Documentation, Coding and Billing for Unproven Procedures
State guidelines and 3rd party payors identify procedures that are deemed “experimental, investigational and unproven”. This lengthy list of procedures includes laser therapy, kinesio-taping, dry needling and many, many more. This session will cover in detail:
-The definition and meaning of “unproven, investigational and experimental” procedures
-Best Practices (and even state rules for some!) for communicating this type of procedure properly to your patients
-Where and how to learn which procedures are labeled as “unproven” (We’ll even review some payor policies in this session)
-How to code and bill for unproven procedures (for insurance and self-pay patients)
-Documentation rules and best-practices for clearly recording the rendering of these procedures in your patient notes
• Identify unproven procedures that you may be rendering in your own practice
• Assess the rules and/or ‘best practices’ for communicating this “unproven” label to patients
• Recognize code selection matters for self-pay and insurance patients! We’ll review proper coding for many commonly performed unproven procedures
The following states require the participant to enter the course approval number on their certificate:
President of www.CHelpDesk.com
Brandy Brimhall has served chiropractic since 1999. She has served multiple roles in the practice for the small practice, multiple practices and multi-discipline practices. Through her experience, she found her passion to be in coding/billing, compliance and practice administration.
Brandy has presented seminars and/or webinars for many chiropractic state associations, chiropractic colleges and many organizations that serve chiropractic. She has also been featured in a number of chiropractic publications.
She has achieved professional certification as a Certified Professional Coder (CPC), Certified Medical Compliance Officer (CMCO), Certified ChiroCode Chiropractic Coder (CCCPC), Certified Professional Compliance Officer (CPCO), and Certified Professional Medical Auditor (CPMA).
Brandy is the President of www.CHelpDesk.com
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