Author Topic: 2013 Automobile Medical Daily Cap  (Read 1836 times)


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2013 Automobile Medical Daily Cap
« on: December 07, 2012, 09:29:01 PM »
Hi~~!  ;)
My name is Hae and New here  ;D
I work in medical clinic as a office manager
We provide Chiropractic and acupuncture service.
I have Qs about new Auto Medical Fee Schedule in NJ
The new rules will increase payment rates for Chiro Procedure.
and will cut lots of payment rates for Acupuncture procedure.

the $99.00 daily maximum......
our provider has dual license (chiro and acupuncture)
So He is only provider and these services will be rendered on the same day.
Is it possible to get full of payment for two services without any reduction?

So far there is no problem to get paid...
but some people said that new rule will be Effective for acupuncture treatment rendered on or after January 4, 2013
Is it true?
so it is best to provide these service on different day if we do not want to get any reduction

these are the common CPT code our provider used daily
98940, 98941, 97124, or 97140 (Chiro+massage)
97810, 97811, 97813, or 97814 (Acupuncture)

For example 1/1/2013
            and  97813
??????? :-[ :-[ :-[



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Re: 2013 Automobile Medical Daily Cap
« Reply #1 on: December 10, 2012, 07:42:59 AM »
I'm sorry but your question is very specific to NJ chiro & acupuncture.  I don't have experience with that. 
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