Common Misconceptions About Chiropractic Billing System

Chiropractic Billing Company - Female Patient Describing talk to Injury Osteopath

Chiropractic Billing Company

There is more to running a chiropractic practice than scheduling appointments and treating patients. You also have to have a clear understanding of coverage standards for insurance and how to bill for those services. Billing incorrectly can lead to claim denials and penalties. That is why it is a good idea to use a chiropractic billing service.

Here are some common misconceptions about chiropractic billings services.

Non-Participating Providers Don’t Have to Bill Medicare

It makes no difference if you are a participating provider or not. You’re still required to bill Medicare covered services to Medicare. Otherwise, you could face penalties. If you are a non-participating provider, you may receive reimbursement for rendered services directly from your Medicare patients.

Non-Participating Providers Don’t Have the Same Documentation Requirements as Participating Providers

This is not true either. Non-participating providers still have to provide certain documents to establish medical necessity. These documents include Certification and re-certifications, Progress Reports, Treatment Notes and Evaluation and Plan of Care.

You Have the Option to Opt Out of Medicare

Chiropractors can choose if they want to be a participating or non-participating provider with regard to Medicare. However, they do not have the option of opting out of Medicare completely.

Chiropractors Aren’t Allowed to Charge an Exam Fee for Medicare Patients

This is another common myth about chiropractic billing. The truth is that chiropractors have to charge exam fees for Medicare patients even if Medicare does not cover them.

Chiropractic Billing is Simple, so Practice Owners Can Do It

Some chiropractic practice owners assume medical billing is easy, so they attempt to do it themselves. Afterall, if they can do it themselves, they cut costs. However, chiropractic billing is more complex than you may think. You have to translate various diagnoses and procedures into codes for appropriate billing. This can be time-consuming. If you hire a chiropractic billing service, however, you will have more time to devote to your chiropractic practice.

Chiropractic Billing Is Too Expensive

At first, it might seem like hiring a chiropractic billing service may be quite pricey. However, it is well worth the investment. Reputable chiropractic billing services can actually improve the collections process, which can help your practice earn more revenue in the long run.