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Chiropractic Documentation Date Dangers to Avoid
Chiropractic Documentation Date Dangers to Avoid avatar

Written by Tom Necela, DC, CPC, CPMA, CCP-P on March 31st, 2011

Recently I received an email from an auditing group to which I belong that offered some nasty little tips that auditors can use to easily recoup money from physicians, including chiropractors.

First, let me pause and clarify one point. Although I do have a certification as a professional medical auditor (and as of this writing am the first and only chiropractor to do so), I do not use this to audit chiropractors. In fact, I received this training so that I can more fully understand what auditors are looking for and to protect YOU.  Today’s blog post is a perfect opportunity to use this. Read More

5 Verification Mistakes That Chiropractors Make That Put Their Income at Risk!
5 Verification Mistakes That Chiropractors Make That Put Their Income at Risk! avatar

Written by Tom Necela, DC, CPC, CPMA, CCP-P on March 22nd, 2011

As we discussed in my last post, Expedited Agreements and Other Fee Negotiation Scams Waged at Chiropractors, insurance payers are continually rolling out new tactics to avoid releasing claim payments or to minimize reimbursements.

Accordingly, your standard operating procedures may longer be sufficient to get you paid for all the good work you do. One overlooked but vital tool to accomplishing this is your Insurance Verification Form. As such, now may be time to enhance your verification of benefits to insure that emerging claim processing tactics are identified and thwarted.

Unfortunately, most chiropractic offices are employing few, if any, of these tactics. Instead, they are doing insurance verification, “the way we have always done it” and getting the same (or worse) results. Read More

Expedited Agreements and Other Fee Negotiation Scams Waged At Chiropractors
Expedited Agreements and Other Fee Negotiation Scams Waged At Chiropractors avatar

Written by Tom Necela, DC, CPC, CPMA, CCP-P on March 9th, 2011

Many of you have probably received a letter similar to the one pictured below offering you “expedited” handling of the reimbursement owed on an outstanding claim.

This scam is being used by a number of different companies who contract with payers to primarily (but not exclusively) target out-of-network providers.  These letters, which are often received by fax, propose to “expedite payment and decrease the patient’s responsibility.”

While this sounds admirable in theory, a quick look at the math behind this proposal will illustrate why you should feed such documents to a hungry shredder as quickly as possible. Look at the example below: Read More

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