In 2018, the Comprehensive Error Testing Program (CERT) that measures improper payments in the Medicare Fee-For-Service (FFS) program reported a 41 percent error rate on claims for chiropractic services. Most of those errors were due to insufficient documentation or other documentation errors. Medicare limits coverage of chiropractic services to treatment by means of manual manipulation (that is, by use of the hands) of the spine to correct a subluxation. The patient must req

UnitedHealthCare recently released new reimbursement policy updates that affect Acupuncture procedures. Here's what you need to know in order to properly submit a claim and get paid. The new policy updates are being enforced to the code descriptions for Acupuncture services that are reported based on a 15 minute time increments of face to face contact with the patient. These time increments are not the duration of needle placement just the face to face contact with the patien

Many of our mental health clients ask us about documentation requirements. I just attended a great webinar through AAPC (American Academy of Professional Coders.) It was very helpful in outlining what the documentation requirements are for mental health practitioners. I’ll outline them here. We all know we need provider name, patient name and date of service. One other critical piece of information is: time. Providers should always document the total amount of time spent