June 5, 2015 — Foot Levelers has partnered with five experts who have extensive knowledge in billing and coding practices for chiropractic professionals to create a Billing and Coding Guidelines manual for functional orthotics.
The manual was created for chiropractors to reference as they navigate the insurance landscape, particularly the upcoming change from ICD-9 to ICD-10.
Insurance experts Kathy Mills Chang, MCS-P, CCPC; Mario Fucinari, DC, CCSP, DAAPM, MCS-P; Brian Jensen, DC; Marty Kotlar, DC, CPCO, CBCS; and Ken Murkowski, DC, DCCT, DAACA helped create the manual, which guides chiropractors through documentation, verification, coding, and billing for functional orthotics.
The manual includes a side-by-side chart comparing ICD-9 with ICD-10 codes that will serve as a quick and easy reference when new insurance regulations take effect this year.
As an example, the chart lists the ICD-9 codes for tarsal tunnel syndrome (355.5) and provides the two relevant ICD-10 codes for tarsal tunnel syndrome (G57.51, G57.52). In all, 85 ICD-10 diagnosis codes are included in the chart, all of which help guide orthotic billing and reimbursements.
In addition to codes, the manual offers sample billing forms with instructions on how to properly complete them based on insurance requirements. Also included are several sample letters, including letters of medical necessity, that insurance carriers often require during the billing process.
Sample verification and examination forms are also included to assist chiropractors during their patient evaluations and orthotic recommendations.
In addition to functional orthotics, the manual also offers guidance on documentation, verification, coding, and billing for pillows and rehab equipment. The 24-page manual covers unusual billing situations and reimbursement recommendations for when insurance coverage is not an option.
Information in the billing and coding manual is meant as educational material and should not be construed as written policy. Chiropractors should understand state and federal laws, and are always encouraged to maintain a dialogue with relevant insurance carriers.
Source: Foot Levelers