Medical Practice Specialties

MEDBTS billing and coding specialists provide medical billing and coding services as well as a full spectrum of claims processing and revenue management services for many of the more common physician specialties.

MedBTS allocates all company resources into ensuring we achieve effective and efficient insurance and patient reimbursement and in a timely manner. Below are a few of the more critical aspects of revenue cycle management:

    • Verify Patient’s Insurance Eligibility: Regularly update insurance information to avoid claim rejections due to outdated coverage.
    • Maintain a Flawless Patient Recordkeeping System: Maintain accurate and up-to-date patient encounter documentation and EHRs including patient registration.
    • Stay Up-to-Date with Code Changes: Keep abreast of any changes in Chiropractic CPT codes to prevent billing with outdated codes.
    • Manage A/R and Billing Statements: Proactively manage all aging accounts receivable ensuring statements of revenue due have been delivered to the insurance companies and the patients.
    • Analyze Denied Insurance Claims: Investigate and analyze denied claims to identify patterns and prevent future revenue loss.
    • Regular RCM Audits: We conduct monthly and quarterly audits for ongoing execution and valuing of KPIs for the revenue cycle; these audits are a critical tool in identifying revenue cycle management trends and identifying quickly, where problems may exist in the process. These continuous improvement efforts can also help enhance revenue cycle management.

Outsourcing insurance billing to a specialized service like MedBTS is practical solution for healthcare providers looking to streamline their not only their practice operations, but the management of their complete revenue cycle.

CPT codes (Current Procedural Terminology codes) are essential for accurately documenting and billing for medical procedures across various specialties, including chiropractic care. Chiropractic CPT codes specifically pertain to procedures and services related to chiropractic treatments. These codes help streamline the billing process and ensure that healthcare providers are appropriately compensated for their services.

Chiropractic CPT codes cover a wide range of procedures and services commonly provided by chiropractors. Some of the more common chiropractic CPT codes include:

  • 98940: Chiropractic Manipulative Treatment (CMT): This is a group 1 code and applies to spinal adjustments and manipulation techniques performed on spinal regions 1-2.
  • 98941: Chiropractic Manipulative Treatment (CMT): This is a group 1 code and applies to spinal adjustments and manipulation techniques performed on spinal regions 3-4.
  • 98942: Chiropractic Manipulative Treatment (CMT): This is a group 1 code and applies to spinal adjustments and manipulation techniques performed on spinal region 5.
  • 98943: Chiropractic Manipulative Treatment (CMT): This is a group 2 code and applies to extraspinal adjustments and manipulation techniques performed on joints outside of the spinal regions which include the head region (including the temporomandibular joint but excluding the atlanto-occipital joint), lower extremities, the rib cage (excluding the costotransverse and the costovertebral joints) and the abdomen.

The most commonly used modifier codes for chiropractic medicine can be attached to specific CPT codes which communicate to insurance companies that there were minor modifications to one or some of the CPT coded treatments. It is imperative that if a CPT coded treatment was modified or adjusted to even the slightest degree, the modifier(s) must be included or the insurance company will deny the claim. These two popular chiropractic treatment billing modifiers are as follows:

  • Modifier 25 for Evaluation and Management (E/M) Services: This modifier is used to document office visits and evaluations, including history-taking, examination, medical decision-making and other significant E/M treatments that are provided on the same day that other treatments are provided.
  • Modifier 59 for Distinct Procedural Services (non E/M): This modifier is used Under certain circumstances, it may be necessary to indicate that a. procedure or service was distinct or independent from other non-E/M (Evaluation/Management) services. performed on the same day.

Other chiropractic medical treatments and services specific to physical therapy modalities such as ultrasound, electrical stimulation, or therapeutic exercises, and specific to diagnostic imaging services such as X-rays or MRIs, must be documented using specific CPT codes.
We here at MedBTS are also seeing more and more chiropractic clinics offer additional services such as acupuncture, massage, nutritional counseling, and many other therapeutic procedures, all of which have very specific corresponding CPT codes.

Correct coding of these chiropractic procedures is absolutely critical for successful insurance billing. The accurate coding ensures that insurance companies will understand the nature of the service(s) provided and will subsequently help them process claims more rapidly by minimizing delays in reimbursement. And of course, accurate and compliant use of chiropractic CPT codes is essential for both chiropractors and insurance providers to facilitate efficient billing and ensure that patients receive the care they need while minimizing financial burdens.

Finally, failing to conduct monthly audits for execution and value KPIs for the revenue cycle; these audits are a critical tool in identifying revenue cycle management trends and identifying quickly, where problems may exist in the process. These continuous improvement efforts can also help enhance revenue cycle management.

Contact MedBTS today and let our medical billing experts effectively and efficiently address your billing and coding challenges.