Billing for Rehab and Manipulation

[freshprincechir]

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Hi,

I am a chiropractor who will be attending a podiatric medical school in Jan (I won't be getting into the personal reason why I made my switch) But I have some questions to field Podiatrists. I would like to know if I can bill for F & A rehab (passive and active) or extraspinal segment manipulation (for foot and ankle) with my DPM license.

I know that this would vary state to state and also know that this would not apply to medicare/medicaid patients but to general insurance carrier, can a podiatrist use physical medicine (i.e. osseous joint adjustment, and rehabilitation) in her/his practice and be able to bill for it.

your input is greatly appreciated.

thanks

 

[347932]

Hi,

I am a chiropractor who will be attending a podiatric medical school in Jan (I won't be getting into the personal reason why I made my switch) But I have some questions to field Podiatrists. I would like to know if I can bill for F & A rehab (passive and active) or extraspinal segment manipulation (for foot and ankle) with my DPM license.

I know that this would vary state to state and also know that this would not apply to medicare/medicaid patients but to general insurance carrier, can a podiatrist use physical medicine (i.e. osseous joint adjustment, and rehabilitation) in her/his practice and be able to bill for it.

your input is greatly appreciated.

thanks

Nope

 

[PADPM]

I guess I'm out of the loop. Starting school in January??

 

[questiondoc]

What if he keeps his DC current along with his Dpm carries malpractice for it and has a Medicare/Medicaid number. What is to keep him from practicing both?

 

[freshprincechir]

maintaining two professional licenses and two different malpractice are definitely possibilities. But for the liability reasons, I do not think it is smart to have 2 "specialities" in one practice. Besides, as far as my experience goes, every insurance companies only allows a doctor to choose one specialty for reimbursement purpose. Then again, I can always carry two malpractices and charge cash for extra services that may not be covered under conventional podiatry service.

 

[347932]

What if he keeps his DC current along with his Dpm carries malpractice for it and has a Medicare/Medicaid number. What is to keep him from practicing both?

I think, although I may be misunderstanding the whole premise here is that this is something that is a cash pay services for Chiropractors. So I think the OP is asking whether as a DPM these items are now billable through insurances.

The answer is that these are not covered services by ANY insurance regardless of title. If I've misunderstood, my apologies.

 

[NatCh]

I know there's a code for manipulation of the foot. I think it's the one physical therapists use. I'd look it up but I'm not in the office right now. You can bill it but you might get a denial.

If you would be licensed as both a DPM and a DC, and wanted to market towards that crossover niche, you might be better off billing cash payment anyway. I know that on the running forums I frequent there are always numerous people asking whether they should see a chiropractor or a podiatrist for their foot problem.

 

[PodunkUDPM]

sounds like a conflict of interest could arise?

 

[NatCh]

sounds like a conflict of interest could arise?

In what way?

 

[freshprincechir]

sounds like a conflict of interest could arise?

that could be true if i ever want to treat neck, shoulder thoracic condition etc as a DC/DPM. When I finish my DPM school, I will only use "chiropractic" that is related to lower extremity condition like bunion, simple ankle inversion, plantar fasciitis etc etc.

NatCh, thank you, doc. I will look into the ICD codes when I have the chance.