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Avoiding the “Technique Trap” Audit

There’s a potential Achilles heel in chiropractic documentation that I’ve pointed out over the years in my seminars and webinars. Though this oversight is a huge one, it’s been a “theoretical” crack in the pavement…until recently. The trouble is your chiropractic technique and it’s ability to get you in a whole lot of hot water. To be specific, I’m not …

adminAvoiding the “Technique Trap” Audit
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Chiropractic Documentation Downfall #3: Improving the Efficiency of Your Notes

This is Part 3 of our Documentation Downfalls series and even though most chiropractors feel like their notes take way too long (what we have defined as a QUANTITY issue), this is Part 3 for a good reason. Here’s why: Unless you have solved QUALITY problems – i.e. you know how to produce a quality note that meets the requirements …

adminChiropractic Documentation Downfall #3: Improving the Efficiency of Your Notes
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Chiropractic Documentation Downfall #2: Improving the Quality of Your Notes

[This is Part 2 of a series, for Part 1: How to Save Yourself From the 3 Chiropractic Documentation Downfalls] In the first installment of this series on chiropractic documentation, we focused on the fact that Treatment Plans are considered by payers to be the #1 reason chiropractic documentation is inadequate. We also addressed the fact that your Treatment Plan has …

adminChiropractic Documentation Downfall #2: Improving the Quality of Your Notes
documentation downfall

How to Save Yourself From the 3 Chiropractic Documentation Downfalls

Perhaps the biggest source of frustration and potentially the greatest achilles heel for many chiropractors is their chiropractic documentation. I have yet to meet a single chiropractor who actually likes taking notes or would acknowledge documentation as a highlight of their professional responsibilities. In short, NONE of us got into chiropractic to take notes but all of us realize that …

adminHow to Save Yourself From the 3 Chiropractic Documentation Downfalls
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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