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Date Posted: Sun, Feb 10 2002, 7:51:15
Author: John Angell
Subject: Re: Practice in Washington
In reply to: 's message, "Practice in Washington" on Tue, Jan 01 2002, 18:48:04

Your question is really "too big" to answer fully here. But here is a short answer.

I am not a chiropractor - but a billing consultant. Some DC's feel that the states laws bring DC's back to the roots of chiropractic, while others find them restrictive.

Muscle Stim & ultra sound are out side the scope of DC's. Also in-office exercise equipment.

Some DC's do use traction tables, and do bill for this. Heat & ice therapy is billable, however getting insurance companies to may is another story.

You may have a problem with billing for myofacial release only becase, depending on how you bill it and do your chart notes - this code is "bundled" into the adjustment codes and considered part of the adjustment. This is not just for this state, but nation wide with cpt coding.

One business comment - is without all the added stuff, your overhead is lower - show your profit margin is higher - consider that.

I hope this helps! - John

>I have a few questions about practice in the state of
>Washington. My main question is if it is possible for
>a non-straight DC in WA to make a good living? I have
>noticed that many practices in the state seem to be
>large and have a high resale value when compared to
>many other states that may have a wider scope. Is
>this due to high volume practices that only do
>adjustments? Can a DC bill for other services such as
>myofacial release, traction, heat, etc.? What effect
>has managed care had in the state? Any answers would
>be greatly appreciated. I would like to avoid any
>debates about what is chiropractic and what is not on
>this forum.
>
>Thank you

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Replies:

  • Re: Practice in Washington -- Dr Lynn Bamberger, Thu, Mar 14 2002, 12:25:55
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