Chiropractic Targeted in OIG’s 2014 Audit Plan

Each year, the Office of Inspector General (OIG) publishes their yearly “work plan” which summarizes new and ongoing reviews and activities that OIG plans to pursue with respect to HHS programs and operations during the current fiscal year (FY) and beyond.  In plain English, the OIG Work Plan shows the latest targets that auditors will focus on with respect to …

adminChiropractic Targeted in OIG’s 2014 Audit Plan

Eliminating the Auditor’s “Ace in the Hole” & Improving Chiropractic Compliance

Truthfully, most chiropractic billing experts would agree it’s a bit sneaky. But it is technically “by the books” so you can’t fault payers like Medicare or other commercial payers for going to their auditing “ace in the hole” when necessary. When I first read of payers using this audit trap, I admit that I thought that it was a blatant …

adminEliminating the Auditor’s “Ace in the Hole” & Improving Chiropractic Compliance

Chiropractic Documentation: What Exactly are Objective Measures?

[leadplayer_vid id=”5357E2B0C7A96″] The denial is plain in black and white, but you still don’t understand it.  The payer states that the service is denied (or that you must pay it back) because your documentation lacks “objectively measurable” goals. You are befuddled.  To you, the patient’s progress can easily be seen. And you documented that. So what exactly are these “objective measures” …

adminChiropractic Documentation: What Exactly are Objective Measures?

Simple Strategies to Avoid Trouble with Chiropractic Tx Goals, PRN & Maintenance Care

Many chiropractors dangerously dance right into the grey area with respect to treatment goals between medically necessary care, maintenance care and PRN care. Unfortunately, every payer requires a treatment plan and without one, your claims could be deemed maintenance. Worse, depending on your office procedures, your fee policies on “cash” or “time of service” patients who may be receiving maintenance or PRN …

adminSimple Strategies to Avoid Trouble with Chiropractic Tx Goals, PRN & Maintenance Care

Good News About Aetna’s Policy on Chiropractic & Manual Therapy (Maybe)

[leadplayer_vid id=”5357E43A6B39A”] Over the past several months, I’ve written about Aetna’s medical policy decision to deny payment for Manual Therapy (97140) and your chiropractic adjustments (98940-42) when performed on the same day – (see Aetna Denials for Manual Therapy, Part 1 and Part 2) This policy, which began rolling out late in 2012 and went into full effect nationally on …

adminGood News About Aetna’s Policy on Chiropractic & Manual Therapy (Maybe)

What Chiropractic EHR System Do I Recommend and Why?

One of the most common questions that I get in my billing, coding & documentation seminars, via my blog, and from my consulting clients is this: what EHR do you recommend? Let’s first establish a few very important points: Consider These Things FIRST in Your Decision Making Process 1) WHEN, Not If.  In my opinion, moving to EMR is a decision …

adminWhat Chiropractic EHR System Do I Recommend and Why?

Small Chiropractic Documentation Errors That Lead to Big Problems

With auditors examining our every move, many chiropractors are growing increasingly concerned about the state of their documentation.  Here’s the really bad news: as a Certified Professional Auditor and Professional Coder myself, I have reviewed countless chiropractic records and many DCs have good reason to worry. Here’s the good news: this article will teach you how to avoid surprisingly common …

adminSmall Chiropractic Documentation Errors That Lead to Big Problems

Avoiding Chiropractic Documentation Slop & the Slap That Follows (Part 8 of 13 Things Series)

Despite all the warnings, ranting, raving and rumors about audits, there is still a lot of — for lack of a better term — chiropractic  documentation “slop” out there. I use the term “slop” as opposed to “sloppiness” because I am not simply referring to messy or illegible handwriting on chiropractor’s notes, although there is definitely plenty of that to …

adminAvoiding Chiropractic Documentation Slop & the Slap That Follows (Part 8 of 13 Things Series)

Aetna Denials for 97140 Manual Therapy and Chiropractic Adjustments (Again!)

If you haven’t been personally afflicted by the latest round of shenanigans from Aetna in regards to bundling chiropractic adjustments and manual therapy (97140), be forewarned – Aetna’s abusive practice is spreading quickly.  Over the last several weeks, I have been inundated with emails from perplexed chiropractors in all parts of the country who have suddenly noticed that their 97140 …

adminAetna Denials for 97140 Manual Therapy and Chiropractic Adjustments (Again!)

Why Your Chiropractic Assistant, Fraud, & Insurance Verifications are Ruining Your Revenues ( & What Chiropractors Can Do About It)

These days, it’s tough to tell where problems start.  Some of you know you, doctor, are the primary contributor.  For others, it’s the staff.  Still others feel it’s insurance or even healthcare at large. You all may be correct – which is why this article may help point you in the right direction… Recently, I saw an interesting graphic that …

adminWhy Your Chiropractic Assistant, Fraud, & Insurance Verifications are Ruining Your Revenues ( & What Chiropractors Can Do About It)