For many chiropractors, the phrase “medical necessity” represents a vague, perhaps arbitrary or even precarious invisible standard we are all supposed to meet.  It is one that all third party payers require but is surrounded by little in the way of concrete understanding.

I have communicated with many frustrated chiropractors who feel that the concept of medical necessity is often arbitrarily applied or is representative of a reviewer’s opinion.  Finally, when our claims – all or part – are denied or reduced due to lack of medical necessity, it creates a feeling of an “us vs. them” mentality with regards to the third party payer, Independent Medical Examiner or other review entity that gave us the denial.

When our claims are denied for other reasons — bundled services, non-covered services,  etc — it is equally frustrating.

Today’s blog post is a rare bird  – it’s a direct advertisement for a FREE webinar I will be teaching sponsored by ChiroCode — but I believe

the subject matter is pressing enough to use this blog as a platform to educate all of you on this topic.

The FREE webinar is entitled When and How Chiropractors Can Fight Insurance Denials — and Win

My hope is that you will make time out of your busy day to listen in to this webinar on the vital topic

of getting you paid for the work that you do.  In this webinar, I will reveal strategies needed by you, as the doctor of chiropractic,

to prevent errors and problems in the payment cycle. In reality, the denials can come directly from the insurance, from IME doctors,

auditors or claims reviewers — it doesn’t matter, the path to successfully winning these battles is the same.

I will also discuss tips and techniques for creating successful appeals if and when your claims are denied and how to utilize legal

precedent — if necessary — to bolster your case.

This is one webinar that you don’t want to miss so I invite you to attend and to let your DC friends know about it as well.

Hope to see you there!

Tom