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 Read more…
To comply with a regulatory requirement as most states obligate an acupuncture business to have insurance before they are allowed to conduct a business. Why is acupuncturist owners’ insurance so important? To comply with a regulatory requirement as most states obligate an acupuncture business to have insurance before they are Read more…
As a new acupuncturist, it is important to be selective. Are you wanting to bill insurance for your acupuncture services? Here are some things to consider when deciding on plans that offer in-network vs. out-of-network benefits. In-network benefits are offered by a health maintenance organization (HMO) and these plans will Read more…
Here are 6 common acupuncture claim errors that might be preventing you from getting paid… Are your acupuncture claim denials preventing your practice from getting paid? Here are 6 common acupuncture claim errors that might be preventing you from getting paid: 1-Coverage of the patient’s plan: types of coverage, in Read more…
It is the responsibility of your acupuncture practice to verify the eligibility and benefits of the insurance coverage of each of your patients. Is your acupuncture office checking patient’s insurance coverage limitations? A common claims billing mistake is when an acupuncture claim is filed for services the patients’ insurance does Read more…
It is important to ask patients to inform your acupuncture practice if they have moved employment or obtained a new insurance card to prevent unnecessary insurance surprises. Are you checking each patient’s insurance for expiration of coverage? When an acupuncturist submits a claim for services rendered after the patients’ insurance Read more…
As an acupuncturist, you should be aware of your right to challenge insurance recoupment requests. Can an insurance company recoup payment of paid claims? “An insurance company may not recoup payment unless the healthcare provider engaged in fraud or misrepresentations regarding services provided; or it is otherwise clear the provider Read more…
US studies support the effectiveness of electroacupuncture including… Are you using electroacupuncture in your practice? US studies support the effectiveness of electroacupuncture including: 1. A pain reliever for muscle spasms 2. A treatment for neurological disorders 3. A form of anesthesia 4. Treatment of skin conditions such as acne, renal Read more…
American College of Physicians Back Treatment Guidelines – The ACP updated prior guidelines, recommending non-drug treatment first for back pain, including acupuncture, chiropractic manipulative therapy (CMT), osteopathic manipulative therapy (OMT), exercise therapy, massage and yoga. FDA Education Blueprint for Health Providers Involved in Pain Management: The Blueprint recommends “The [health care provider] Read more…
Are you thinking about joining a Managed Care Network? The two most common Managed Care Networks include… Welcome to your billing and coding weekly solutions by American Acupuncture Council Network (AACN). Are you thinking about joining a Managed Care Network? The two most common Managed Care Networks include: 1. Health Read more…