Medicare AT Modifier for Chiropractic Billing

Welcome to your billing and coding weekly solutions by H.J.Ross Company where getting your bills paid is what we do best!

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.

Medicare only pays for active or corrective treatment to correct acute or chronic subluxation. Medicare does not pay for maintenance therapy.

For the chiropractic service, the AT modifier would be appended to the spinal manipulation CPT codes 98940–98942 when active treatment is being performed.

If CPT codes 98940–98942 are billed without a modifier the claim will be denied by the system as not medically necessary.

Billing with incorrect chiropractic CPT codes can lead to claim rejections and delays in payments, which can have a devastating impact on generating revenue and keeping you in business. 

If you are experiencing insurance claim denial, staff spending too much time trying to get claims paid, and patients asking why their claims have not been paid then H. J. Ross Company is your solution.

H.J Ross Company stays ahead of the curve on the latest trends and changes in billing and coding by utilizing their direct channel of communication with the insurance companies and organizations that set the guidelines.

There is a reason chiropractors have trusted H.J. Ross Company with their business for over 40 years.