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Kats Consultants Video Keeping up with Codes

insurance Sep 24, 2018

Dr. David Kats: Hi, this is Dr. Dave Kats and Dr. Michael Perusich with Kats Consultants and we have a tip for you. We've been noticing that some codes aren't being paid too well right now around the United States. The 97140 is kind of falling into the disfavor with insurance companies, and so we had a meeting we said, what should we do? If the procedure needs to be done you need to do it.

What we've done is we've changed a lot of our manual therapy 97140 over to rehab, the 97110. Insurance companies like the 97110 and they'll pay for that pretty much like clockwork in most places. If you have a code that's not being paid for, you need to look at what you can do with that patient that will be paid, so the patient will get more of their care paid for. Especially if it has the same or a better beneficial effect for the patient that is for. There are some other codes that been formed by the wayside.

Dr. Michael Perusich: There are. We are starting to see a little bit of a trend across the country with re-evaluation codes. Some of those are not getting paid. We recommend that you just have the patient in a visit or two longer during the rehab phase which is getting paid well but still doing the re-evaluation. Need to still do the service but realize that you're not going to get paid but you've balanced it out in your treatment plan along the way by doing more rehab.

Dr. David Kats: That's right. This is Dr. Dave Kats, Dr. Michael Perusich. Thanks for listening.

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