All Things Chiropractic Episode #16: The Claim Form
In this enlightening episode of All Things Chiropractic, hosts Paul Andrews and Dr. Mark Davini take a deep dive into one of the most essential—yet often overlooked—components of chiropractic billing: the CMS 1500 claim form.
While it might seem mundane at first glance, Paul and Mark reveal just how pivotal this form is to your practice's financial health and legal protection. With a focus on risk management, compliance, and billing education, they unpack the significance of each section of the form and explain how even minor errors can have major consequences.
Tune in as they answer critical questions:
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Why is the CMS 1500 still used in the age of electronic submissions?
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What’s the story behind that mysterious QR code?
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How does the form connect to the National Uniform Claim Committee (NUCC)?
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Why is the back of the form important, even in an electronic world?
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What are taxonomy codes, and how do they define your specialty on a claim?
You'll also hear real-world implications of misrepresentations on claims, including potential civil and criminal liability. Paul and Mark emphasize how the CMS 1500 isn’t just paperwork—it tells the complete story of your patient's care, from first visit to final service.
Whether you're a seasoned chiropractor or just starting out, this episode offers critical insights to help you protect your practice and streamline your billing. Don't miss it!
