10/24/2025
True Story: Preventing Denials and Speeding Up Payments
One of our billers recently ran into a few recurring issues with one of our chiropractic accounts, and through some proactive steps, she’s been able to prevent denials and improve first-time payment accuracy.
Early on, she was seeing denials for chiropractic manipulation codes 98941 and 98943. Both codes were documented in the same paragraph of the clinical records, and if the claims analyst didn’t read carefully, the second code was often denied.
Now, when she uploads records, she includes a short note pointing out the exact page, paragraph, and sentence where both codes appear. This small step has made a huge difference in achieving first-pass payment accuracy.
She also noticed denials for X-ray claims with multiple views when all three weren’t clearly labeled or reviewed. To prevent that, she now uploads those reports separately and includes references to the page and section where each view is documented. It’s a few extra clicks, but it saves a lot of time and ensures clean, accurate payments on the first submission.
Small details—like clear references and proper labeling—go a long way in keeping claims moving smoothly and payments coming in faster.