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Hi All,

 

Does anyone know about work comp's code to bill?

 

I know

 

Acupuncutre 97800

additional 15 min. 97811

 

Elec. Acupucture 97801

additional 15 min. 97814

 

How about

 

Evaluation,

Moxibustion,

Cupping?

 

I also have heard it would be better if you don't bill caupping

and/or moxibustion. Is it true? If so, why?

 

Thanks for your help!

Ami Matsumoto, L.Ac.

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Hi, I bill 97814 @ 3 units (27.05 per unit) and 97041

for the initial eval and was promptly and justly paid.

--- amiacup <amiacup wrote:

 

> Hi All,

>

> Does anyone know about work comp's code to bill?

>

> I know

>

> Acupuncutre 97800

> additional 15 min. 97811

>

> Elec. Acupucture 97801

> additional 15 min. 97814

>

> How about

>

> Evaluation,

> Moxibustion,

> Cupping?

>

> I also have heard it would be better if you don't

> bill caupping

> and/or moxibustion. Is it true? If so, why?

>

> Thanks for your help!

> Ami Matsumoto, L.Ac.

>

>

>

>

>

 

 

 

 

______________________________\

____

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with the Search movie showtime shortcut.

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Thanks, Petra!

 

Ami

 

Chinese Medicine , Petra Buchanan

<petrabuchanan wrote:

>

> Hi, I bill 97814 @ 3 units (27.05 per unit) and 97041

> for the initial eval and was promptly and justly paid.

> --- amiacup <amiacup wrote:

>

> > Hi All,

> >

> > Does anyone know about work comp's code to bill?

> >

> > I know

> >

> > Acupuncutre 97800

> > additional 15 min. 97811

> >

> > Elec. Acupucture 97801

> > additional 15 min. 97814

> >

> > How about

> >

> > Evaluation,

> > Moxibustion,

> > Cupping?

> >

> > I also have heard it would be better if you don't

> > bill caupping

> > and/or moxibustion. Is it true? If so, why?

> >

> > Thanks for your help!

> > Ami Matsumoto, L.Ac.

> >

> >

> >

> >

> >

>

>

>

>

>

___________________

_______________

> 8:00? 8:25? 8:40? Find a flick in no time

> with the Search movie showtime shortcut.

> http://tools.search./shortcuts/#news

>

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Hi Petra,

How much do you charge for the initial Evaluation.

I had accepted a car insurance coverage.

I don't know how to bill E/M (code / how much to charge)

I would appreciate your kind response.

Take care.

amy

 

 

 

************************************** See what's free at http://www.aol.com.

 

 

 

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For California Work Comp, the Division of Work Comp publishes the

Official Medical Fee Schedule on its website...

 

http://www.dir.ca.gov/dwc/OMFS9904.htm

 

You'll need to scroll down to the " Physician services " section. The

maximum reimbursable fee is listed for each procedure code.

 

As a reminder, the sharing of fee and pricing information among

practitioners is generally considered a violation of federal

antitrust laws. Health care is one of top three areas where the FTC/

DoJ concentrate most of there enforcement efforts. The feds do take

this seriously and the consequences can be very unpleasant. Best not

to discuss this stuff.

 

--Bill.

 

 

On Apr 5, 2007, at 11:17 AM, Amyc144 wrote:

 

> Hi Petra,

> How much do you charge for the initial Evaluation.

> I had accepted a car insurance coverage.

> I don't know how to bill E/M (code / how much to charge)

> I would appreciate your kind response.

> Take care.

> amy

>

>

>

> ************************************** See what's free at http://

> www.aol.com.

>

>

>

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Petra,

 

Was this in California Work Comp?

 

According to the most recent CA DWC fee schedule that I'm aware of,

97814 is not a billable code in Work Comp. To the best of my

knowledge, the CA Work Comp codes are still procedure based, not time

based and are limited to 97800 (acupuncture) and 97801

(electroacupuncture).

 

--Bill.

 

 

 

On Apr 2, 2007, at 2:44 PM, Petra Buchanan wrote:

 

> Hi, I bill 97814 @ 3 units (27.05 per unit) and 97041

> for the initial eval and was promptly and justly paid.

> --- amiacup <amiacup wrote:

>

>> Hi All,

>>

>> Does anyone know about work comp's code to bill?

>>

>> I know

>>

>> Acupuncutre 97800

>> additional 15 min. 97811

>>

>> Elec. Acupucture 97801

>> additional 15 min. 97814

>>

>> How about

>>

>> Evaluation,

>> Moxibustion,

>> Cupping?

>>

>> I also have heard it would be better if you don't

>> bill caupping

>> and/or moxibustion. Is it true? If so, why?

>>

>> Thanks for your help!

>> Ami Matsumoto, L.Ac.

>>

>>

>>

>>

>>

>

>

>

>

> ____________________

> ______________

> 8:00? 8:25? 8:40? Find a flick in no time

> with the Search movie showtime shortcut.

> http://tools.search./shortcuts/#news

>

>

> Subscribe to the fee online journal for TCM at

> Times http://www.chinesemedicinetimes.com

>

> Download the all new TCM Forum Toolbar, click, http://

> toolbar.thebizplace.com/LandingPage.aspx/CT145145

>

> http://

> and adjust

> accordingly.

>

> Messages are the property of the author. Any duplication outside

> the group requires prior permission from the author.

>

> Please consider the environment and only print this message if

> absolutely necessary.

>

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$75. The same code that I said before 97014 intial

eval and 97814 at three units for the actual

treatment. Hope that helps.

--- Amyc144 wrote:

 

> Hi Petra,

> How much do you charge for the initial Evaluation.

> I had accepted a car insurance coverage.

> I don't know how to bill E/M (code / how much to

> charge)

> I would appreciate your kind response.

> Take care.

> amy

>

>

>

> ************************************** See what's

> free at http://www.aol.com.

>

>

> [Non-text portions of this message have been

> removed]

>

>

 

 

 

 

______________________________\

____

Get your own web address.

Have a HUGE year through Small Business.

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Thank you Bill, I am in CO. did not know that.

--- Bill Mosca <mosca wrote:

 

> Petra,

>

> Was this in California Work Comp?

>

> According to the most recent CA DWC fee schedule

> that I'm aware of,

> 97814 is not a billable code in Work Comp. To the

> best of my

> knowledge, the CA Work Comp codes are still

> procedure based, not time

> based and are limited to 97800 (acupuncture) and

> 97801

> (electroacupuncture).

>

> --Bill.

>

>

>

> On Apr 2, 2007, at 2:44 PM, Petra Buchanan wrote:

>

> > Hi, I bill 97814 @ 3 units (27.05 per unit) and

> 97041

> > for the initial eval and was promptly and justly

> paid.

> > --- amiacup <amiacup wrote:

> >

> >> Hi All,

> >>

> >> Does anyone know about work comp's code to bill?

> >>

> >> I know

> >>

> >> Acupuncutre 97800

> >> additional 15 min. 97811

> >>

> >> Elec. Acupucture 97801

> >> additional 15 min. 97814

> >>

> >> How about

> >>

> >> Evaluation,

> >> Moxibustion,

> >> Cupping?

> >>

> >> I also have heard it would be better if you don't

> >> bill caupping

> >> and/or moxibustion. Is it true? If so, why?

> >>

> >> Thanks for your help!

> >> Ami Matsumoto, L.Ac.

> >>

> >>

> >>

> >>

> >>

> >

> >

> >

> >

> >

>

____________________

>

> > ______________

> > 8:00? 8:25? 8:40? Find a flick in no time

> > with the Search movie showtime shortcut.

> > http://tools.search./shortcuts/#news

> >

> >

> > Subscribe to the fee online journal for TCM at

>

> > Times http://www.chinesemedicinetimes.com

> >

> > Download the all new TCM Forum Toolbar,

> click, http://

> > toolbar.thebizplace.com/LandingPage.aspx/CT145145

> >

> >

> http://

> >

>

 

> and adjust

> > accordingly.

> >

> > Messages are the property of the author. Any

> duplication outside

> > the group requires prior permission from the

> author.

> >

> > Please consider the environment and only print

> this message if

> > absolutely necessary.

> >

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Hey Bill-

I search high and low on that page and can't find the fee schedule. There is an

order form

link to buy the 1999 OMFS (office medical fee schedule) for $45, but I couldn't

find any listing

on that site.

 

could you kindly indicate exactly which link on that page if you know?

 

thanks,

Phil

 

Chinese Medicine , Bill Mosca <mosca

wrote:

>

> For California Work Comp, the Division of Work Comp publishes the

> Official Medical Fee Schedule on its website...

>

> http://www.dir.ca.gov/dwc/OMFS9904.htm

>

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Phil,

 

The CA Work Comp OMFS can be found at...

 

http://www.dir.ca.gov/dwc/OMFS9904.htm

 

You'll need to scroll WAY down the page the " Physician Services "

section. (Given the length of the page, it's easiest to use the find

function in your browser to do this.) There you'll find the OMFS

table (Table A 9789.11) that applies to us. The most recent full

table is dated May 2005, but there is a minor addendum made in

February 2007.

 

The May 2005 table is available as an Excel spreadsheet... (PDF also

available)

 

http://www.dir.ca.gov/dwc/dwcpropregs/OMFS_Regulations/

OMFS_tableAMay.xls

 

--Bill.

 

 

On Apr 9, 2007, at 9:48 AM, philcusick wrote:

 

> Hey Bill-

> I search high and low on that page and can't find the fee schedule.

> There is an order form

> link to buy the 1999 OMFS (office medical fee schedule) for $45,

> but I couldn't find any listing

> on that site.

>

> could you kindly indicate exactly which link on that page if you know?

>

> thanks,

> Phil

>

> Chinese Medicine , Bill Mosca

> <mosca wrote:

>>

>> For California Work Comp, the Division of Work Comp publishes the

>> Official Medical Fee Schedule on its website...

>>

>> http://www.dir.ca.gov/dwc/OMFS9904.htm

>>

>

>

>

>

> Subscribe to the fee online journal for TCM at

> Times http://www.chinesemedicinetimes.com

>

> Download the all new TCM Forum Toolbar, click, http://

> toolbar.thebizplace.com/LandingPage.aspx/CT145145

>

> http://

> and adjust

> accordingly.

>

> Messages are the property of the author. Any duplication outside

> the group requires prior permission from the author.

>

> Please consider the environment and only print this message if

> absolutely necessary.

>

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