What's Missing
Coding Confusion
Spinal 101
Call in the Backup
Desk Duty
100
Find the error - Active INS
Muscle spasms should be moderate-severe muscle spasms
100
97124 vs 97110
97124 - VA therapy code
97110 - general ins therapy code
97110 - general ins therapy code
100
Define a subluxation
misalignment of a joint
100
A patient wants to be quoted on account credit
The Kellis
100
How many appointments can be on each line in the schedule?
3 regular adjustments OR 1 re-exam and 1 adj
200
Find the error - Wellness
Muscle Spasms should be mild-moderate muscle spasms
200
Self-Pay Adjustment vs S8990
Self-pay adjustment - cash adj
S8990 - wellness ins adjustment
S8990 - wellness ins adjustment
200
The only type of doctor who can fix a subluxation
A chiropractor
200
Running low on supplies
Linds
200
How often should we sched re-exams for a pt?
During the first 3 months, they should be scheduled at 1x a month, then every 3 months after.
300
Find the error - Active INS
Needs an updated ADL
300
AT vs GA
AT - Medicare Active
GA - Medicare Maintenance
GA - Medicare Maintenance
300
Percentage of nerves that feel pain
10%
300
Pt requests changes to treatment plan
The Doctor
300
Pt NCNS today for their adj. What do we do?
15 min call and txt. EOD call and txt. Add notes and add to next day's DN
400
Find the errors - Active INS
#1: Muscle Spasms should be mild
#2: 97110 in plan section should not be in note
400
Re-Exams Coding
99213 vs 99214 vs Wellness Re-Exam
99213 - Active INS/VA re-exam
99214 - MVA re-exam
Wellness Re-Exam - cash/wellness re-exam
99214 - MVA re-exam
Wellness Re-Exam - cash/wellness re-exam
400
Type of adj that will alleviate sinus pressure
Sinus Adj
AND
Cervical Adj
AND
Cervical Adj
400
Pt says "I don't understand the need for a re-exam"
The Doctor
We can educate as well but if more explanation is needed, then the Doctor can educate.
400
Pt calls to cxl their massage that is later that day
What do we do?
Make pt aware their is a fee
RS mt (and adj if there is one)
Collect NSF
Post both fee and payment in the ledger
Add notes
RS mt (and adj if there is one)
Collect NSF
Post both fee and payment in the ledger
Add notes
500
Find the errors - Active INS
Complaint #3 is missing
- pain scales
- ADL section
Plan is missing ADL
500
NP Coding
99202 vs 99203 vs Wellness Re-Exam
99202 - Cash NP Exam
99203 - INS NP Exam
Wellness Re-Exam - Exam for a returning patient that was last in less than 3 yrs ago
99203 - INS NP Exam
Wellness Re-Exam - Exam for a returning patient that was last in less than 3 yrs ago
500
Define osteophytes
Bone Spurs
often form along the edges of bones as a result of degeneration / arthritis
500
Existing pt walks in and says they have been in an MVA (after the call sheet)
The Kellis
Once decided if pt can continue with app, let CA and Doctor know so everyone is on the same page and Documentation is done correctly.
500
Hello...I want to schedule my first appointment at your office... I was in an accident.
What do we do on the call?
1. Fill out the MVA call sheet
2. Send call sheet to the Kellis
3. Schedule NP app as normal