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How to Avoid the Chiropractic Documentation Slow Down

Recent surveys have indicated that EMRs are causing doctors to lose 48 minutes per day (literally slowing down their pace) which is…umm…exactly the opposite of most chiropractor’s goals for utilizing an EMR system and for  accelerating their practice growth in general. But this is largely the doctor’s fault and totally preventable, in my opinion. I know that you didn’t want …

adminHow to Avoid the Chiropractic Documentation Slow Down
mastering the chiropractic medical necessity maze

Mastering Chiropractic Medical Necessity in 2015 (Part 2)

  In Part One of this article, we looked at a few medical necessity “traps” that are plaguing chiropractors.  In other words, things NOT to do when attempting to document or meet criteria for medically necessary care. We also discussed that one of the challenges with mastering the maze of medical necessity is that the definitions may vary from payer …

adminMastering Chiropractic Medical Necessity in 2015 (Part 2)
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Chiropractic Services Rank #1 on Medicare’s List

  Chiropractic services ranked #1 on Medicare’s recent report of the top 20 services with the highest rates of improper payments as detailed in the recently released Medicare Fee-for-Service Improper Payments Report. Unfortunately, the claims of chiropractors came in at a whopping 54.1% error rate – meaning that (according to Medicare’s opinion) CMS should not have paid chiropractors in 2014 …

adminChiropractic Services Rank #1 on Medicare’s List
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Why A _ _ _ a May Be Dangerous to Your Chiropractic Practice

As many of you loyal blog readers over the years have come to realize, I have an unusual pastime of watching the activities of insurance payers and reporting on their shenanigans to the chiropractic community.  In performing some of my recent watchdog rounds, I stumbled upon a video blurb (3 minutes) from the CEO of Aetna who was seriously slopping on some …

adminWhy A _ _ _ a May Be Dangerous to Your Chiropractic Practice
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Medicare Auditor’s Reveal 2 Biggest EHR Weaknesses That May Lead to “Fraud”

  Buried amidst a flurry of OIG recommendations, targets and auditing hoopla are two gems that can help us as chiropractors reduce the possibility of EHR-induced documentation problems.  The news is riddled with stories about the cost of health care “fraud” (current guestimates put this between $75 billion and $250 billion) and are starting to spook even the most jaded …

adminMedicare Auditor’s Reveal 2 Biggest EHR Weaknesses That May Lead to “Fraud”
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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
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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
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Chiropractic Documentation: What Exactly are Objective Measures?

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” that you …

adminChiropractic Documentation: What Exactly are Objective Measures?
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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
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Good News About Aetna’s Policy on Chiropractic & Manual Therapy (Maybe)

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 March 1, …

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