One that you can say about billing, coding & documentation for your chiropractic services is that it is constantly changing. This certainly may cause frustration to many DC’s who believe they are doing things right only to find out that their claims are suddenly rejected, additional paperwork is requested or – in the worst case scenario – a post-payment audit demands money back.
I’m not much of a conspiracy theory guy but it does indeed look, at times, as if the insurance payers are constantly changing the rules to cause us to stumble. Fortunately, I am sick and twisted enough to enjoy watching THEM and reporting new changes and challenges to YOU.
Here’s the latest in the way of insurance shenanigans that is making its way across our country in the form of your E/M codes. Read More
Mistakes happen. The average busy chiropractor either fails to bill, code and document services correctly and unfortunately, their staff also misses it. The claim hits the insurance company with the bad info intact.
Next, the DC contacts me with a series of questions, depending on the situation… Read More
Medicare has been particularly active lately in attempting to educate chiropractors about errors that we have been making in respect to billing Medicare for chiropractic services. Over the past month or so, several Medicare carriers (Noridian, Palmetto, NGS, etc) have held training sessions, webinars and teleseminars dedicated to reviewing “the rules” for proper chiropractic billing, coding and documentation in Medicare. All told – these carriers represent approximately 50% of US Chiropractors – so it may be worth paying attention to what they are saying.
Below are quotes from the auditors conducting CERT reviews for these carriers as to why services were denied, billing was incorrect or documentation was considered substandard. Read More
If one can judge a year by the amount of changes taking place, 2012 is sizing up to be a big one.
In this, we received word of two significant items for which chiropractors should take note. Read More
At one point in time, virtually every business owner – chiropractors included – has asked the question “How can I improve my income?” Today’s post will discuss this mega-dilemma of nearly all entrepreneurs.
Before we discuss potential solutions, allow me to throw another question at you:
HOW do you want to increase your income? Read More
Some of you may get tired of hearing how dangerous errors in your chiropractic billing, coding or documentation practices may be. I certainly have sat through more than my fair share of seminars where it appeared that the main motive of the speaker was to scare you straight. Furthermore, from the data extracted from most chiropractic reviews done by Medicare and other payers, we have ample evidence that we should be more than a bit worried.
Since I am a bottom line fanatic, let’s look at this from another angle: what could chiropractic billing, coding or documentation errors cost you? Obviously, the flip side of this question is, if you do it right, how can sound strategies in this regard help you improve your business? Read More
One of the most common questions that I get around here is on EMR. Everyone wants to know what’s the best EMR system to use or when is a good time to implement EMR or how to implement EMR. You get the idea.
Those of you who have read or heard my thoughts on EMR know that I dance all around this issue constantly. It’s not that I think EMR is a bad idea. On the contrary, most of my clients utilize EMR in their practice. It helps them improve their documentation, compliance and practice management.
Notice I said, most — not all. Read More
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
By request, we have taken our popular seminar and brought it into your home/office via WEBINAR! Read More
For those of you who did NOT attend my recent seminars in the Northwest, here are a few items you missed!
For those of you who attended, as promised, here are the specific references and places to go for the information that was not included in your notepacket.
P.S. If you did NOT attend my recent seminar, be sure to read the bottom of this post for a Special Offer!!
P.S.S. Seminar attendees — I used this picture above to stimulate your memory to…stop giving it all away! Read More