What is acupuncture billing and why outsourcing acupuncture medical billing services are helpful?

What is acupuncture billing and why outsourcing acupuncture  medical billing services are helpful?
5 min read
21 November 2022

What does an Acupuncturist do?

Acupuncture Medical Billing

 An acupuncturist is a health professional who applies traditional Chinese medicine theories in the form of acupuncture. Acupuncture practice is a process that involves the insertion of thin needles in your body at specific points. It is a component of traditional Chinese medicine and is mostly used to treat pain. Increasingly, it is also used for overall wellness and stress management. It is believed that it boosts your body’s natural painkillers. 

Most acupuncturists have their clinics but, some acupuncturists work along with other health professionals. It may add additional benefits to other alternative treatments. 

 

Acupuncture Medical Billing:-

 Acupuncture medical billing is not the same as other traditional medical billing. It has a unique set of codes and it needs unique requirements than others.

Acupuncture practice services are coded in increments of 15-minute, so the initial code is used for the initial fifteen minutes then we used additional code for the next unit of time if needed.

 

Are you worried about how to bill for an acupuncture office visit?

An acupuncture office visit has specific billing guidelines. These are some important things to know about acupuncture billing.

 

 

  • For a new patient’s first visit to the acupuncture office, we will use initial CPT codes 99201-99204.
  • For periodic follow-up evaluation, we will use these follow-up CPT codes 99211-99214 with established acupuncture patients.
  • These acupuncture treatments CPT-code 97810-97814 are used as a part of overall daily treatment.
  • Some acupuncture billing is confused with the appropriate code for treatments with needles. The needle code A4215 is only used when patients take needles for home injections.

 

It is notable thing that claims with incorrect CPT-code or ICD-code can become the main cause of rejection or denial of payment which may lead your business to a devastating situation. If you have an experienced team that solved the denial and rejection issue then your headache will be solved automatically. In this scenario, outsourced billing will be helpful for you because they have experienced staff.

In one of the more common insurance billing, we use the term A/R refers to the insurance claim that is not paid within the normal processing period. The average insurance company paid the claim within 30-45 days if claims are not paid beyond that range should be reviewed, revised, and resubmitted with corrections if needed. 

 

Why outsourcing medical billing services are helpful?

Acupuncture Medical Billing

Medical billing and coding are necessary for both holistic and small practices looking for reimbursement for their services. Acupuncture medical billing services are different from traditional practices, it has a different set of requirements. In Acupuncture billing, we use a unique set of codes.

Many traditional practices handled their medical billing by their own. However, now billing companies and entrepreneur offer billing services that can take away the stress and bother of dealing with your billing. Outsourced billing allows them to handle each bill at a small-scale cost for all types of practice. It can pass these savings onto your practices. Outsourced billing helps you to reduce the cost and burden of your business.

If you have your medical billing department, the main burden will be the salaries of your employees. You must pay the salaries to these employees whether your business is growing or not. In another way, we can say that it is a fixed cost. On the other hand, billing companies do not have fixed costs for practices they charge each bill by a percentage which means if you have fewer claims you will pay less money.

 

Outsourcing medical billing also helps you to get paid faster. Medical billing companies are experts in their field, and it is not their side project. They timely bill to the payer and takes care of bills. They timely handled errors, and rejections and resubmitted the claim with corrections, and corrected the payer if needed. They also make sure that claims are electronically and set up to receive ERAs. It is a very long and complex process of medical billing. If you give attention to this department your productivity will be reduced. There are many stages of medical billing and you need to follow each stage step by step. Like, credentialing, then verify the eligibilities of patients, then follow-up, and resubmitting the corrected claims to the correct payer. By outsourced billing, you can get rid of these types of all headaches.

It has been said that practitioners face many problems with acupuncture billing and coding. However, Outsourced billing services have experience with this type of compatibility. Their work for your practice saves your time, reduces the cost, and helps you to focus on patients’ health.

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John Smith 2
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