I just recently started billing for a chiropractic office after many years taking a break. I am somewhat curious and confused on the proper way to bill out for services now. I have watched a few seminars and videos regarding E/M guidelines and using time verses MDM to bill. Can someone please clarify if procedure codes for time or MDM are needed each visit and if we bill out, additionally, the procedure codes for adjustments or other treatment? For example, would we bill out 99212 with 98941 and 97140?
I would start with looking at your NCCI edits, you will see only one of these will be paid. I would also like to suggest a great resource, the ChiroCode Desk Book, and another great resource, I would suggest is going to Findacode.com and review the topic pages for Chiropractors. It is FREE and there is a ton of information available to help you get started again.
Have you gotten it figured out at this point? if you bill and exam (99212) on the same day as an adjustment or any other service they won't cover the exam. So you have to do exams the first visit then the next visit the treatment codes. I figured this out for my boss at the beginning of this year and we have made more money (significantly).