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Acupuncture Claims


Acupuncture is a safe ancient form of Chinese medicine received by millions annually.  According to the National Institutes of Health reports that acupuncture is one of the most common forms of alternative medicine covered by insurance.

120216-N-PB383-414 ARABIAN GULF (Feb. 16, 2012) Cmdr. Yevsey Goldberg conducts an acupuncture procedure on a patient aboard the amphibious transport dock ship USS New Orleans (LPD 18). New Orleans and embarked Marines assigned to the 11th Marine Expeditionary Unit (11th MEU) are deployed as part of the Makin Island Amphibious Ready Group, supporting maritime security operations and theater security cooperation efforts in the U.S. 5th Fleet area of responsibility. (U.S. Navy photo by Mass Communication Specialist 2nd Class Dominique Pineiro/Released)

During the first session, a practitioner inquires about the patient’s health and medical history, and examines the pulse and tongue. Practitioners ask about the medical ailments the patient hopes to treat and medications currently taken. Fees for an initial medical consultation and an acupuncture session where thin, sterile needles are inserted into pressure points in the skin, should be paid for with a medical claim.

During this session the practitioner also determines the appropriate number and duration of follow-up visits to treat the medical condition. Costs are similar nationwide and don’t vary greatly between clinics and private practitioners. Fees for an initial visit range from $75 to $95. Routine visits cost $50 to $70.  

Many practitioners recommend patients take specialized Chinese herbs, such as ginseng and gui pi wan, that are designed to supplement the acupuncture. These types of supplements may not be covered under medical claims.

Acupuncture_Needles

While clinic practices vary, some practitioners also accept gratuities of 15 to 20 percent of the bill. Gratuities are generally not paid and not considered compulsory. For a claim to be fully paid, there must be an appropriate diagnosis to establish the medical necessity of the procedure.

Coverage for any claim should be verified before treatment from a clinic or private practitioner. Verifying coverage and communicating clearly with the patient regarding essential and optional services can minimize concerns and ensure claims are processed timely. Contact us today at Apex EDI and we can help you with your claims today!

Articles with this disclaimer may not represent the beliefs or core values of Apex EDI. The above is simply a summary taken from the industry’s general community to help readers stay up-to-date on what people are talking about.

 

Posted in: Acupuncture Claims

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