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What Modifiers Are Necessary On An Acupuncture Claim?

June 17, 2021

Click here to download the transcript. Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  Due to the unique language of acupuncture, there will be errors, so we suggest you

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21st Century Cures Act vs HIPAA

Billing & Coding: 21st Century Cures Act vs HIPAA

June 12, 2021

Is the 21st Century Cures Act different from HIPAA? The answer is Yes! Welcome to your billing and coding weekly solutions by American Acupuncture Council Network (AAC). Is the 21st Century Cures Act different from HIPAA? The answer is Yes! The 21st Century Cures Act is different from HIPAA in

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Tri-West VA Claims Processor ID changes on June 9

June 8, 2021

TriWest Healthcare Alliance’s (TriWest) new claims processor – PGBA – will start accepting and processing all Department of Veterans Affairs (VA) Community Care Network (CCN) health care claims and any remaining Patient-Centered Community Care (PC3) claims effective June 9, 2021 VA claims must now be submitted under a new Payer

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Patient Access to Health Care Records

Billing & Coding: Patient Access to Health Care Records

June 6, 2021

The Cures Act specifies that clinical notes collected in an “electronic format” must be made available in that format. Practices may continue using paper charts, thus if you are not using electronic health records… Welcome to your billing and coding weekly solutions by American Acupuncture Council Network (AAC). All healthcare

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Time & Level of E & M Part 2

Billing & Coding: Time & Level of E & M Part 2

May 27, 2021

Time is now a specific parameter to choose the level of E&M and is not just time face-to-face, but represents the total provider time spent on the date of service. In Part 2 the remaining five specific examples for eligible E & M time include… https://www.youtube.com/watch?v=2-9EcUsG7Ho Welcome to your billing

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GP Modifier Being Adopted By Additional Anthem Plans

May 23, 2021

Modifier GP is being adopted by additional carriers as a requirement for reimbursement of physical medicine services. This always therapy modifier is required by United Health and its affiliates since 2020. The modifier GP is also required for VA claims and Medicare and Medicare Advantage plans. However, as reported in

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Billing & Coding: Time & Level of E & M Part 1

Billing & Coding: Time & Level of E & M Part 1

May 22, 2021

How does time factor into choosing the correct billing code for evaluation and management (E&M)? Time is now a specific parameter to choose the level of E&M and is not just time face-to-face, but… Welcome to your billing and coding weekly solutions by American Acupuncture Council Network (AAC). How does

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Billing & Coding:Standard Health Insurance

Billing & Coding:Standard Health Insurance

May 15, 2021

There are several ways an acupuncturist can be paid and one of those avenues is standard health insurance. Some health insurance plans cover acupuncture… Welcome to your billing and coding weekly solutions by American Acupuncture Council Network (AAC). Are you looking for ways to diversify your income and expand your

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Acupuncturist reviewing patient documentation at a desk in a treatment room

Documentation That Makes Every Claim Defensible

Accurate acupuncture documentation helps connect clinical findings, treatment decisions, and billed services. Learn how to strengthen medical records, support coding, prevent avoidable claim denials, and manage insurance appeals with a consistent documentation workflow.

Acupuncture practitioner placing needles beside the headline “Fewer Claim Denials — Start With Coding Accuracy.”

Coding Accuracy is the Fastest Path to Fewer Denials

Accurate acupuncture billing starts with the right codes, complete documentation, and payer-specific requirements. Learn how to review claims before submission, identify recurring coding errors, and build a more consistent denial-prevention workflow.