Top 5 2021 Coding and Healthcare Data Articles from Chiropractic Economics

With federal changes looming and tighter billing and reimbursement rules, coding and healthcare data has remained a hot topic for readers this year.

From using data to improve healthcare to solving billing issues, coding and healthcare data has remained a hot topic in 2021. Chiropractic and healthcare continued to evolve towards a more unified system, less complicated for patients and less burdensome on healthcare providers.

The most popular coding and healthcare data articles on chiropractic economics in 2021 included a point-counterpoint where doctors of chiropractic shared advice on documentation, coding and billing fixes, tips to avoid audits, coding changes and the new “block rule”, and more.

“Tackling fraud pays off,” writes Coding expert Kathy “KMC” Weidner. “Fines and major offender collections can earn the US federal government and other third-party payers up to $ 1 million per audit. Most DCs do not willfully and knowingly break the law. They make documentation errors not with the cold intention of defrauding, but out of sheer ignorance or out of crush. But just because you might not be one of the “big offenders” listeners are looking for doesn’t mean you can breathe a big sigh of relief and ignore the required pieces of code documentation. “

Here are the 5 most popular healthcare coding and data articles from 2021:

5. Point-Counterpoint: The Best Chiropractic Literature Tips

By D. Rottinghaus, DC; D. Barton, DC, MCS-P, CIC; K. Weidner, MCS-P, CCPC, CCCA; T. Wakefield, DC, DACBSP, CSCS, CCST

Doctors know the treatment they are giving to each patient and therefore feel justified in the way they code the service – but if the documentation does not support the code, there is a problem. Remember that when it comes to a third party payer (or auditor), if it is not written down, it did not happen. If, for example, you charge a Manipulative Chiropractic Treatment (CMT) code for a certain level of service, but the documentation only supports a lower number of treated areas, you’ve just waved another red flag.

4. How Detailed Documentation Solves Calamitous Chiropractic Coding and Billing


With no other national or local guidelines, in my opinion, using Medicare standards for documentation and coding is straightforward and thorough. Because Medicare’s documentation standards are clear and easy to follow, they are an excellent guideline for all practice documentation. Often, more minimal documentation standards can be met for non-third party patients or those receiving maintenance care. This is where it is essential to understand what your board expects.

3. Changes to the documentation of the new code and tips to avoid audits


The first task, therefore, is to get your documentation in pristine condition. It takes time to put procedures in place, but once you’ve got you through the steps it’s actually much easier to get it right the first time than it is to deal with time-consuming registration requests, or worse, time consuming. and considerable stress. devoted to preparing for and recovering from an audit… Don’t make unnecessary mistakes by not knowing the rules of the game as you sit down to play with your $ 200,000 chiropractic license as an ante.

2. ‘Block Rule’ on New Patient Health Care Data Debuts in April


The blocking rule’s effective date is approaching, and although most practitioners have systems in place to store and transmit their patients’ electronic medical records and healthcare data, those who do not have such systems. systems should be in line. It is important to ensure that your practice is able to comply with the rule as there will be a risk of audits and fines for non-compliance (likely triggered from a patient complaint if at you cannot electronically share a patient record at any given time).

1. New coding that removes barriers to reimbursement for health care


About two years ago, an initiative was launched by the Centers for Medicare & Medicaid Services (CMS) called “Patients Over Paperwork”. The goal of this program is to reduce the administrative burden on health care providers and their staff and also allow physicians to spend more time with patients. The new 2021 Assessment and Management (M / M) guidelines allow chiropractors to spend more quality time with patients for increased reimbursement.

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