Handling Your Insurance Conflicts with Success

It’s a dilemma all too many offices face. You submit your claims to the insurance company, Medicare or other third party payer and…you expect to be paid. You check your mail, your clearinghouse submission file and perhaps even make a call to inquire about the status of your claim because the check simply has not arrived. And here is where …

Common Chiropractic Billing/Coding Questions From My Inbox

Today’s column is admittedly lighter fare as I will address the most common questions that fill my inbox on a daily basis in hopes of pointing many of you in the right direction at once.  Here they are, in no apparent order: How Do I Learn Proper Documentation, Coding, Billing procedures or teach them to my staff? The ACA offers …

Audit “Tricks and Traps” DC’s Need to Avoid

Admittedly, there are some things we cannot do in regards to how the whole health care reform mess plays out.  One thing you can probably anticipate is that if the government gets involved, your level of paperwork, red tape and scrutiny will likely increase. Certainly, this is not good news to any health care provider – regardless of specialty – …

Mastering Medical Necessity for Chiropractors (Part II)

In Part One of this article, we looked at medical necessity “traps.”  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 to payer.  However, don’t lose hope.  There …

Insurers Underpaid ‘Billions’ In Health Claims: What Can We Do?

The Wall Street Journal recently reported that a flawed payment database produced by a UnitedHealth subsidiary (Ingenix) and distributed to other major insurance companies has led insurers to underpay millions of claims.  The result: patients have been forced to pay amounts they truly were not responsible for to make up the difference of fees that should have been paid to …

Co-Pays, Coupons & Discounts: When Free Isn’t

After virtually every seminar I conduct, a DC asks me a question privately about discounted services. Whether it’s free exams, low-cost x-rays, or waiving co-pays, the doc is usually concerned that he is violating some rule or law by marketing his practice in this manner and too embarrassed to ask the question publicly. Often, the DC’s will confide that they …

Chiropractic Cash Flow Crisis: What to Do Now!

Recently, Business Week reported on the growing number of cash-crunched entrepreneurs who are suddenly finding out that their credit limits have been either suspended or downsized. It’s an ugly issue that all chiropractors hope to avoid, but the reality is that healthcare is not totally immune to the tightening of economic belts around us. In fact, according to the American …