Increase your Billing. Do and bill for “Neuromuscular Reeducation Code 97112.” *Don’t forget to put on a billing modifier code if you do the NMR with a CMT (adjustment) Neuromuscular Reeducation NMR is “reeducation of movement, balance, coordination, kinesthetic sense, posture, and proprioception, each 15 minutes.” These are the things you want to be doing anyway to ultimately reverse a patient’s condition. It’s not just about symptomatic relief, right?
Here’s how you do it. Document 3-5 minutes of PNF stretching (Proprioceptive neuromuscular Facilitation) That’s soft tissue work. If you touch the patient you can justify the work. Just name the muscle worked. Purchase a BAP’S BOARD or WOBBLE BOARD and put one in every treatment room or make one room exclusively for this type of rehab. Have the client balance on the board for 2-3 minutes (attended). Your procedure is complete. Three things happened: You dramatically increased your rehabilitation of the patient, you can bill more for a justified procedure and you get fantastic patient retention! I know for a fact that few chiropractors do this procedure. The patients remember it, it’s fun, it’s challenging, and they will always tell you “my other chiropractor never did anything like this.”
Added incentive #1: Keep a supply of the boards in stock because the patients WILL want to purchase one for home use. Name your own price. A simple wood board can be sold for $30-50$.
Added incentive #2: You can bill the patient for doctor supervised instructions on how to use the equipment at home. Use Code 97535 Self Care/Home Management Training. Examples of notations include, Activities of Daily Living ADL’S and Compensatory Training, Instructions In Use Of Adaptive Equipment.
*These codes can be used if they purchase other equipment too (back cushions, lumbar belt, wrist splint, anything) Bill for your time! It’s valuable
Dr. Perry Nickelston, DC
1-866-595-7749 Ext. 102