Category: Medical Billing & Coding

What commercial payers actually pay for acupuncture by state, the difference between billed charges and allowable amounts, and the three most common reasons claims get cut.

One of the most common questions we get from both new and veteran practitioners  is whether a licensed acupuncturist can bill an Evaluation and Management (E&M) office visit alongside treatment. The short answer is, yes. In most jurisdictions, an LAc can report outpatient E&M codes (99202–99205 for new patients, 99211–99215 for established patients) within their […]

If you bill insurance at your practice, you already know submitting claims isn't as simple as emailing an invoice to Blue Cross or Aetna. Between your clinic’s practice management software and the payer’s claims adjudicator sits an essential middleman: the medical billing clearinghouse. Understanding what a clearinghouse does and why claims get stopped there, is […]

Running an integrative practice usually means balancing clinical needs with commercial realities. You want to focus on guiding patients toward recovery, but if your clinic accepts insurance, your clinical work is only half the equation. The other half is the administrative rigor that keeps your practice viable. Holistic healthcare including, acupuncture, medical massage, and integrative […]