Medical Necessity

Definition of Medical Necessity A physician or clinical provider of care may have a completely different understanding, interpretation, and definition of medical necessity than the patient or a third-party insurance payer. Medical necessity documentation from a physician or provider should include the following: •         Severity of the “signs and symptoms” or direct diagnosis exhibited by [...]

By |2017-10-06T21:31:07+00:00October 6th, 2017|Billing, Medicare|Comments Off on Medical Necessity

Medicare

Chiropractors may not OPT OUT of Medicare. You can choose to be par or non-par which means you must file your claims per “Mandatory Claim Submission Rule”, you can still be audited, and there is a 5% difference in reimbursement. If you are non-par and accept assignment on the claim form you must report what [...]

By |2017-09-16T02:20:00+00:00August 12th, 2017|Medicare|Comments Off on Medicare

Active Rehabilitation

One of the most commonly asked questions we hear as a billing company is, "When do we bill for 97110 code (therapeutic exercise) versus 97530 (therapeutic activity)".  Although very similar in terms of long term goal achievement for the patient, there are differences. Therapeutic exercises are often executed along with therapeutic activities. For example, [...]

By |2017-09-16T02:20:30+00:00March 10th, 2017|Rehabilitation|Comments Off on Active Rehabilitation

Should You Outsource Your Billing?

Besides costs, there are other factors that would spur a provider to consider outsourcing their billing.   Your billing process is inefficient. If your collections have decreased and your billing staff insists that they are not changing the process of billing and follow-ups you may want to consider outsourcing RFS Billing and Consulting. We will decrease [...]

By |2017-09-16T02:21:21+00:00January 5th, 2017|Billing|Comments Off on Should You Outsource Your Billing?