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Specialty billing

Acupuncture Billing Services

Insurance billing that actually works for acupuncturists.

Acupuncture billing sits in a strange middle ground: Medicare covers it only for chronic low back pain under specific rules, commercial coverage varies wildly by plan, and many acupuncturists leave insurance money uncollected because billing feels like more trouble than it is worth. We fix that.

What we handle for you

01Medicare chronic low back pain coverage

Medicare covers up to 12 acupuncture visits in 90 days for chronic low back pain, with 8 more if the patient improves. The documentation and supervision requirements are strict. We make sure claims meet every requirement.

02Timed acupuncture codes (97810-97814)

Initial versus additional sets, with and without electrical stimulation. Billing the right combination per visit makes a real revenue difference across a month of patients.

03Verifying acupuncture benefits

Coverage varies dramatically between plans. We verify acupuncture-specific benefits, visit limits, and patient cost share before every new patient starts care.

04ASH and specialty network billing

Many plans delegate acupuncture to networks like ASH with their own fee schedules and authorization rules. We know how these networks work and bill them correctly.

05Superbills versus direct billing

If you have been handing patients superbills and hoping, we can show you what direct insurance billing would actually collect.

We bill 97810, 97811, 97813, 97814, evaluation codes, and adjunct therapies where covered, with the documentation payers require.

See what your billing is leaving on the table.

Free billing review. We look at your last 90 days of claims, find the leaks, and show you exactly what fixing them is worth. No commitment.

Request your free review →

Or call (323) 327-2764 · contact@healthflowbilling.com