Chiropractic Billing for Group Practices: A Comprehensive Guide

1
(No Transcript)
2
Chiropractic Billing for Group Practices A
Comprehensive Guide
Is your chiropractic group practice experiencing
revenue leakage due to billing inefficiencies?
Chiropractic billing, especially in a group
setting, is complex due to the multiple
providers, frequent updates to billing codes, and
varied insurance policies. Accurate billing can
mean the difference between a healthy revenue
cycle and financial strain. Understanding the
critical aspects of chiropractic billing for
group practices is essential to optimize
reimbursements and keep your practice financially
strong. 6 Key Steps to Optimize Chiropractic
Billing for Group Practices 1. Enhance
Documentation with EHR Integration Implementing
a chiropractic-specific Electronic Health Record
(EHR) system can reduce administrative time,
minimize coding errors, and facilitate efficient
claims processing. EHR tools support automatic
data entry, seamlessly transferring patient
information from one department to
billingreducing manual input errors. EHRs with
an advanced claim scrubber can also alert billers
to errors before submission. This prevents
unnecessary denials and ensures compliance with
insurance and Medicare requirements. 2. Leverage
Automated Billing Processes
3
Chiropractic Billing for Group Practices A
Comprehensive Guide
Using automated systems to handle repetitive
billing tasks can greatly improve efficiency. For
instance, automated posting of Electronic
Remittance Advices (ERAs) reduces the manual
effort required for claim reconciliationspeeding
up collections and improving cash flow.
Automated insurance processing also allows
quicker submission and resolution of claims. This
reduces the risk of human errors and denial rates
due to data inaccuracies. 3. Focus on Proactive
Claims Management and Scrubbing A common issue
in chiropractic billing is high denial rates due
to incorrect coding or insufficient
documentation. Proactive claims management with
automated claim scrubbing tools enables billers
to verify that diagnosis codes match patient
treatment needs before submission. This process
ensures that all claims are error-freeavoiding
delays and saving time on reprocessing denied
claims.
4
Chiropractic Billing for Group Practices A
Comprehensive Guide

• 4. Analyze Revenue Cycle KPIs Regularly
• Key Performance Indicators (KPIs) are essential
  for evaluating billing health and efficiency. For
  chiropractic group practices, core KPIs include
• Days in Accounts Receivable (A/R) This metric
  helps identify delays in collections practices
  should target under 30 days in A/R.
• First-Pass Resolution Rate (FPRR) A high FPRR
  (aiming for over 90) indicates accurate initial
  submissions, reducing rework.
• Denial Rate Tracking denied claims helps
  pinpoint consistent issues, whether in coding,
  documentation, or claim submission.
• Regularly monitoring and adjusting processes
  based on these KPIs can enhance cash flow,
  optimize billing practices, and minimize errors
  that affect revenue?.
• 5. Conduct Regular Billing Audits and Staff
  Training
• Periodic audits are essential for identifying
  weak points in the billing cycle, such as
  incomplete documentation or code inaccuracies.
  Training staff on current CPT and ICD codes
  ensures that they remain

5
Chiropractic Billing for Group Practices A
Comprehensive Guide
compliant with insurance and Medicare
guidelineswhich change frequently in
chiropractic care. Conducting regular training
sessions on coding updates and regulatory
requirements helps avoid costly billing mistakes
and keeps the practices financial health
strong. 6. Transparent Billing Communication
with Patients Clear communication about
treatment costs, insurance coverage, and co-pay
responsibilities helps avoid patient confusion
and reduces missed payments. Chiropractic
practices that implement transparent pricing,
offer flexible payment plans, and utilize
automated reminders see improved patient
satisfaction and timely payments. Outsourcing
Chiropractic Billing for Group Practices for
Maximum Efficiency Outsourcing chiropractic
billing services from a specialized provider
like Medical Billers and Coders (MBC) can be a
cost-effective solution for group practices
looking to streamline billing and improve
collections. MBC offers specialized expertise in
chiropractic billing services, expertly handling
intricate coding requirements, resolving denials,
and maintaining strict regulatory compliance.
6
Chiropractic Billing for Group Practices A
Comprehensive Guide

• Advantages of Outsourcing Chiropractic Billing
  Services from MBC
• Optimized Cash Flow Faster claim processing and
  follow-ups ensure steady revenue.
• Higher Accuracy With specialized knowledge, MBC
  can minimize errors in coding and documentation,
  significantly reducing denials.
• Data Insights MBC provides tailored reports on
  revenue performanceempowering practices to make
  data-driven financial decisions.
• Case Insight When a chiropractic group partnered
  with MBC, their billing operations transformed
  completely. With expert guidance, they saw a 20
  rise in first-pass claims and a remarkable
  decline in denials. This collaboration not only
  streamlined their revenue flow but also reduced
  administrative burdensturning billing from a
  constant struggle into a reliable backbone for
  financial stability. The result? More time for
  patient care and a steady, predictable cash
  flowproof that professional billing support can
  transform a practices bottom line.
• Dont Let Revenue Slip Away!
• With MBCs chiropractic billing services for
  group practices, streamline collections, reduce
  claim denials, and boost reimbursements. Contact
  us today and keep your practice ahead in
  maximizing revenue!

7
Chiropractic Billing for Group Practices A
Comprehensive Guide
FAQs Q What are the most common CPT codes in
chiropractic billing? A CPT codes 98940 (spinal
adjustments) and 97110 (therapeutic exercises)
are widely used for core chiropractic
treatments. Q Why is documentation crucial in
chiropractic billing? A Documentation is
crucial in chiropractic billing as it provides
proof of medical necessity, justifying each
procedure and diagnosis for insurance claims.
Thorough records help meet regulatory
requirements, prevent denials, and protect the
practice during audits by ensuring compliance and
accurate reimbursement. Q How can chiropractic
billing software help group practices? A Chiropr
actic billing software automates coding,
integrates with EHR systems, and simplifies
claims tracking, critical for high-volume
practices.
8
Chiropractic Billing for Group Practices A
Comprehensive Guide
Q What RCM KPIs should chiropractic group
practices monitor? A Chiropractic group
practices should monitor Days in Accounts
Receivable (A/R) to track cash flow, First-Pass
Resolution Rate (FPRR) to measure the accuracy of
first-time claim submissions, and Denial Rate to
identify areas needing improvement in billing
accuracy and documentation. Q Are there
Medicare-specific requirements for chiropractic
billing? A Yes, Medicare requires chiropractors
to document subluxations and establish medical
necessity to qualify for reimbursement, covering
only manual spinal manipulation for this purpose.
Other services, like diagnostics or preventive
care, are excluded and must be clearly
distinguished in claims to avoid denials?.