The “No Surprises Act” is designed to prevent patients from getting large bills as a “surprise” when they assumed the provider was in-network and later turned out to be out of network.
However, while this law is intended for large medical costs, it does affect chiropractic practices.
This means patients should be made aware of their out-of-pocket costs before receiving care.
Here are five practical tips…
Welcome to your billing and coding weekly solutions by H.J. Ross Company where getting your bills paid is what we do best!
How does the No Surprise Act impact your chiropractic practice?
The “No Surprises Act” is designed to prevent patients from getting large bills as a “surprise” when they assumed the provider was in-network and later turned out to be out of network.
However, while this law is intended for large medical costs, it does affect chiropractic practices.
For chiropractors who see self-pay and uninsured patients, as well as patients who have insurance, the rule applies.
This means patients should be made aware of their out-of-pocket costs before receiving care.
Here are five practical tips to use in your chiropractic practice:
1. Be specific about fees with each patient (no generic list of fees).
2. Include the cost of expected items and services.
3. Provide all information orally and in writing.
4. Have the patient sign the written estimate.
5. Include the expected scope of any recurring primary items or services (Cannot exceed 12 months for recurring items / services.)
Thankfully, H. J. Ross & Company has over 40 years of experience in dealing with a wide range of chiropractic billing issues.
H. J. Ross Company understands 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.
