BILLING & PRICING

When dealing with medical billing and collection, we will treat our patients with honor, dignity, and courtesy. We will demonstrate compassion; and be good stewards of health care resources. We have a zero tolerance for false, deceptive, or misleading language or collections conduct as it relates to our services and care.

Please take your time to familiarize yourself with our pricing options and our billing practices.

CONTRACTED BILLED AMOUNTS:

The billed amounts that appear on your EOB are based on contractual agreements between LWIM and insurance carriers that our providers are in network with, they are not determined by our office. Furthermore, these amounts are not reflective of the amounts paid to LWIM for services provided.

CASH PRICING & DISCOUNTED RATES:

NEW PATIENT VISIT = $135.00

RETURN PATIENT VISIT = $95.00

BLOCKS OF TREATMENT:

6 VISITS = 3 payments of $180.50 (5% DISCOUNT)

12 VISITS = 3 payments of $342.00 (10% DISCOUNT)

18 VISITS = 3 payments of $484.50 (15% DISCOUNT)

(Blocks of treatment decrease the rate of New Patient visits as well as providing a discounted rate for each prepaid treatment.)

PLEASE INQUIRE ABOUT DISCOUNTED RATES FOR OUR SENOIR COMMUNITY.

DO I HAVE COVERAGE FOR ACUPUNCTURE?

Coverage varies with each insurance company. Please refer to your insurance member handbook or call your insurance company with questions regarding benefits and covered services. Our staff members do not know whether acupuncture will be covered. Your insurance plan may not always cover medically necessary and appropriate services. For questions to ask when you contact your carrier please use the insurance guide.

2

WHEN DO I PAY MY CO-PAY?

If your insurance card indicates copay is required, you will be asked to pay it when you complete your appointment. LWIM accepts all major credit cards and debit cards.

3

WHEN WILL I RECEIVE A BILL?

If your insurance information was provided when you registered, you will not receive a bill until your insurance company has:

  • denied the claim

  • paid a portion of the claim leaving a percentage of the balance subject to co-insurance, deductible, or non-covered service for which you are responsible

  • determined your coverage is not valid or cannot be verified for the date the services were provided

Payment of your bill is ultimately your responsibility and due upon receipt of your first statement.

4

HOW DOES LWIM BILL MY INSURANCE?

Each service a patient receives during an office visit has an American Medical Association code associated with it.

  • CPT (current procedural terminology) codes identify the services performed and the reason they were performed.

  • ICD-10 (international classification of diseases) codes specify the diagnosis associated with your visit.

The claim for your visit includes these codes. They inform your insurer of the services provided and why they were provided.

LWIM CPT CODES ARE LIMITED TO:

99201-99204 New patient first acupuncture visit including the initial detailed assessment and intake

99211-99214 include periodic follow-up evaluations (every 30 days or every sixth visit with established acupuncture patients.

97810, 97813, 97811, and 97814 all include acupuncture treatment with or without electrical stimulation and a limited evaluation.

97140 Manual therapy techniques involving one or more regions of the body.

97026 Infrared light therapy. This code may or may not be paid, regardless this balance is never billed to patients.

PLEASE NOTE: By definition, manual therapy techniques include: mobilization/manipulation, manual lymphatic drainage, manual traction and cupping. If provided for less than 8 minutes, the service will not be billed to the payor. This code may impact your massage benefits so please review this with your carrier before your visit.

Acupuncture Close Up

PLEASE REACH OUT TO US WITH QUESTIONS

If you have questions about the billing process we are more than happy to help you so feel free to contact the office with questions about your care and coverage. It is our goal to make this process as easy and clear as we possibly can to avoid surprise bills or misunderstandings... Thank you in advance for your patience and cooperation.