Chiropractic care in Corinth focus on the connection between the musculoskeletal structure and the body functions with special regards to the spinal area. Our nervous system is responsible for controlling the functions of other organs, muscles, and body systems. The nerves and the nerve roots are connected from the brain into a vast muscular bundle widely known as the spinal nerve. It travels along the spine and branch out in the spinal vertebrae. These vertebrae connect the various body parts and organs towards the spine. Any condition that pinch the nerves, such as trauma, pressure, or spinal misalignments, can cause disruption of the function of the nervous system.
Corinth Chiropractic – What to Expect on Your First Office Visit
Chiropractors are also known as doctors of chiropractic. A chiropractors' job consists of diagnosing and treating patients with many health problems associated with the skeletal and musculoskeletal system. Treating the problems and the effects of those problems is the number one objective. Chiropractic medicine uses the overall health of a patient to help provide treatments without drugs or surgery. Chiropractors are able to help with recuperation and recognize many things that affect a patient's health such as exercise and diet, heredity and ambient environment. Like many other doctors, chiropractors generally have a routine to get a diagnosis and to formulate a treatment. This includes a halth history and physical as well as other exams and lab tests. X rays and many other types of diagnostic tests can be performed with an emphasis on the spine and other bones. Chiropractors will look at posture and the spine, and will try to trace the problems and pains down for treatment.
There are many types of therapies used such as massage, water and heat, light and electric currents or acupuncture in some cases. Supports are commonly used in practice such as tapes and braces, shoe inserts and straps. A chiropractor will most times counsel a patient on health practices like exercise, nutrition and diet as well as stress management; so there are no drugs and no surgeries ever performed by a chiropractor. Some chiropractors will be specialists in areas such as orthopedics, nutrition, internal disorders, sports injuries or neurology.
Chiropractors generally work in a comfortable environment, and are known to be standing for long periods of time. Those who include x rays as a part of their treatment programs have to wear special gear to prevent dangers from prolonged exposure to radiation. Chiropractors generally work a 40 hour week like many other jobs, but longer hours can be found. Many practitioners that work alone will set their own hours and can work nights and weekends to make sure their patients have the times they require. Some on the other hand, are on call due to being in a large group practice.
All chiropractors are required to be licensed professionals, and this can take up to 4 years of undergraduate work and then another 4 years of Chiropractic College as well as a national board exam and state licensure exam. The majority of state licensing boards ask that a minimum of 2 years undergrad work be completed and many more are now asking that a bachelors degree be obtained. A passing grade of at least 75% must be made on a chiropractors national board exam, as with all other professional and health care professions.
Chiropractors are commonly mistaken with athletic trainers and massage therapists because they also treat patients and work against injury or disorders. However in order to have a job in either of these other professions, the amount of schooling is drastically reduced and no state board requirements are found on record for these positions. The closest doctor to a chiropractor in the same field is a podiatrist, as many chiropractors can specialize in other areas.
A Comparison of Chiropractic Vs Physical Therapy
Everyone knows denials and documentation requests reduce the value of your chiropractic claim and frustrate your billing department. To get paid on time and in full, be sure you avoid the following common errors in your chiropractic coding and billing:
1. Modifier Failures. Depending on which procedure code you use, a modifier may be appropriate. In Medicare, for example, you need to indicate whether the service represents Active Treatment (using the modifier -AT) or it will not be paid. Similarly, performing Manual Therapy (97140) on the same visit as an adjustment will also require a modifier to be present to signify that it was a separate and distinct service (Modifier -59).
2. Stagnant Adjustment Codes. Billing for a 5 region adjustment (98942) on every visit just because you are a full spine doctor will not sit well with most insurance companies. From the viewpoint of the insurance company, it is statistically improbable that every one of your patients needs an adjustment from top to bottom every visit.
3. Routine Use of Full Spine X-rays. This is another easy red flag for an insurance company to spot and it follows the same logic as the previous entry. If other practitioners all take x-rays in a wide variety of anatomical regions, but every one of your x-rays is a full spine series, then you suddenly stand out from the rest of the pack and are essentially inviting an auditor to investigate your billing and coding practices.
4. Billing for an E/M Code on a Daily Basis. Some shady chiropractic "coaches" and practice management gurus advise their clients to increase services through the repeated, routine (or even daily). Unfortunately, anyone with a knowledge of proper coding practices will tell you that this is not warranted and will just lead to big trouble when the insurance company catches on.
5. Billing for all New Patients With a High Level E/M Code. Certainly, high level E/M codes such as 99204 or 99205 reimburse the most. But there are probably few (if any, in certain chiropractic offices) times when an exam truly meets the criteria of these codes. To simply bill these codes in hopes that it will fly under the radar is foolish and misguided at the least and possibly fraudulent as well.
Hopefully, this "red flag list" will serve as a reminder of some of the poor practices that will get you audited by a third party payer. If you are a chiropractic office that is actually utilizing one of the above billing or coding practices in your office, let this article be a warning that your current procedures have you headed for trouble. My advice would be to correct any of the actions necessary immediately and/or get experienced help quickly. There are many ways to get paid for your services through proper chiropractic billing, coding and documentation; utilizing some of the above methods will only get you in trouble over time.