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 depicted the impact of identity theft on healthcare fraud. The graphic illustrated a little mentioned problem in the hunt for fraud and the audit frenzy that is occurring in today’s healthcare: thieves can steal a person’s (or doctor’s) identity and bill for services to receive reimbursement. And it’s happening all the time. Witnessed the millions recovered by Medicare for fraudulently billed DME (for example, wheelchairs provided and paid for by Medicare to dead people).
Before you think chiropractic is immune, think again of a larger issue that enables fraud to happen: patient’s no longer understand their health insurance. And if they don’t understand insurance, they are not only more apt to be victims of crime but also to not reap the full benefits due them. They are more likely to encounter problems that may get them upset at you. And, in turn, less likely to want to use their insurance for your care, thus, reducing your income.
With that in mind, below are a few vital, proactive strategies that chiropractors can employ to minimize our audit risk and to preserve good patient relationships: Read More