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 go around. Instead by “slop” I am referring to a much more broad-based problem that encompasses a lack of legibility, lack of completeness and a lack of effort.
Yes, sloppy, incomplete and lazy documentation will get you in trouble. Worse, there is little to no defense on your part. No auditor is ever going to call you up and ask you to translate your hieroglyphics that are masquerading as your notes. No nurse who is reviewing your notes (yes, many nurses and few DC’s will ever see your documentation) and ask you to explain exactly what you mean by your chiro-speak. And unless you are very unfortunately called into court, you will not get the chance to explain your rationale for care, the kinetic chain and why you adjusted the patients big toe when their only chief complaint was neck pain (and if you are, you may be even less fortunate than the DC whose care was just denied in the first place).
Here it is, served up unadorned on a tin platter for your eatin’: like it or not, in 2013, you’ve got to change your documentation “slop” — or else.
Now that we got that big glass of cheer out of the way, here’s how: Read More
Medicare Interest Rate to Go Up With Overpayments
As Medicare Part B Providers, chiropractors (and other physicians) will pay Medicare contractors more in interest for unrecouped overpayments and delinquent unrecouped underpayments in the fourth quarter of 2012. According to a recent announcement by CMS, Effective July 18 (start of Medicare 4th Q), the interest rate will increase to 11%.
So, if you’ve been hit by a Medicare audit or are facing post-payment demands, your worst move is to do nothing! Either pay up or appeal to get the amount reduced, but don’t just sit there – as interest in racking up.
Not sure what to do, what you’ve done wrong or how to fight back? Read More
As the stimulus window winds down, the chiropractic EMR race has really heated up here lately with companies competing for your dollars and as much stimulus funding as possible.
In your search for the best fit EMR system, be careful of a few “traps” that are hiding in the fine print or in dark shadows. Just as every industry has ways to pump up profits and “upsell,” here are a few things to be aware of when trying to compare apples to apples. Read More
In case you haven’t heard, several deadlines have been detoured lately – some pushed back, some here, some coming who knows when…. Here they are, followed by some commentary: Read More
This year, there will be some major changes that will definitely need to be tracked along with some trends you definitely want to pay attention to. Here they are… Read More
If you think the pace of all the new rules and regulations is a little too much like a runaway train, you are not alone!
EHR, HIPAA 5010, ICD-10, OIG Compliance, Medicare PRQI, etc, etc
In fact, 39 different healthcare associations have told the Feds to just slow down and quit interfering with our businesses by giving us new hoops to jump through.
Unfortunately, some of us won’t even know what hit us when these new rules go into effect. Some pack fines, others will cripple your cash flow. Still others we should delegate or dump altogether.
While I don’t have the space in this blog to go over every potential rule/regulation affecting chiropractors, here’s the Executive Summary of the ones to pay the most attention to: 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
Medicare carrier Noridian Administrative Services (which administers Part B claims in Alaska, Oregon, Washington, Arizona, Montana, North Dakota, South Dakota, Utah and Wyoming) recently updated and reprinted a notice on Chiropractic Software-Generated Documentation that I think can serve to educate us as a profession.
Incidentally, although your specific carrier may not be Noridian, you should take note that most Medicare carriers generate the exact same news releases, alerts and notices each week so I wouldn’t be surprised if you don’t receive a similar “reminder” from your carrier. Even if you don’t the information contained and summarized below can be crititical towards getting claims paid as well as avoiding denials and postpayment audits.
Apparently, the piece was generated because Noridian has seen an increase in the use of software-generated documentation for chiropractic services. In and of itself, there is certainly nothing wrong with using EMR or even any form of computerized notes. So what’s their beef? Read More
The recent release (July 16, 2010) of the “Final Rule” regarding Meaningful Use criteria and EHR (Electronic Health Records) Financial Incentives has certainly prompted lots of questions from many chiropractors about how to obtain stimulus dollars for their EHR / EMR systems and what they need to do to qualify.
Below is a summary of some key points regarding EHR eligibility for those of you who don’t care to read the original documents or fact sheets on Meaningful Use and EHR Financial Incentives in their entirety: Read More