Mori West

Every year we see at least one carrier denying codes that were previously paid.  So far this year we’ve had two carriers that all of a sudden started denying codes that were previously covered and paid. 

Providers complain ALL the time about Insurance but what does that get you? NO WHERE! Carriers don’t care what you have to say, but they DO CARE, and they HAVE TO CARE, when patients complain.

There are MORE and MORE acupuncturists being asked for records and MORE and MORE acupuncturists are also being audited.

It is important to understand that most providers are contracted as individuals and NOT contracted under a group contract.  Instead, they are tied to a tax ID.  So, MOST clinics are not considered…