Billing, Insurance
Courtesy of ChiroHealthUSA Recently, Healing Place Medical, P.C. and its owner, chiropractor Dr. Gregory Thomas White Jr., had to pay $170,000 to settle allegations of improper billing. The issue? They were accused of billing Medicare for treatments involving the...
by NCCA | Sep 23, 2024 | Billing, Insurance
Beginning Feb. 1, 2025, we’re adding the following GA modifier requirement for UnitedHealthcare commercial plan claims to our Charging members for non-covered servicesopen_in_new protocol. This requirement should help improve health care transparency by ensuring...
by NCCA | Feb 13, 2024 | Billing, Insurance
By Dynamic Chiropractic Office visit codes 99202-99205 and 99212-99215 have been revised to remove the time “range” in minutes from each code. Instead, billing based on time requires a single “minimum time threshold” to meet or exceed. Most carriers appear to prefer...
by NCCA | Jan 23, 2024 | Billing
By Dr. Ray Foxworth | ChiroHealthUSA Recently, in a Facebook group, the question arose about whether it was okay for the associate doctor in a practice to bill for services under the owner’s NPI number. The range of responses surprised me and made me aware that...
