I thought it might be helpful to provide-
A Guide to Reading your Invoice
As you know by now- my services are offered as an out-of-pocket service. I am not able to bill through insurances or guarantee insurance reimbursement.
Why?
Because as a certified TMJ clinician of 30 years- I’m devoted to providing the best care possible. When providing a medical insurance that goes through your insurance the quality of care spirals downward quickly.
I’d need to bill for increased time documenting and billing with what I find to be essentially unnecessary documentation because it's time spent away from actually helping the patient. Yes, that means much less time and attention with you the patient. Have you seen the therapist with their face in their laptop ignoring what you’re saying or leaving you to do some exercises on your own or with an unlicensed aid. This is not what I provide. I provide one-on-one quality hands-on service.
My expertise is in musculoskeletal pain. I recognize that I’m not equipped to solve more complex insurance billing questions and to do so would necessitate increasing your costs to hire a full-time insurance coordinator. So I’ve made the decision to avoid doing that to my patients.
And as a courtesy to those of you that request it- in the initial paperwork I’ve outlined the invoice process and exactly what I’m able to provide in my invoice. This is the standard information that many of my patients are able to get reimbursed with when they provide the invoice.
Unfortunately, some insurances will do what they can to avoid payment. Is is very unfortunate that insurances will utilize tactics like this. But I recognize that there is the possibility that they can unnecessarily deny claims.
In this post, I wanted to clearly identify what I am able to provide in my invoices and what each piece of information is. Outside of the provided information I’m unfortunately unable to assist further. But if you would like to try here is the standard information I have contained in my invoices.
This includes and is confined to the following:
Company Name/Address
ICD-10 (Dx) Code
CPT codes
treatment times
NPI
EIN
total treatment session amounts
total treatment amount.
What is ICD-10?
Essentially it's a diagnosis code. And if you'd like you can find a thorough explanation here.
What are CPT codes?
Essentially they are 5 digit procedure codes. And if you'd like you can find a thorough explanation here.
I've attached a sample invoice here below. This should help with your questions should you have any.
A Guide to Reading your Invoice
As you know by now- my services are offered as an out-of-pocket service. I am not able to bill through insurances or guarantee insurance reimbursement.
Why?
Because as a certified TMJ clinician of 30 years- I’m devoted to providing the best care possible. When providing a medical insurance that goes through your insurance the quality of care spirals downward quickly.
I’d need to bill for increased time documenting and billing with what I find to be essentially unnecessary documentation because it's time spent away from actually helping the patient. Yes, that means much less time and attention with you the patient. Have you seen the therapist with their face in their laptop ignoring what you’re saying or leaving you to do some exercises on your own or with an unlicensed aid. This is not what I provide. I provide one-on-one quality hands-on service.
My expertise is in musculoskeletal pain. I recognize that I’m not equipped to solve more complex insurance billing questions and to do so would necessitate increasing your costs to hire a full-time insurance coordinator. So I’ve made the decision to avoid doing that to my patients.
And as a courtesy to those of you that request it- in the initial paperwork I’ve outlined the invoice process and exactly what I’m able to provide in my invoice. This is the standard information that many of my patients are able to get reimbursed with when they provide the invoice.
Unfortunately, some insurances will do what they can to avoid payment. Is is very unfortunate that insurances will utilize tactics like this. But I recognize that there is the possibility that they can unnecessarily deny claims.
In this post, I wanted to clearly identify what I am able to provide in my invoices and what each piece of information is. Outside of the provided information I’m unfortunately unable to assist further. But if you would like to try here is the standard information I have contained in my invoices.
This includes and is confined to the following:
Company Name/Address
ICD-10 (Dx) Code
CPT codes
treatment times
NPI
EIN
total treatment session amounts
total treatment amount.
What is ICD-10?
Essentially it's a diagnosis code. And if you'd like you can find a thorough explanation here.
What are CPT codes?
Essentially they are 5 digit procedure codes. And if you'd like you can find a thorough explanation here.
I've attached a sample invoice here below. This should help with your questions should you have any.
In this example:
The ICD-10 (Dx) code is M54.2
The CPT codes are 97162, 97140 and 97110
The ICD-10 (Dx) code is M54.2
The CPT codes are 97162, 97140 and 97110
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