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Treating Veterans in Your Practice Via the Veterans Choice Program

The Veterans Choice program through the Department of Veterans Affairs (VA) enables you to care for veterans. Whenever a vet lives too far from a VA facility or the VA is unable to treat the vet within the next 30 days the patient is referred to community-based providers.

If you are interested in treating military veterans, you will need to enroll in the Veterans Choice Program (VCP) with one of the VA’s 3rd party administrators, Health Net, or TriWest. Dealing with the VA has its challenges, but over the last couple of years on-average the VCP has been a great program for our customers billing insurance for acupuncture.

Health Net
Phone: 1-866-606-8198
Email: hnfsproviderrelations@healthnet.com
Provider Enrollment Page: https://www.healthnetpc3provider.com/p3c/?register=true

Tri-West
Phone: 1-866-284-3743
Email: triwestdirectcontracting@triwest.com
Provider Enrollment Page: https://www.joinournetwork.triwest.com/Forms/AddProvider.aspx

Once your Veteran’s Choice Program registry submission is validated, you will receive an email confirming receipt of your submission and approval status. Then you will appear in their directory for veterans to search. Eligible veterans can then contact Health Net or TriWest to obtain authorization prior to your care. Once the vet contacts your practice, they will provide a pre-authorization letter that you will need to submit along with your initial insurance claims for the patient.

Are you interested in learning more about acupuncture billing from an acupuncture billing company? Here are some additional tips!

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Bill Under Your Practice Name or Social Security Number?

So you have finally made the leap and decided to accept insurance for your services, congratulations! As a billing company focused on holistic medicine we speak to hundreds of new practitioners every day so we have a good sense of what the hot button items are within our community. Whether you are looking for chiropractic insurance billing codes or acupuncture diagnosis codes, we hear it all! A frequently asked question from providers considering accepting insurance is should you bill under the practice name or social security number.The decision to bill under your practice name or social security number should be addressed prior to treating patients, ideally, after consulting with an accountant or attorney as to which makes the best sense for you.

To start billing to an insurance company you will typically need a state license and a National Provider Identifier (NPI). The NPI is used by insurance companies as your unique identifier when you submit acupuncture, chiropractic or massage billing codes. If you have EIN number or Tax ID associated with your practice you will need both an NPI for the organization as well as NPI for each individual provider performing services.

If you don’t have an NPI number you can apply for one here: https://nppes.cmsA.hhs.gov/#/.

If you have an NPI (but can’t seem to remember where you placed it), try looking it up in the registry http://www.npinumberlookup.org/.

Are you interested in learning more about acupuncture billing?
Here are some additional tips!

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Acupuncture Advertising

How Much Should I Spend Advertising for My Acupuncture Practice?

Your patients are your business. But it‘s not how many patients your acupuncture practice schedules that matters, rather it‘s the profit that those patients generate that will be the difference between a successful practice and one that is closing its doors. So, to set an advertising budget, you need to understand the value of your patients and to do that you need to understand your Customer Lifetime Value (CLV).

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Aetna Changes Provider Payment Policy for Acupuncturists

As an acupuncture billing service we transmit thousands of insurance claims to Aetna on any given week. This year, Aetna is in the process of changing its provider policy to send only electronic payments. This will affect all practitioners who receive paper check payments. So, you must enroll in an electronic payment option by May 1, 2017.

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How to Handle Insurance Deductibles

As a billing company focused on holistic medicine we speak to hundreds of practitioners on a daily basis so we get a pretty good sense on what the hot button items are within our community. At the beginning of every year most patient‘s health insurance benefits are recalculated. That is to say that the number of visits and deductible amounts are re-set on January 1. So a frequently asked question through our provider hotline is “How do I handle a patient‘s deductible?”

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What are the chances the ACA will be repealed, modified or changed significantly, in 2017?

With the dust settling on the most contentious election in recent memory it‘s time to sort out what the new political landscape will mean for healthcare, namely how will the Affordable Care Act (ACA) be affected.

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Most Frequently Used Acupuncture Codes for Insurance Billing

As a billing company focused on holistic healthcare providers, we‘ve introduced our share of acupuncturists to the world of billing insurance for acupuncture services. On any given year, roughly half of our new clients will have never billed insurance before they started with Holistic Billing Services, so we are quite accustomed to their most frequently asked questions.

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Waiving Your Way into Trouble – Writing Off Patient Co-Pays Is Costly

Freebies and discounts are a time-honored business tradition. In many industries, throwing in something “on-the-house” is a sound marketing tactic or a built-in aspect of business-as-usual (at least for mattress salesmen waiving the cost of the bed frame when you buy the deluxe model, or for lawyers and accountants who usually charge $120 an hour, “but in your case”¦”).

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The Top Reason You’re Not Getting Paid for Acupuncture

As an acupuncture billing company, we understand that translating Eastern medicine techniques into Western medicine procedure codes can seem daunting. Even the most experienced acupuncturists get their codes mixed up. But if you want to avoid insurance-company denials, you need to use proper coding. Here are some helpful tips.

When providers bill insurance for acupuncture, one of the most common mistakes we see is the improper use of multiple-unit codes or time-based codes.

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Common Acupuncture Billing Terms

You will frequently hear the following common terms when dealing with an acupuncture billing company or communicating with your acupuncture billing team at Holistic Billing Services. Make sure to keep this sheet handy when you have no idea what the heck we are talking about!

 

Allowed Amount: This is the amount an insurance company will reimburse you for services rendered. When billing in-network, the allowed amount will be the rate negotiated by contract; when billing out-of-network, the rate is usually unpublished.

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