Medical Billing Services: Top 2 Reasons You’re Not Getting Reimbursed for Code 97810

If you are an acupuncturist, you are already familiar with code 97810. The CPT-4 procedure code 97810 is a general acupuncture treatment code. This includes 15 minutes of verified time with the patient while performing treatment. Verified time means that the time increments are documented in the patient’s chart for the correct date of service. 97811 is used for each additional 15 minutes spent administering treatment. This does not include the time the patient spends laying idle on the table. For instance, if a front treatment is done without any other services, then 97810 should be billed. However, if the patient receives front and back treatment, 97810 and 97811 should be used.

Now, that we explained what procedure codes 97810 and 97811 mean, we can begin to discuss the top 2 reasons why you are not getting reimbursed from Insurance companies.

Claim sent to Medicare or Medicaid

Neither Medicare nor Medicaid will reimburse for acupuncture claims. Medicare and Medicaid are excellent insurance programs for the young, poor, sick and old; however the insurance plans do not cover everything. Medicare determines medical necessity when they receive the claim. However, Medicare does not consider acupuncture, holistic medicine, alternative therapies and homeopathy to ever be medically necessary procedures. Therefore, acupuncture claims will not be paid. If your Medicare or Medicaid insurance plan does not cover acupuncture, you will be responsible for paying the full bill if you receive these services. Many acupuncturists willingly discount their prices for non-insurance patients.

Medicare also offers supplemental plans, which allows someone to gain coverage where there once was none. Medicare advantage plans may offer acupuncture, and alternative therapies. Even though, Medicare advantage plans cover acupuncture, the service will only be payable if it is determined to be medically necessary, and if the services is performed by a licensed healthcare professional who participates in Medicare. To find out if your Medicare patients have acupuncture insurance, perform Benefits Verification. An experienced and competent medical biller should know whether a claim will be paid or not before it’s transmitted to the insurance company. A thorough and documented Benefits Verification will give you the insight you need to make that determination, each and every time.

Wrong Procedure Code

There are four codes that are greatly used by acupuncturist. We have already discussed two of those codes, 97810 and 97811. However, there are two more additional codes, which is 97813 and 97814. 97813 is used when the acupuncturist uses electrical stimulation on one or more needles. Remember, this is only for the initial 15 minutes spent performing the procedure. 97814 is used for each additional 15 minutes spent using electrical stimulation on one or more needles. Oftentimes, licensed acupuncturists simply code the procedures incorrectly. That is why keeping good records is a must for acupuncturist. For instance, if a provider performs general acupuncture, and then performs acupuncture with electrical stimulation, how would you bill that visit? Many providers believe the correct way to code this visit is with 97810 and 97813. However, 97810 and 97813 is used for the initial 15 minutes. Therefore, a determination must be made about what procedure was performed first. Since, general acupuncture was performed first, we will bill 97810 for the first procedure, and 97814 for an additional 15 minutes of acupuncture with electrical stimulation. This is the correct way to bill this scenario.

Acupuncture insurance billing can be tricky for many medical billing services and in-house staff. Physicians can have over 50% of their claims denied, simply because they have not learned how to properly code procedures. However, with thorough research about acupuncture coding and how to properly use them, experienced medical billing services can help you to expect consistent reimbursement from insurance companies.

Reasons Why IPTV Is a Highly Effective Alternative to Normal TV

About IPTV

IPTV is an alternative to a conventional television and other multimedia services. It is called an internet protocol TV as it works by using the internet networks of a place and the multimedia data is delivered to the device through internet protocol address.

It is slowly replacing television services which use satellite signals and cable formats to deliver channels, as it can simply use local network for delivering channels and various programs on any device like TV, mobile phones, tablets, laptops, and computers. It is highly popular because it can show live television as well as one can request programs and videos from the list and watch them anytime one wants.

One needs to find a paid IPTV service provider who will then set up a set-top box connected to one’s network, and then one can simply watch their favorite programs or movies uninterruptedly without any hassle.

There are some features that make the IPTV very popular and a very strong competitor against usual cable TVs and they are discussed below.

On-demand content

This is one of the most useful features of getting an IPTV subscription, that is, one can watch whatever one wants without having to wait for the TV schedule and timings. Here, one can watch the programs and movies of their choice by just choosing it from the playlist that is made available by the service providers, which means one will not have to watch the next episode or miss any program because one was busy. This feature makes the entire experience more easy and convenient.

Huge pool of content

When one is subscribed to a conventional television plan through cable connectivity, then one gets only a fixed set of channels and thus keeping the content availability limited. However, IPTV providers make sure that their customers are availed with a wide variety of shows which can be watched both live or later on demand. Also, unlike TV, one is not restricted only to watch programs at a particular time as one can watch them anytime. One can also watch international content from around the world without any extra charges.

Compatibility with devices

IPTV is not bound to television only like a normal TV network. One can use IPTV on any device of choice which means there can be various viewing points too, as one will not have to sit in front of their television to watch any program. One can use any device which can connect to internet network like computers or phones from any location wherever there is the internet.

Easy subscriptions

Like television cable networks who make their subscribers sign long term contracts which are usually expensive, with IPTV, one only pays for what one wants to watch and usually they have easy and flexible subscription plans. One can personalize their plans and also can use it the way one wants by watching on multiple devices without having to pay too high subscription price.