Author Archives: Antonio Arias, MBA, CHBME

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Creating a Buyer Persona for an Acupuncture Practice Focusing on Integrative Healthcare

Integrative healthcare is a growing trend in the healthcare industry as more people seek holistic and natural solutions to their health problems. One of the most popular integrative healthcare practices is acupuncture, which has been used for thousands of years to treat various health conditions. As an acupuncture practice focusing on integrative healthcare, it is crucial to understand your target patients and their needs and pain points. This information will help you create a buyer’s persona, a fictional representation of your ideal customer, informing all aspects as you develop your marketing plan.

What is a Buyer’s Persona?

A buyer’s persona represents your ideal patient based on your market research and actual data about your existing customers. It is a valuable tool for marketing because it helps you understand your target audience’s needs, behaviors, motivations, and pain points. By creating a buyer persona, you can make a personalized marketing strategy that speaks directly to your ideal customer and addresses their specific needs.

Steps to Creating a Buyer Persona

Gather data

The first step in creating a buyer’s persona is to gather data about your existing customers. The data should include the customer’s age, gender, income, education level, occupation, location, pain points, and health concerns. Obtain this data through surveys, customer interviews, personal experience, and website analytics.

Analyze the Data

Once you have gathered the data, try identifying patterns and shared characteristics among your customers. Look for trends and similarities in the demographic data or motivations, and use this information to create your ideal customer profile.

Create the Buyer Persona

Create the representation of your ideal customer based on the information you have gathered and analyzed. Give your buyer’s personal a name, age, gender, occupation, location, and other relevant information. Ensure to include information about their pain points, health concerns, and motivations for seeking your style of integrative healthcare.

Define the Pain Points

Pain points are the problems or challenges your ideal customer is trying to solve. Understanding their pain points is one of the most critical aspects of your buyer persona. They are the reasons why they are seeking integrative healthcare solutions. Understanding their pain points can create a marketing strategy that addresses these issues and offers solutions.

Determine the Motivations

Another vital aspect of your buyer’s persona is understanding their motivations for seeking integrative healthcare solutions. What drives them to seek out acupuncture or other holistic treatments? Are they looking for honest answers to their health problems? Are they seeking to improve their overall health and wellness? By understanding their motivations, you can create a marketing strategy that directly addresses their needs, anxieties, and desires.

Example of a Buyer Persona for an Acupuncture Practice Focusing on Integrative Healthcare

Meet Sarah, a 45-year-old working mother who lives in the suburbs. Sarah is a busy professional who is always on the go, looking for ways to improve her health and wellness. She is motivated by her desire to feel better and to have more energy to keep up with her busy life. She is looking for natural and holistic solutions to her health problems and is particularly interested in acupuncture.

Sarah has been experiencing pain and discomfort in her lower back and neck, and she is looking for a natural solution to help her manage her pain and improve her overall health and wellness. Sarah is also tired of taking medications she doesn’t trust and welcomes anything that will lead to fewer pills and fewer side effects. She is motivated by her desire to feel better and to have more energy to keep up with her busy life. Sarah is the ideal customer for an acupuncture practice focusing on integrative healthcare near her home.

How does this relate to an EHR and insurance billing company focused on acupuncture, chiropractic, and medical-massage Billing? While you are busy creating your business and marketing plans, your time does not need to be consumed by tedious technology or complicated medical coding and billing process. By letting a firm focused on integrative healthcare like Holistic Billing Services handle your online appointments, SOAP notes, or your medical billing needs, your energy, creativity, and talents are freed up to focus on identifying and serving your patients. The friendly experts at Holistic Billing have over 20 years of experience and are eager to help you succeed in EHR and Medical Billing! Contact us today to get started building a solution that suits your acupuncture practice needs and goals.

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Marketing metrics can help you attract and retain clients

How to pick an insurance biller for your holistic practice

When owning a holistic practice, one of the most important things to consider is how to handle insurance billing; this can be tricky and time-consuming, but ensuring that your patients receive the reimbursement they are entitled to is essential. As a holistic practitioner, choosing an insurance biller who understands the unique needs of your practice, whether it be acupuncture, chiropractic, or medical massage, can help you navigate the complex world of insurance billing. This blog post will discuss critical factors on how to pick an insurance biller for your holistic practice covering acupuncture, chiropractic, or a medical massage practice.

Experience and Expertise

One of the most important things to consider when choosing an insurance biller is their experience and expertise in your field. Each type of holistic practice has its unique billing requirements and codes, so it is essential to choose an insurance biller who is familiar with the ins and outs of your field. For example, suppose you run an acupuncture practice. In that case, you will want to choose an insurance biller who has experience with acupuncture insurance billing and is familiar with the codes and procedures specific to this field. The same goes for chiropractic and medical massage practices.

Credentials and Accreditation

Another critical factor to consider when choosing an insurance biller is their credentials and accreditation. Selecting an insurance biller certified in medical coding and accredited by professional organizations in your field is essential; this will ensure they have the necessary knowledge and training to handle your insurance billing needs. Additionally, it is a good idea to choose an insurance biller who is a member of professional organizations such as the American Medical Billing Association (AMBA), the National Association of Medical Billers and Coders (NAMBC), or the Healthcare Business Management Association (HBMA)

Communication and Responsiveness

When it comes to insurance billing, communication, and responsiveness are key. You would like to choose an insurance biller who is easy to communicate with and responsive to your needs. It is crucial to have a clear and open line of communication with your insurance biller so that you can address any issues or questions that may arise. Additionally, you want to choose an insurance biller who is responsive to your needs and can help you navigate any challenges that may come up.

Services Offered

When choosing an insurance biller, it is essential to consider their services. You want to select an insurance biller who can handle all aspects of your billing needs, including credentialing, insurance benefit verifications, submitting claims, following up on denied claims and managing patient accounts. Also, you’d like to choose an insurance biller who can help you with coding and compliance issues and give you regular reports on your billing status.

Cost

Lastly, it is vital to consider the cost of the insurance biller’s services. While cost should not be the only factor in your decision-making process, choosing an insurance biller who offers competitive rates is essential. Also, you’d like to select an insurance biller who is open about their fees and can give you a detailed breakdown of their costs. It is essential to choose an insurance biller who has experience and expertise in your field, is certified and accredited, has good communication and responsiveness, and offers a range of services at a competitive cost. By considering these factors, you can ensure that your insurance billing needs are met and that you receive the reimbursements generated by your work.

How does this relate to a billing company focused on acupuncture, chiropractic, and medical-massage billing? While you are busy filling your schedule, your time does not need to be consumed by the tedious and complicated medical coding and billing process. By letting a trusted firm like Holistic Billing Services handle your online appointments, SOAP notes, or your medical billing burden, your time, energy, and creativity are freed up to focus on what matters most: your patients. The friendly experts at HBS have decades of experience and are eager to help you succeed in EHR and medical billing! Contact us today to get started building a custom solution that suits your acupuncture practice needs and goals.

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Holistic practice patient satisfaction surveys

How to Develop a Marketing Plan for your Acupuncture Practice

Acupuncture is a rapidly growing alternative and integrative therapy that offers a range of benefits for pain management and other health conditions. However, starting and running a successful acupuncture practice requires a well-thought-out marketing plan to attract and retain clients. A marketing plan helps you define your target audience, understand your competition, and develop a strategy to reach your goals. This blog post will provide tips for how to develop a marketing plan for your acupuncture practice and list five top resources for small business owners.

Step 1: Define Your Target Audience

The first step in developing a marketing plan is to define your target audience; this includes identifying the demographics of your ideal patient, such as age, gender, income, and location. Additionally, consider the health conditions and symptoms for which your ideal patient may seek treatment, such as pain management, fertility, or sleep disorders. Understanding your target audience will help you down the line to tailor your marketing messages and strategies to reach and engage with them effectively.

Step 2: Conduct a Competitive Analysis

Next, conduct a competitive analysis to understand your competition and identify potential gaps in the market. Research other acupuncture practices in your area and evaluate their marketing strategies, services offered, and the type of patients they target. This information can help you identify opportunities to differentiate your practice and position yourself as a leader in the market.

Step 3: Set Marketing Goals and Objectives

Once you have defined your target audience and conducted a competitive analysis, it’s time to set marketing goals and objectives. These goals should align with your overall business strategy and be specific, measurable, attainable, relevant, and time bound. For example, a plan for your acupuncture practice may be to increase new patient visits by 20% in the next six months.

Step 4: Develop Your Marketing Strategy

With your target audience, competitive analysis, and goals in mind, it’s time to develop your marketing strategy; this includes identifying the tactics and channels you will use to reach your target audience and achieve your marketing goals. Some common marketing tactics for acupuncture practices include:

  • Website and SEO: Your website is often the first impression a potential patient will have of your practice. Make sure it is professional, easy to navigate, and provides all the information your target audience needs. Additionally, optimize your website for search engines to improve visibility and attract new patients.
  • Online Advertising: Online advertising, such as Google Ads or Facebook Ads, can effectively reach your target audience and drive traffic to your website.
  • Content Marketing: Content marketing involves creating valuable, relevant, and consistent content to engage with your target audience and build trust and authority. Consider writing blog posts, making videos, or hosting events to educate your target audience about the benefits of acupuncture.
  • Referral Marketing: Referral marketing encourages existing patients to refer friends and family to your practice. Offer incentives, such as discounts or free treatments, to encourage patients to guide others.
  • Social Media Marketing: Social media marketing means using social media platforms like Instagram, Twitter, TikTok and Facebook to promote your practice and sell your products and services.

Step 5: Monitor and Evaluate Your Results

Finally, monitor and evaluate your results to see what is working and what is not. Regularly track your marketing metrics, such as website traffic, patient visits, and conversions, and adjust your strategy as needed. This ongoing evaluation will help you improve your marketing efforts and achieve your marketing goals.

Resources when establishing your marketing plan.

How does this relate to a billing company focused on acupuncture, chiropractic, and medical massage billing? While you are busy creating your business plan, your time does not need to be consumed by the tedious and complicated medical coding and billing process. By letting a trusted firm like Holistic Billing Services, handle your online appointments, SOAP notes, or your medical billing burden, your time, energy, and creativity are freed up to focus on what matters most: your patients. The friendly experts at HBS have decades of experience and are eager to help you succeed in EHR and medical billing! Contact us today to get started building a custom solution that suits your acupuncture practice needs and goals.

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social media

Developing a social media medical strategy for your holistic medicine practice

Developing a social media medical strategy for your holistic practice can be valuable for connecting with your patients, building trust, and promoting your services. However, knowing where to start with social media platforms can take some work. This blog post will discuss the pros and cons of various social media platforms and provide tips for developing a social media strategy for your holistic practice.

When developing a social media medical strategy for your holistic medicine practice, it is vital to consider the following:

  • Identify your target audience: Whom are you trying to reach with your social media efforts? Are they current patients, potential patients, or other healthcare professionals?
  • You can choose the right platform from our guide below: Based on your target audience and the type of content you want to share, you can choose the social media platform that will most effectively reach your audience.
  • Create a content calendar: Plan your content for the next month, quarter, or year; this will help ensure that you have a steady stream of content to share and that you are sharing relevant and engaging content.
  • Engage with your audience: Respond to comments and messages and use the platforms’ features to engage with your audience.
  • Measure and adjust: Track your social media metrics to see which posts are performing well and which are not. Use this information to change your strategy and improve your results.

Social Media Guide

Facebook

Facebook is one of the most popular social media platforms and is a great place to connect with patients and promote your practice.

  • Pros of using Facebook include the ability to reach a large audience, create posts that are easy to share, and post events and appointments.
  • Cons of using Facebook include creating engaging and relevant content, keeping up with the algorithm changes, and the potential for negative comments or reviews.

Twitter

Twitter is a fast-paced platform that allows you to share quick updates, news, and information.

  • Pros of using Twitter include the ability to reach a large audience, the ability to connect with influencers, and the ability to share real-time information.
  • Cons of using Twitter include being concise and to the point, managing the character limit, and the potential for negative comments or reviews.

Instagram

Instagram is a visual platform that allows you to share pictures and videos to promote your practice.

  • Pros of using Instagram include the ability to reach a large audience, the ability to communicate visually appealing content, and the ability to connect with influencers.
  • Cons of using Instagram are the need to produce high-quality content, keep up with algorithm changes, and the potential for negative comments or reviews.

LinkedIn

LinkedIn is a professional networking platform for connecting with other healthcare professionals and promoting your practice.

  • Pros of using LinkedIn include the ability to communicate with other healthcare professionals, the ability to share industry-related content, and the ability to promote job openings.
  • Cons of using LinkedIn include creating professional and relevant content, keeping up with the algorithm changes, and the potential for negative comments or reviews.

YouTube

YouTube is a video-sharing platform that allows you to share videos to promote your practice.

  • Pros of using YouTube include the ability to reach a large audience, share informative and educational videos, and connect with influencers.
  • Cons of using YouTube need to produce high-quality video content, keep up with algorithm changes, and the potential for negative comments or reviews.

Social media can be a powerful and cost-effective tool for promoting your holistic practice and connecting with patients. By identifying your target audience, choosing the right platform, creating content, and tracking your social media results, you’ll have a strategy to connect with your patients, build trust, and promote your services.

How does this relate to a billing company focused on acupuncture, chiropractic, and medical-massage billing? While you are busy creating your social media strategy, the tedious and complicated medical coding and billing process does not need to consume your time. By letting a trusted firm like Holistic Billing Services handle your online appointments, SOAP notes, or your medical billing burden, your time, energy, and creativity are freed up to focus on what matters most: your patients.

The friendly experts at HBS have decades of experience and are eager to help you succeed! Please reach out to us today to build a custom solution that suits your acupuncture, chiropractic, or medical massage practice needs and goals.

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healthcare-management-vs-healthcare-administration

Projecting cash flow in a medical practice

Cash flow is the amount of cash a business generates and uses in a given period. Understanding cash flow as part of your business plan is essential to ensure that the practice has enough money to pay its bills and invest in its future growth. Projecting cash flow in a medical practice can be daunting, but it is essential for the practice’s financial success. In this blog post, we will discuss the steps involved in projecting cash flow for a medical practice and provide tips for maintaining a healthy cash flow.

Step 1: Identify your sources of cash

The first step in projecting cash flow is to identify the sources of cash for the practice. These sources include patient payments, insurance reimbursements, and investments. Understanding the timing of these payments and any trends or fluctuations in the amount of cash received is essential. For example, if the practice experiences a spike in patient volume during the summer months, it will likely receive more money during this period.

Step 2: Identify your uses of cash

Once you identify the sources of cash, it is crucial to identify the uses of cash for the practice. These uses include expenses such as rent, salaries, supplies, and equipment. It is important to understand the timing of these expenses and any trends or fluctuations in the amount of cash spent. For example, if the practice plans to purchase new equipment, it will likely spend more money during the month or quarter in which you bought the equipment.

Step 3: Create a cash flow projection

With an understanding of the sources and uses of cash, the next step is to create a cash flow projection. This projection should include an estimate of the amount of cash received and spent in a given period. It is vital to have both expected and unexpected events in the projection and any trends or fluctuations in the amount of cash received or spent.

Step 4: Monitor and adjust your projection

Once you create the cash flow projection, it is essential to monitor it regularly and make adjustments as necessary; this may include adjusting the prediction based on actual results or making changes to the practice’s operations to improve cash flow. For example, if the practice is experiencing a cash flow shortage, it may need to increase its billing and collections efforts, recruit patients or reduce its expenses.

Tips for maintaining a healthy cash flow

  • Review your billing and collections process: A poor billing and collections process is one of the most significant contributors to cash flow problems. Regularly reviewing and improving this process can help ensure that the practice receives payment for services promptly.
  • Control expenses: Keeping expenses under control is essential for maintaining a healthy cash flow. Reviewing expenses regularly and finding ways to reduce them can help to improve cash flow.
  • Communicate with patients: Clear communication regarding their financial responsibilities can help ensure that payments are received promptly.
  • Maintain a good relationship with insurance companies: Building a good relationship with insurance companies can help ensure that reimbursements are received promptly.
  • Keep an eye on future trends: Monitoring future trends in the healthcare industry can help to anticipate any changes that may impact cash flow.

In conclusion, projecting cash flow in a medical practice is a vital task that requires a thorough understanding of the sources and uses of cash. By following the steps outlined in this blog post and implementing the tips for maintaining a healthy cash flow, medical practices can ensure they have the resources they need to grow and succeed in today’s competitive healthcare landscape.

How does this relate to a billing company focused on acupuncture, chiropractic, and medical-massage billing? While you are busy projecting your cash flow, let us handle your EMR technology needs and the tedious and complicated medical coding, and billing process. By allowing a trusted firm like Holistic Billing Services, to capture your online appointments and SOAP notes, or offloading your medical billing burden, your time, energy, and creativity are freed up to focus on what matters most: your patients. The friendly experts at HBS have decades of experience and are eager to help you succeed! Contact us today to get started building a custom solution that suits your acupuncture practice needs and goals.

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Net Collection Rates

How to establish a business plan for your holistic practice

Opening a holistic healthcare practice is an exciting and challenging endeavor that requires careful planning and preparation. A business plan is a critical tool that can help you to organize your thoughts, set goals, and create a roadmap for your practice’s success. In this blog post, we will discuss the steps on how to establish a business plan for your holistic practice and provide some tips for creating a successful strategy.

Step 1: Research the market

The first step may seem obvious, but all too often is overlooked. When developing a business plan, you must first do your market research; this includes identifying the ideal patients for your practice, researching other holistic practices in your area, and understanding the trends and opportunities in the holistic healthcare industry. This research will help you know your target patient’s needs and concerns, allowing you to develop strategies that align with your strengths and interests.

Step 2: Define your business model

Once you understand your market, the next step is to define your practice’s business model; this includes identifying your services, setting prices, and determining how you will generate revenue. It is also essential to consider the costs associated with opening and operating your practice, such as rent, salaries, furniture, and equipment.

Step 3: Create a marketing plan

A marketing plan is a critical component of any business plan and is essential for promoting your practice and reaching your target audience. This plan should include strategies for getting your brand and message in front of potential patients, such as advertising, networking, and social media. In today’s world, it is critical to establish early how you will use social media and other digital marketing tools to promote your practice.

Step 4: Develop a financial plan

A financial plan is a crucial part of any business plan and is essential for understanding the costs associated with opening and operating your practice. This plan should include an estimate of your startup costs, operating expenses, and projected revenue. It should also have a projected cash flow statement, which will help you to understand your practice’s financial health over time.

Step 5: Review and refine your plan

Once your business plan is complete, regularly reviewing and refining, it is essential; this includes monitoring your progress, adjusting your plan as necessary, and seeking feedback from industry experts. It is also crucial to stay updated on industry trends and regulations and adjust your plan as needed.

Tips for creating a successful business plan

  • Be realistic: Setting realistic goals and conservative projections for your practice is important; this will help you to avoid disappointment and make adjustments as needed.
  • Please keep it simple: A business plan should be easy for someone else to understand and follow. Avoid using jargon or overly complex language.
  • Seek feedback: Get input from industry experts, friends, and family to get an outside perspective on your business plan.
  • Be specific about your goals and plans. Your goals should be measurable; this will help you stay focused and on track.
  • Be flexible: Be prepared to adjust your business plan as necessary. The healthcare industry is constantly changing, and it is vital to adapt to changes.

Finally, developing a business plan for opening a holistic healthcare practice is a critical step in ensuring the success of your medical practice. By following the steps outlined in this blog post and implementing the tips for creating a successful plan, you can create a roadmap for your practice’s success and ensure you have the resources you need to grow and thrive in today’s competitive healthcare landscape.

Resources when establishing your business plan

How does this relate to a billing company focused on acupuncture, chiropractic, and medical massage billing? While you are busy creating your business plan, your time does not need to be consumed by the tedious and complicated medical coding and billing process. By letting a trusted firm, like Holistic Billing Services, handle your online appointments, SOAP notes, or your medical billing burden, your time, energy, and creativity are freed up to focus on what matters most: your patients.

The friendly experts at HBS have decades of experience and are eager to help you succeed! Contact us today to get started building a custom solution that suits your acupuncture practice needs and goals.

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Patient education strengthens patient engagement at your holistic practice

Tips for opening your first practice

Opening a holistic medicine practice can be a rewarding and fulfilling experience, but it is also a significant financial investment. As a healthcare consultant, I want to share some critical business advice and tips for opening your first practice.

First and foremost, it is essential to have a clear and comprehensive business plan in place before you start. This plan should include a detailed budget outlining the costs associated with opening and running your practice and projected income and cash flow, including a marketing plan and a strategy for acquiring and retaining patients. A solid business plan will help you secure funding from a bank or investors and serve as a roadmap to guide your business decisions and practice growth.

Another essential piece of advice is to keep detailed financial records. This is especially important when it comes to taxes and compliance. As a holistic medicine practitioner, you must stay up-to-date on the latest laws and regulations, and having accurate financial records will make this process much more manageable. Additionally, keeping detailed records will help you identify areas where you can improve your financial performance and make adjustments as needed.

One of the most significant financial decisions you will make before opening your doors is how to structure your business. There are several options: sole proprietorship, partnership, limited liability company (LLC), and corporation. Each has its advantages and disadvantages, so it is essential to consult an attorney and accountant to determine the best fit for your practice.

Another important consideration is how you will finance your business. Depending on the size and scope of your practice, you may need to secure funding from a lender or investor. I think having a solid financial plan in place, including a detailed budget and projected cash flow, is essential to show potential lenders and investors that you have thought through the financial aspects of your new practice. Also, you will need to clearly understand your creditworthiness and be prepared to provide the necessary documentation to secure funding.

Additionally, stay on top of your cash flow. This is especially important when starting your practice, as you will likely have a lot of upfront costs and may still need a steady income while you fill your schedule. A clear understanding of your cash flow projections and having a plan in place for dips in cash frequently is the difference in making it to the second year of your practice.

Finally, it is essential to have a good handle on your pricing strategy. As a holistic medicine practitioner, you will provide a unique and valuable service, but you will also need to be competitive with other practitioners in your area. It is essential to research the prices of similar modalities in your area and to have a pricing strategy that is both competitive and profitable. Additionally, you will need to consider logistics like: billing insurance for your services, how you bill your clients, and what payment methods you will accept.

In conclusion, opening a holistic medicine practice can be a fulfilling and rewarding experience, but it is also a significant financial investment. By following these tips, you can ensure that your practice is financially sound and successful. Remember to have a clear and comprehensive business plan, stay organized and keep detailed financial records, understand the laws and regulations associated with your profession, and have a solid pricing strategy. Good luck with your new practice!

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woman receiving acupuncture treatment

Top 5 Business Trends in Acupuncture for 2023

Acupuncture has been around for thousands of years and has steadily gained popularity as a complementary and alternative medicine (CAM) for various health conditions. The World Health Organization (WHO) recognizes acupuncture as a safe and effective treatment for multiple conditions, including pain, infertility, and addiction. As we move into 2023, several trends in acupuncture are expected to become more prominent in the healthcare industry and here are the top 5 business trends in Acupuncture for 2023.

Integrative Care

One of the most significant trends in acupuncture is the integration of acupuncture into conventional healthcare. Many hospitals and clinics now offer acupuncture services as part of their treatment options, recognizing the benefits of incorporating CAM therapies into traditional healthcare and being covered by many healthcare plans. This trend is expected to continue into the new year, with more healthcare organizations recognizing the benefits of acupuncture and incorporating it into their treatment plans.

Acupuncture for Addiction

Acupuncture has been used for centuries to help with addiction, and this trend is expected to continue in the new year. Acupuncture is used in the treatment of addiction to alcohol, opioids, and tobacco. In 2023, we expect to see more practitioners specializing in addiction acupuncture to support those struggling with addiction.

Acupuncture for Mental Health

Acupuncture has long been recognized as an effective treatment for physical conditions, but it is also becoming increasingly popular for mental health conditions. Studies have shown that acupuncture can effectively treat anxiety, depression, and PTSD. As the role of patients’ mental health grows, we expect to see more practitioners specializing in mental health conditions.

Acupuncture for Pregnancy and Fertility

Acupuncture has been used for centuries to help with fertility and pregnancy. Studies have shown that acupuncture can increase the chances of conception and improve the chances of a healthy pregnancy. We forecast growth in practitioners specializing in fertility and pregnancy acupuncture as more couples turn to acupuncture as a natural and holistic approach to fertility and pregnancy.

Acupuncture for Pain Management

Acupuncture has long been used as a treatment for pain management. Acupuncture effectively treats chronic pain conditions such as fibromyalgia, migraines, and lower back pain. In 2023, we can expect more practitioners specializing in pain management using acupuncture to relieve patients suffering from chronic pain. However, insurance coverage for acupuncture will only expand meaningfully when the Center for Medicare and Medicaid Services expands its coverage to include licensed acupuncture physicians as eligible providers.

As a safe and effective alternative treatment, acupuncture will continue to grow in popularity. With an expanding body of research supporting the effectiveness of acupuncture, the practice will continue to gain recognition and acceptance as a valuable complementary and alternative medicine.

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Massage Therapy CPT codes for 2023

Massage Therapy CPT Codes and Tips for 2023

One of the quickest ways to ensure your healthcare revenue cycle is running smoothly is to utilize the most current medical billing codes for your practice. If you code for the wrong treatment, over or under code for services rendered, or submit your claims late, then you run the risk of delayed payment and a host of other issues.

If your holistic practice offers massage therapy treatments, then you’ll want to keep this list of massage therapy CPT codes and tips handy! Be sure to bookmark this page for easy reference so that you can enjoy a streamlined medical billing process.

Essential Massage Therapy CPT Codes

Some of the most commonly used CPT codes used by massage therapists are below:

  • 97124 (Massage therapy): Describes work including effleurage, petrissage, and/or tapotement (stroking, compression, percussion) for every 15 minutes
  • 97140 (Manual therapy): Includes therapy techniques, consisting of but not limited to connective tissue massage, joint mobilization and manipulation, manual traction, passive range of motion, soft tissue mobilization and manipulation, and therapeutic massage for every 15 minutes
  • 97112 (Neuromuscular re-education): Entails the re-education of movement, balance, coordination, kinesthetic sense, posture, and proprioception in 15-minute intervals; examples include PNF (proprioceptive neuromuscular facilitation), Feldenkreis, Bobath, BAP’s Boards, and de-sensitization methods
  • 97010 (Hot/cold packs): describes the application of moist heat or cryotherapy for relaxing muscle spasticity, promotion of vasodilation, increasing lymph flow, or other situations
  • 97110 (Therapeutic exercise): use this code for therapeutic exercises applied to a single or multiple body parts to develop strength, endurance, range of motion, and flexibility within 15-minute intervals

Essential Modifiers for Massage Therapy CPT Codes

Sometimes it’s not enough to use the baseline massage therapy CPT codes – in which case, you’ll likely need to refer to these code modifiers:

  • Modifier 59: This modifier for massage therapy CPT codes indicates that two separate but similar procedures were performed on the client within the same day or time span of a few days
  • Modifier 52: Use this modifier if billing for a procedure that used a reduced modality as the provider saw fit

Billing Medicare: Timed vs. Untimed Massage Therapy CPT Codes

If your practice accepts patients who are covered by Medicare, then you’ll need to be mindful of the difference between billing for time or untimed massage therapy services.

Billing Medicare for Untimed Massage Therapy

When you choose to bill for untimed massage therapy services, you can only bill for one whole service. This means that no matter how much time you spend with your client, you’re only billing for one treatment as a whole.

Billing Medicare for Timed Massage Therapy Treatment

On the other hand, if you’re billing Medicare for a timed massage therapy treatment, then you get reimbursed based on the time spent 1:1 with the patient providing treatment. These timed codes can be billed multiple times per session.

Each code equates to 15 minutes of treatment; however, if the time spent with your client doesn’t result in an even amount of time divisible by 15, then you’ll use the 8-minute rule. Basically, after dividing the time of the session by 15, if the remainder you have is greater than 8 then you can round up and bill for an additional unit. If the remainder is 7 or less, then you’ll bill for the minimum number of units.

Here’s a handy table for referencing the 8-Minute Rule:

  • 8-22 minutes: 1 Unit
  • 23-37 minutes: 2 Units
  • 38-52 minutes: 3 Units
  • 53-67 minutes: 4 Units

Medical Billing Tips for Your Massage Therapy Practice

Keeping your healthcare revenue cycle in good health is no small feat; check out these tips for medical billing success:

First, Ensure Your Practice Is Appropriately Credentialed

Before you can bill insurance companies or government programs for your massage therapy services, your practice should be medically credentialed to bill as an in-network provider or enrolled to bill out-of-network. Credentialing is necessary for many commercial insurance companies, or government plans like Veterans Affairs. Typically, the process involves documentation and verifying all licenses, though the exact requirements differ from provider to provider.

Confirm Your Patient’s Insurance Eligibility Ahead of Time

A frequent problem when going through the medical billing process is when claims are denied or need to be reworked as a result of ineligible patient coverage information. Whether the patient is wholly ineligible for the services rendered or their information changed without being updated, this can result in delayed payments and the need to rework the claim. Be sure to confirm your patient’s information every time they come into your practice!

Be Careful to Avoid Overcoding

Due to the complexity of massage therapy insurance billing, overcoding is a common mistake. It’s important to be aware of the rules associated with all the massage therapy CPT codes to avoid delays. 

For instance, you can only bill either one of codes 97140 or 97124; you won’t be able to bill for both. Likewise, CPT code 97010 for hot/cold packs is now mostly “bundled” with codes 97124 or 97140. This means you might not be able to bill a separate fee for this service.

Transform Your Medical Billing Processes With HBS!

Balancing your practice’s online appointments, SOAP notes, billing and coding while delivering care to your patients can be overwhelming but outsourcing your massage therapy insurance billing can save you time, energy, and optimize your revenue cycle management!

As an experienced EMR and insurance billing provider for holistic practices, Holistic Billing Services can help your practice navigate the insurance billing process to minimize denials and increase revenue. With a knowledgeable partner by your side, you can focus more on treating patients to help your practice grow rather than worrying about insurance billing. 

To learn more about our massage therapy billing services, talk to one of our billing and coding experts today.

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cpt codes for massage therapy 2023

Chiropractic CPT Codes for Medical Billing: Updated for 2023!

There are nearly 11,000 CPT codes to account for all the different variations of healthcare treatments. While your chiropractic practice will only need a fraction of these codes, it’s vital that the chiropractic CPT codes are current and accurately reflect the services rendered.

If you’re utilizing chiropractic CPT codes that aren’t appropriate or are keyed incorrectly, your reimbursements can be delayed or your claims can be rejected. In any case, this will disrupt your overall revenue cycle.

Since the CPT codes are updated to some degree every year, let’s review the new changes and essential codes for your chiropractic practice!

New Chiropractic CPT Codes and Changes for 2023

All chiropractic services rendered in 2023 must align with the patient’s condition and can only be billed if they are reasonably and medically needed. 

Along with this, you’ll only bill for direct services provided to patients – care and treatment provided by the patient, unskilled assistant, or office technician without the supervision of a licensed provider won’t be recognized as professional therapy.

A majority of the CPT codes that were updated or revised for 2023 deal with simplifying the language used for evaluation/management (E/M) codes for: 

  • Inpatient and observation care services
  • Consultations
  • Emergency department services
  • Nursing facilities
  • Home and residence services
  • Prolonged services.

The American Medical Association (AMA) has more details regarding the changes for these categories of care, but some highlights include:

  • Editorial revisions to the code descriptors to reflect the structure of total time on the date of the encounter or level of medical decision-making when selecting code level for inpatient and observation care services
  • Deletion of lowest level office (99241) and inpatient (99251) consultation codes to align with four levels of Medical Decision Making (MDM)
  • Revision to nursing facility guidelines with new “problem addressed” definition of “multiple morbidities requiring intensive management,” to be considered at the high level for initial nursing facility care
  • The domiciliary or rest home CPT codes (99334-99340) were deleted and merged with the existing home visit CPT codes (99341-99350)
  • A new code (993X0) was created to be analogous to the office visit prolonged services code (99417); this new code is to be used with the inpatient or observation or nursing facility services

Essential Chiropractic CPT Codes and Modifiers for 2023

While there are numerous chiropractic CPT codes, there are four main CPT codes chiropractors use for reimbursements; each code represents a specific region of the spine that was treated. These main codes are as follows:

  • 98940: Used for the examination, diagnosis, and manipulative treatment of one to two spinal regions
  • 98941: Used for the examination, diagnosis, and manipulative treatment involving three or four spinal regions
  • 98942: Used for the examination, diagnosis, and manipulative treatment involving five or more spinal regions
  • 98943: Used to report chiropractic manipulation of one or more of the extra-spinal regions

There are additional two chiropractor modifier codes commonly used. These can be attached to certain CPT codes to tell insurance providers that some of the treatments the CPT code describes were slightly altered. 

If your selected CPT code requires a modifier but you fail to include it, your claim will likely be denied by the insurance company:

  • Modifier 25: This Modifier is used to report a significant and separately identifiable Evaluation and Management (E/M) service on a day when another service was provided to the patient by the same physician or other qualified healthcare professional
  • Modifier 59: Use this Modifier to report a procedure or service that was distinct or independent from other non-E/M services performed on the same day

When billing for these chiropractic CPT codes, remember these points:

  • Report the initial treatment procedure
  • Report the date of the X-ray if it was applied, including the X-ray film
  • If an X-ray is unavailable, a physician’s examination may be used to document subluxation. The physical examination record must reflect the subluxation.
  • Report subluxation using the recommended ICD-10-CM code
  • All treatment procedures should be categorized as maintenance therapy, chronic subluxation, or acute subluxation

Direct Patient-Chiropractor Care CPT Codes

When billing for chiropractic care, you can only quantify the time that is spent with direct patient-chiropractor care; the client waiting for equipment or resting in your office doesn’t qualify as direct care, so it can’t be billed.

Refer to these ranges of chiropractic CPT codes to find the one that is most appropriate for chiropractic services rendered:

  • 97032-97039
  • 97530-97546
  • 97110-97150

Transform Your Medical Billing with HBS!

Staying on top of your chiropractic practice’s appointments, SOAP notes, billing, and coding, all the while delivering care to your patients can be overwhelming. Save time, energy, and streamline your revenue cycle management by bundling your practice management with outsourced insurance and Medicare billing for your chiropractic practice!

As an experienced EMR and insurance billing provider for holistic practices, Holistic Billing Services can help your practice navigate the billing process to minimize denials and increase revenue. With a knowledgeable partner by your side, you can focus more on treating patients to help your chiropractic practice grow rather than worrying about insurance billing. 

To learn more about our chiropractic billing services, talk to one of our friendly billing and coding experts today!

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