Coding, Medicare & PI Claims
Getting chiropractic claims paid right: Medicare rules, CPT and ICD-10 coding, compliance, and personal injury and lien billing.
How to Conduct an Internal Coding Audit Before the 2026 Regulatory Changes Take Effect?
June 21, 2026 An internal coding audit is a systematic review of clinical documentation, modifier usage, and diagnostic coding accuracy – conducted before a payer or federal… Read More
Why Your Current EHR’s Auto-Coder May Be Increasing Your Audit Risk in 2026
June 21, 2026 Why Your Current EHR’s Auto-Coder May Be Increasing Your Audit Risk in 2026 EHR auto-coders increase chiropractic audit risk when their algorithmic defaults apply… Read More
How to Document Maintenance vs. Active Care to Withstand a 2026 Insurance Audit
June 21, 2026 Documenting active care versus maintenance care for a 2026 insurance audit requires a clear, visit-by-visit clinical record showing measurable patient improvement tied to a… Read More
What Are the Audit Triggers for Unspecified Diagnosis Codes in 2026?
June 21, 2026 Unspecified diagnosis codes are one of the most reliable audit triggers in chiropractic billing. Payers in 2026 aren’t waiting for a human reviewer to… Read More
How to Update Your Chiropractic Fee Schedule to Reflect 2026 Medicare Conversion Factor Cuts?
June 21, 2026 A fee schedule is not a price list. It is a compliance document. Updating your chiropractic fee schedule for 2026 is not a math… Read More
Human Intelligence vs. AI Coding: Which One Prevents Audits in a High-Specificity Market?
June 21, 2026 Auto-coders submit claims. They do not defend them. That distinction is the entire audit problem for chiropractic practices in 2026. Automated EHR coding platforms… Read More
What Is the Proper Way to Map AT Modifiers to Avoid 2026 Medicare Denials?
June 21, 2026 The AT modifier is not a formatting detail. It is a clinical declaration – and Medicare treats it like one. It must be appended… Read More
How to Correctly Use the G2211 Add-On Code for Complex Chiropractic Visit Management?
June 21, 2026 G2211 is a HCPCS complexity add-on code Medicare implemented on January 1, 2024 to compensate providers for the cognitive work required during outpatient visits… Read More
What Are the New ICD-10 Social Determinants of Health (SDOH) Codes for Chiropractors in 2026?
June 21, 2026 The 2026 ICD-10 Social Determinants of Health (SDOH) codes for chiropractors are non-payable diagnosis codes drawn from the Z55-Z65 code blocks, maintained by the… Read More
How to Defend Your Practice Against the 2026 ICD-10 SDOH and Medicare Regulatory Updates?
June 21, 2026 The 2026 regulatory updates are not an EHR problem. They are a clinical judgment problem. CMS has expanded its push for structured Social Determinants… Read More