Allergy & Immunology
A recent study by the Department of Health and Human Services found that Medicare inappropriately paid $178 Million for chiropractic billing claims on services determined to be miscoded. Additionally, CMS estimates that over 83% of chiropractic claims failed to meet one or more documentation requirements. Coding and medical billing errors such as the misuse of the acute treatment (AT) modifier to identify services, treatment or improper documentation frequently lead to denied and misadjudicated claims. Accuracy is essential for correct reimbursement and will help protect chiropractors from both malpractice and litigation.
PGM has over thirty years of experience in chiropractic billing. PGM will work side by side with your practice to help identify problem areas such as modifier application, and educate your practice on best-in-class chiropractic medical billing practices and procedures. Our team of certified medical coders and billing experts will manage all aspects of your chiropractic billing to help ensure your practice receives proper compensation for services provided. You'll rest easy knowing that you're not leaving money on the table or raising red flags for the RACs, MACs, MPICs, ZPICs, and private payer audit programs.
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