Are your Medicare claims being denied because of incorrect modifiers? As an HJ Ross Network member you would know exactly which Medicare modifiers to use and when. The Active Treatment (AT) modifier was developed to define the difference between active treatment and maintenance treatment. https://www.youtube.com/watch?v=pkgmkn4Z6kE Welcome to your billing and Read more…
California Division of Workersâ Compensation (DWC) announced the 2021 reimbursement changes to the Physician Services section of the Official Medical Fee Schedule (OMFS), to conform to relevant 2021 changes in the Medicare payment system as required by Labor Code section 5307.1.  Fees for evaluation and management (E&M 99202-99205 and 99211-99215)  were Read more…
Did you know there are requirements related to modifier 59 when utilizing the CPT codes 97124 (therapeutic massage) and 97140 (manual therapy), or 97112 (neuromuscular re-education)? https://www.youtube.com/watch?v=KCJgoY_jsl4 Welcome to your billing and coding weekly solutions by H.J. Ross Company where getting your bills paid is what we do best! Did Read more…
Are you getting insurance denials for payment of Evaluation and Management (E&M) codes 99201-99215 when billed with chiropractic manipulation? You are not alone! Here are 3 solutions to this insurance claim denial. https://www.youtube.com/watch?v=pEe5uRhQv8g Welcome to your billing and coding weekly solutions by H.J. Ross Company where getting your bills paid Read more…
Are there any 2021 updates to ICD-10 diagnosis codes impacting your chiropractic claims? The answer is Yes! This year sees lots of changes. Just take a look at some of the changes to the codes for temporomandibular joint (TMJ) issues. Welcome to your billing and coding weekly solutions by H.J. Read more…
So for this year, there’s been a major update to E&M codes, not only the codes themselves, their descriptions, and how we choose and use them. This finally is a change to CPTÂ that has made something more accurate and simpler. I would always say CPT attempts to make changes, Read more…