“All Done” Learning? Think Again.

“All Done” Learning? Think Again.

Share this page: A client made a very insightful observation recently. He told us, “We’ve been in practice long enough that we’re probably way cockier than we need to be.” Anybody out there feel an “ouch” on that one? It’s dismayingly easy to get cocky and fall for...
59 Modifier Comes under Fire in Medicare

59 Modifier Comes under Fire in Medicare

Share this page: In an effort to reduce abuse of billing for procedures, the National Correct Coding Initiative (NCCI) edits were developed by the Centers for Medicare and Medicaid Services (CMS). The NCCI edit program is used by all carriers and third party...
Physician, Heal Thyself!

Physician, Heal Thyself!

Share this page: Chiropractors know how to diagnosis and treat patients to free them from pain and get them back to functioning to their full potential. Even those of us in the profession aren’t immune to the magic; from the infants to the infirmed, we’ve witnessed...
Have We Seen the End of Modifier 59?

Have We Seen the End of Modifier 59?

Share this page: Question: Dr. Kotlar, I’ve heard modifier 59 is being deleted. Can I still use the 59 modifier? Answer: Under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-E/M services...
Is Your Practice Guilty of Deflate-Gate?

Is Your Practice Guilty of Deflate-Gate?

Share this page: Recent news reports have analyzed and bloviated about what is known as “deflate-gate.” It is alleged that the regulations were not followed pertaining to multiple game footballs that were underinflated in the AFC playoff game between the Indianapolis...