Up to 24 visits are allowed when the condition and diagnosis warrant.
When an insurance plan allows 24 acupuncture visits per year, does this allow the patient to use 24 visits automatically?
Up to 24 visits are allowed when the condition and diagnosis warrant.
However, the 24 visits are not automatic, as the severity and patient response will dictate their necessity.
The acupuncturist must explain that only 4 to 6 visits may be necessary for a simple, acute condition, compared to a severe or chronic condition, which may require all 24 visits.
Acupuncture visits must be medically necessary for a covered condition for which acupuncture has been approved.
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 American Acupuncture Council Network (AACN) is your solution.
AACN is an expert with over 3 decades of experience dealing with a wide range of acupuncture billing issues.
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