american idol

What Chiropractors Need to Learn from American Idol

There’s a big lesson we all can learn from American Idol as chiropractors and the good news is that you don’t have to be a fan (or even have watched the program) to benefit.  It applies directly to the bottom line of our business and the core strategies of getting patients to stay pay and refer.  Here it is: Many …

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snail computer

How to Avoid the Chiropractic Documentation Slow Down

Recent surveys have indicated that EMRs are causing doctors to lose 48 minutes per day (literally slowing down their pace) which is…umm…exactly the opposite of most chiropractor’s goals for utilizing an EMR system and for  accelerating their practice growth in general. But this is largely the doctor’s fault and totally preventable, in my opinion. I know that you didn’t want …

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unhappy medicare letter2

The Medicare Letter 66% of Chiropractors Could Be Receiving

According to Railroad Medicare (administered by Palmetto), 66% of chiropractic claims in the first quarter of 2015 (January-March) were incorrectly paid and Medicare wants its money back. Palmetto recently reviewed a sample of nearly 20,000 chiropractic claims which included only the CPT codes 98940 (Chiropractic Manipulative Treatment (CMT); Spinal, 1-2 regions) and 98941 (CMT: Spinal, 3-4 regions). Of the claims …

adminThe Medicare Letter 66% of Chiropractors Could Be Receiving
volcano

Beneath the Surface Chiropractic Billing Problems & Opportunities

Most chiropractors have a wealth of problems (and opportunities) bubbling beneath the surface of their chiropractic billing department (regardless of whether it is in-house or outsourced). I’m not peeking over your shoulder at the moment so I can’t say for certain which specific problems your chiropractic practice is experiencing. Generally speaking though, there’s a finite number of mischievous players who …

adminBeneath the Surface Chiropractic Billing Problems & Opportunities
ICD-10 hurdle

Senate Passes SGR Bill Which Means No ICD-10 Delay for Chiropractors

Yet another hurdle has been jumped by the ICD-10 horse as we head towards the inevitable date of October 1, 2015. Chiropractors who are hoping for a political procrastination will be disappointed by the Senate’s recent vote on the SGR bill which passed and included no ICD-10 delay.   (To read all about it, click the link). In the meantime, when …

adminSenate Passes SGR Bill Which Means No ICD-10 Delay for Chiropractors
pointing at himself

Why YOU May Be the Biggest Obstacle in Your Practice

  If we were completely honest with ourselves, most chiropractors would be forced to admit that the biggest obstacle in the way of practice success is…us. You’ve probably heard that while most consumers think they are making buying decisions based on logic, marketing research shows that we actually buy based on emotion.  Unfortunately, I’ve observed that the vast majority of chiropractors are guilty …

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stop audit-notice

How to Reject Chiropractic Refund Requests in 2015

5 years ago I wrote an article in Dynamic Chiropractic magazine entitled “What to Do About Refund Requests” that struck a collective nerve throughout our profession and beyond. In that article, I offered a sample letter to “reject” the payer’s request for repayment (which still should be your proper course of action in the majority of cases). Since that time, …

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mastering the chiropractic medical necessity maze

Mastering Chiropractic Medical Necessity in 2015 (Part 2)

  In Part One of this article, we looked at a few medical necessity “traps” that are plaguing chiropractors.  In other words, things NOT to do when attempting to document or meet criteria for medically necessary care. We also discussed that one of the challenges with mastering the maze of medical necessity is that the definitions may vary from payer …

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medical necessity confusion

Mastering Chiropractic Medical Necessity in 2015 (Part 1)

Eventually, most of us will receive an insurance denial claiming that our chiropractic services were not “medically necessary.” Certainly, this is a frustrating experience. After all, who is more knowledgeable about our patients’ needs than we are? Most of us understand the concept of medical necessity and are aware that our services are reimbursable only when deemed medically necessary. For …

adminMastering Chiropractic Medical Necessity in 2015 (Part 1)
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Chiropractic Services Rank #1 on Medicare’s List

  Chiropractic services ranked #1 on Medicare’s recent report of the top 20 services with the highest rates of improper payments as detailed in the recently released Medicare Fee-for-Service Improper Payments Report. Unfortunately, the claims of chiropractors came in at a whopping 54.1% error rate – meaning that (according to Medicare’s opinion) CMS should not have paid chiropractors in 2014 …

adminChiropractic Services Rank #1 on Medicare’s List