Category: Billing Tips

The world of insurance billing is complex, and even more so for holistic practices. Understanding when to use the right Acupuncture CPT Codes 2024 -2025 and procedures is essential to any successful medical practice, whether holistic or traditional. Accurate coding and acupuncture billing practices ensure a streamlined reimbursement process so your practice can get paid […]

While a medical record audit is a lengthy process, it’s a necessary one to ensure your practice is as efficient, organized, and profitable as possible. Clinical documentation in medical records is crucial to delivering the most accurate care to patients, and disorganized medical records can easily hinder this. With medical record auditing, your holistic practice […]

The Consolidated Appropriations Act, 2021 (the "CAA"), signed into law on December 27, 2020, is the second-largest federal stimulus package of 2020, following the CARES Act. The CAA provides $900 billion in COVID relief and reserves $284 billion for small businesses through a second round of Paycheck Protection Program ("PPP") forgivable loans, or as some […]

As a holistic practice, you want to deliver the best treatments of holistic medicine to your patients - while also ensuring you are paid! To service your patients and grow your holistic business, however, you will want to consider provider credentialing as an in-network provider to bill insurance plans. To be approved, you must meet […]

On January 21st, 2020, the Centers for Medicare and Medicaid Services (CMS) announced their decision to cover acupuncture for chronic low back pain. This is defined as localized pain in the lower back that persists for more than three months. The decision was momentous because it marked the first time acupuncture services could be reimbursed […]

As acupuncture insurance billing experts, we've been getting numerous questions from acupuncture providers reporting claim denials for 60-minute visits that used to pay without issues. Read on for our answer to this recently asked question! Why Are My Acupuncture Visits Exceeding 45 Minutes Getting Denied? Typically, commercial insurance companies peg their reimbursement rates and procedure protocols […]

The Centers for Medicare and Medicaid Services (CMS) released a series of changes in 2018 to the way E/M coding would be documented and billed for reimbursement. In partnership with the healthcare billing community, we reacted swiftly to the announcement, pointing out a series of potential problems that could arise when the changes went into […]

COVID-19 pandemic has already inflicted terrible damage upon many holistic medicine practices. As if the first wave of lockdowns wasn’t damaging enough, the sudden resurgence in cases throughout the country has pulled the rug out from underneath many businesses that thought the worst was already behind them. While it remains to be seen if states […]

(This post has been updated to reflect PPP loan forgiveness changes passed by Congress in June 2020) On March 27, 2020, Congress passed the Coronavirus Aid, Relief, and Economic Security (CARES) Act, an unprecedented $2.2 trillion assistance package intended to deliver financial support to both individuals and businesses impacted by the public health crisis resulting […]

Operating a successful acupuncture practice can be a rewarding and worthwhile endeavor that makes a real difference in the lives of patients. Unfortunately, it can also be quite a challenge thanks to confusion over how to bill for services effectively. The ins and outs of medical coding are complex and even a minor error can […]

Operating a healthcare practice of any kind, whether it’s a western-style medical office or a holistic health service, is a challenging and complicated undertaking. As if providing quality care to patients wasn’t difficult enough, there are many other factors practices must take into account if they want to be successful. Learning the ins and outs […]

Holistic practices face unique circumstances when it comes to medical billing due to the ever-shifting regulatory guidelines that stipulate which holistic health services are covered by insurance, and which services remain strictly out-of-pocket. With patients paying more for their own care and insurers looking for practically any reason to deny claims (and save themselves money), […]