Monthly Archives: July 2015

Be Aware of Credit Card Fees

Many providers accept credit cards as a form of payment, but need to be aware of the associated fees when accepting virtual credit card payments from insurers for reimbursement purposes. Virtual credit cards are unique card numbers generated for a specific one-time transaction and linked to real accounts with card issuers. Clinics need to be aware that these transactions carry significant fees compared to traditional forms of payment--up to five percent of the transaction amount--and may include additional fees to offset fraud risk when card numbers are entered manually, which in effect reduces reimbursement to the clinic. It also effectively transfers the cost of the transaction from the payer to the clinic.

Acupuncture Timed Service Documentation Requirements

The 15 minute increment of time is defined as personal one-on-one contact with the patient. This means that the physician acupuncturist is in the room with the patient, is actively performing a medically necessary activity that is a component of acupuncture or electro acupuncture. The time that the needles are retained is specifically excluded for the purpose of determining time and consequently from reimbursement. 8 Minute Rule for Timed Codes – One Service

For services billed in 15-minute units, count the minutes of skilled treatment provided. Only direct, face-to-face time with the patient is considered for timed codes. 8 minute time rule for timed service

• 7 minutes or less of a single service is not billable.

• 8 minutes or more of a single service is billable as 1 unit or an additional unit if the prior units were each furnished for a full 15 minutes:

• 8 – 22 minutes = 1 unit

• 23 – 37 minutes = 2 units

• 38 – 52 minutes = 3 units

• 53 – 67 minutes = 4 units

The face-to-face time can be identified as pre-service work which includes greeting the patient and a brief interval history. Intra-service work for actions connected to the acupuncture procedure which may include pertinent evaluation and assessment of the patient (tongue, pulse, palpation, ROM etc.), hand washing, patient positioning, locating and cleaning the points, inserting and stimulating the needles, checking on the patient, removing the needles, and any discussion or counseling related to the acupuncture service. The face-to-face time does not include needle retention time where there is no need for direct patient monitoring or contact.