Aetna chiropractor

Aetna Chiropractor? Your Payments Are in Jeopardy if You Adjust, Do Rehab or Don’t Follow Their Latest Policy Updates!

If you are an Aetna chiropractor, receiving payment for many of your services may now be in jeopardy thanks to three of their recent policy updates: one for chiropractic services and one for complementary and alternative medicine (both updated in June) and physical therapy services (updated earlier this year). The bad news is that this will affect all chiropractors – …

adminAetna Chiropractor? Your Payments Are in Jeopardy if You Adjust, Do Rehab or Don’t Follow Their Latest Policy Updates!
united healthcare chiropractor

(Policy Update) If You’re a United Healthcare Chiropractor, Here’s What You Can No Longer Treat

If you are a United Healthcare® chiropractor (regardless of whether you are in or out of network), beware of their new limitations of what you cannot treat (at least if you want to be paid).  UHC’s June 2018 policy update on spinal manipulation provides a very significant and admittedly strange entry into their widening “experimental and investigational services” category. Of course, …

admin(Policy Update) If You’re a United Healthcare Chiropractor, Here’s What You Can No Longer Treat
chiropractic audits woman worried

Why Your Exams are the Easiest Chiropractic Audits to Fail (& to Fix So You Can Keep Your Money)

It’s a dirty little secret among auditors that E/M codes are easy money to take back from doctors.  Unfortunately, as chiropractors, we are no exception and your exams may possibly be the easiest chiropractic audits to fail.  Of course, failure means repayment, which is obviously unpleasant and painful. Obviously the news is no secret to insurance companies who love to …

adminWhy Your Exams are the Easiest Chiropractic Audits to Fail (& to Fix So You Can Keep Your Money)
cpt code 98943 problems

Continued Problems With CPT Code 98943 for Chiropractors

It is with sadness that I report at the problems with CPT code 98943 (for a chiropractic extremity adjustment)  have continued for well over 5 years now  and it  does not look like that the challenges will be disappearing anytime soon. Unfortunately, we routinely get emails from confused chiropractors and their staff regarding problems they are having while wrestling with …

adminContinued Problems With CPT Code 98943 for Chiropractors

Medicare MACRA in 2018 For Chiropractors: 8 Things You Need to Know

This month (November 2017), the Centers for Medicare & Medicaid Services (CMS) released its final rule related to the Medicare Quality Payment Program in 2018. Many may recognize the quality program under its abbreviation known as MACRA which shortens its real mouthful of a name which is: the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Cutting straight to the bottom …

adminMedicare MACRA in 2018 For Chiropractors: 8 Things You Need to Know

Preventing Employee Embezzlement In Your Chiropractic Office

Employee theft is a chiropractor’s nightmare most DC’s hope will never happen. Yet, the U.S. Chamber of Commerce reports that one out of every three business failures are the direct result of employee theft. Worse, healthcare offices sit at number four in the top industries for fraud. Of course, most chiropractors probably feel immune to the effects of fraud, because …

adminPreventing Employee Embezzlement In Your Chiropractic Office

5 Chiropractic Audit Errors You Need to Fight (Every Time!)

As upsetting as it may be to receive a notice that you are being audited, there is equal (or perhaps greater) frustration when the payer demands repayment for services you feel were correctly reimbursed, properly documented and rendered according to standards of medical necessity. In those cases, an appeal of your chiropractic audit is absolutely necessary for several big reasons: …

admin5 Chiropractic Audit Errors You Need to Fight (Every Time!)

“Expedited” Payments and Other Personal Injury Scams Waged At Chiropractors

  In a previous post, I wrote about the growing payment problem known as “Virtual Credit Cards” that payers are in love with and providers are…well, in hate with.  Today, we I’d like to warn you about yet another way payers are attempting to rob you of your hard earned money. Many of you have probably received a letter similar to the one …

admin“Expedited” Payments and Other Personal Injury Scams Waged At Chiropractors

How to Reduce Chiropractic Accounts Receivable Without Using a Collections Agency (or Cousin Larry)

I was on a strategy session call with a new coaching client a few months ago who was so frustrated with the Accounts Receivable in his chiropractic practice that he asked a hilarious question: “What do I have to do to get patients to pay? Employ my Crazy Cousin Larry to go scream at them until they give me their money?” …

adminHow to Reduce Chiropractic Accounts Receivable Without Using a Collections Agency (or Cousin Larry)

Virtual Credit Cards: A Chiropractic Convenience or Payors Dipping Into Your Pockets?

If it appears that insurance payers unleash new rules, regulations, policies and even payment methods so quickly, you are not the only one left with your head spinning and your staff scrambling to keep up. Over the last several months, we’ve been getting more questions from chiropractors about an increasingly common payment method health insurers are offering: virtual credit cards. …

adminVirtual Credit Cards: A Chiropractic Convenience or Payors Dipping Into Your Pockets?