How Does A Chiropractic Insurance Billing Work?

2 min read

Are you looking for a chiropractic billing company? You must be wondering whether partnering with insurance billing experts will be the right decision or not. Aren't you? 

With this comes in mind, how does Chiropractic Insurance billing works? So here is everything you should know about chiropractic insurance billing. 

How does Chiropractic Insurance Billing work?

Nowadays chiropractic services are commonplace. However, the process of getting paid for chiropractic treatment services to the insurance carrier through the submission of insurance claims is known as Chiropractic insurance billing.

Sp a chiropractic insurance billing works by filling out medical claims forms, completing with diagnosis and procedure codes, and then sending them to insurance companies for payment. 

However, to get full payments a chiropractor must send primary, secondary as well as patient statements and records. 

How can Chiropractic Insurance Billing work be made easy?

As the services provided by chiropractors are so specialized there can be a lot of restrictions on them. For instance, they are not provided with many sets of codes. 

So if you're looking for ways on how to make chiropractic billing easy, then follow these simple guidelines :

•Coverage restrictions- One of the major restrictions in Chiropractic insurance billing work is the coverage limitations. This means if claims aren't billed correctly with documentation, then they won't be paid for by the patient's insurance company. 

However, the treatment of the spine by manual manipulation comes under the insurance billing coverage excluding the use of x-ray or other diagnostics services. In simple words, the patient's insurance company won't be paying anything if anything other than the spinal manipulation is performed by the Chiropractor.   

•Treatment necessity- In order for chiropractic services to be covered, there are two other criteria that must be fulfilled including :

>The patient must have a spinal subluxation as recommended by the physical examination.

>In order to use musculoskeletal manipulation as a therapeutic remedy, the patient must have a significant health problem. 

Therefore, in order to get reimbursed by insurance for chiropractic services, the exact location of the subluxation must be clearly shown in the patient's medical chart, the patents must have at least four symptoms- Asymmetry, Pain, Range of motion abnormality, and Tissue changes. 

Are Chiropractors safe?

If you're willing to opt for chiropractors then you must be surely wondering if it is right or wrong to visit them. In such cases of confusion, know that chiropractic is generally safe. 

But if not performed by a registered or trained chiropractor then it may lead to serious problems or injuries. 

Are chiropractic adjustments covered by insurance? 

Mostly, chiropractic billing companies cover chiropractic care without any co-payment. Most health insurance plans cover chiropractic care including major medical plans such as Medicare, workers' compensation, and much more. 

While many health insurance companies do not pay for chiropractic care because they don't see maintenance care as medically necessary.

You Need to Understand the Basics...

However, while deciding on your chiropractic billing company, make sure you do a little research as understanding the basics of chiropractic medical billing may help you decide on your billing specialty.