Billing & Coding: Standard Health Insurance

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

There are several ways a chiropractic office can be paid and one of those avenues in standard health insurance.

Most insurance plans cover chiropractic, and 41 states have mandatory chiropractic benefits.
However, the allowable payment rates, deductibles, and limitations to the number of visits will vary. Some plans may allow $100 or more per visit while others allow $50, which provide fewer out-of-pocket costs.

Some plans allow 30 visits a year; however, you must be aware that insurance pays for necessary care to cure or relieve a condition and not for maintenance.

Some insurance plans have large deductibles or coinsurance, in which case you can offer cash payment and potentially offer a discount compared to your insurance rate.

Remember, insurance billing is a courtesy and not a requirement, and you are only obligated to bill when you join an insurance as a provider member.

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.