Why Medicare Will Continue to Audit Chiropractors in 2017

At the end of each fiscal year, the Office of Inspector General (OIG) releases its “work plan” for the following year.  This work plan essentially reveals areas that Medicare will target for audits. Unfortunately, for many moons now, chiropractic has ended up on this list.  2017 is no different, as the OIG’s work plan established at the end of 2016 …

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Simple, Common Mistakes Chiropractors Make in Audits (That Cause Them to Forfeit Their Money)

Unless you have just emerged from your 20 year time capsule, it’s not really news that Medicare has its crosshairs on chiropractors. We are perennially an audit target. And while this fact frustrates many chiropractors, motivates some into compliance and just plain confuses much of the chiropractic profession, here’s the plain and simple truth: Medicare will continue to audit for …

adminSimple, Common Mistakes Chiropractors Make in Audits (That Cause Them to Forfeit Their Money)

How to Fight Offset Payment Audits Against Your Chiropractic Practice

It’s bad enough to be on the receiving end of an audit. But what produces pure frustration AND a feeling of powerlessness is when payers recoup your money by offsetting payments from future checks regardless of whether they had the right to recover their money in that fashion (or at all). Unfortunately, I’ve done far more than my fair share …

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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 …

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7 Fines That Make Chiropractic Compliance Too Costly To Ignore

For years, HIPAA has been known as a “paper tiger” because it looked fierce on paper but in reality, it delivered the impact of paper cut. Unfortunately, those days are done. And 2016 marks a new era in HIPAA hassles and chiropractic compliance concerns (see my previous article for details on why). While most chiropractors would be happy to ignore …

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What This Audit Letter Shows About Your Chiropractic Practice

When it comes to audits of any kind, no one wants to get “the letter.” Statistically speaking, there is approximately a 1 in 20 chance right now that you, as a chiropractor, will get audited THIS YEAR. In fact, in any given year. That’s just based on a random sampling and that’s just the start. If your practice does a …

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Why MORE Medicare Audits For Chiropractors Are Coming (From Noridian, Railroad & More)

Just in case you haven’t heard the noise due to the headaches from your ICD-10 hangover, Medicare is on the prowl for chiropractors…again. A few weeks ago, chiropractors did poorly on yet another Office of Inspector General (OIG) review. The OIG is essentially the federal “auditing arm” of Medicare that targets who will be audited thanks to their performance. Interestingly …

adminWhy MORE Medicare Audits For Chiropractors Are Coming (From Noridian, Railroad & More)

How to Reject Chiropractic Refund Requests in 2015

5 years ago I wrote an article in Dynamic Chiropractic magazine entitled “What to Do About Refund Requests” that struck a collective nerve throughout our profession and beyond. In that article, I offered a sample letter to “reject” the payer’s request for repayment (which still should be your proper course of action in the majority of cases). Since that time, …

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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 …

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7 Chiropractic Audit Legalities That Payers Hope You Don’t Know

  While the threat and damage of chiropractic audits appear to be increasing daily, there are a few tools you can use to defend yourself that payers hope you don’t realize that you have in your toolbox. In this article, we will focus on seven powerful tools to help protect you from audits: 

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