Payers Posing as Patients (& Other Audit Tricks) Still Threatening Chiropractors

  Last year, I wrote several posts about the rise in several specific audit threats to your chiropractic business and bottom line. (see also “Chiropractic Compliance Bombs You Don’t Want to Explode”) Unfortunately,  from the number of concerned emails and whispers I get at seminars, payers haven’t given up on using these dangerous tactics.  If anything, they have seemingly increased. What exactly …

adminPayers Posing as Patients (& Other Audit Tricks) Still Threatening Chiropractors

Medicare Reveals Exactly How to Get Audited in Latest Chiropractic Review

  CMS carrier Palmetto GBA Railroad Medicare (who administers claims for Railroad Medicare beneficiaries nationwide) recently conducted a “widespread review” of chiropractic services submitted between October and December 2013. Specifically, Railroad Medicare reviewed 21,109 services that were submitted by chiropractors for CPT codes 98940 and 98941.  As you can see below, the results were eye-opening.

adminMedicare Reveals Exactly How to Get Audited in Latest Chiropractic Review

Are You Violating HIPAA Compliance By Using Windows XP in Your Chiropractic Office?

If you are using computers that run Windows XP in your chiropractic office, you need to be aware that you may soon be creating a HIPAA violation by doing so.  In case you haven’t heard, Microsoft plans to end support for Windows XP on April 8, 2014 which will effectively and finally put the beloved operating system in the grave. …

adminAre You Violating HIPAA Compliance By Using Windows XP in Your Chiropractic Office?

2014 Chiropractic Gloom & Doom? Read Only if You Dare

Though I may not be known for my sunny disposition, you will not find much in the way of good news in this final post of 2013.  Please appreciate, however, that my extra dose of gloom and doom is intended to make you painfully aware of the reality of our healthcare marketplace. If you are a longtime reader, you undoubtedly …

admin2014 Chiropractic Gloom & Doom? Read Only if You Dare

Assessing Your Chiropractic Compliance Risks

The September 23, 2013 deadline for HIPAA Compliance via the Omnibus Rule is past.  Covered entities (every chiropractic office) are now “eligible” for audits from the Office of Civil Rights (HIPAA abuse violations) and the Department of Justice (criminal fraud investigations) for compliance related violations. Essentially, you have one of three choices: 1)      Hope your practice and procedures are compliant …

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Fed Up With Chiropractic in Medicare? The 6 Weeks Chiropractors CAN Change

Yes, it’s official.  If you have been getting progressively more frustrated with Medicare this year, this is your one chance to make a small change that may help ease some of the pain. every November, I get hundreds of emails all asking the same questions with slight variations. As you may or may not realize, during the last six weeks …

adminFed Up With Chiropractic in Medicare? The 6 Weeks Chiropractors CAN Change

Obamacare & Chiropractic: What You Can Do NOW To Protect Your Business!

The emails are coming in more furiously from chiropractors around the country who appear to be worried sick over Obamacare.  While a significant portion of the battle is political and will not be a discussion in this article, as a chiropractic business owner, there are definitely things you can do now to insulate yourself against what may be coming our …

adminObamacare & Chiropractic: What You Can Do NOW To Protect Your Business!

Will Chiropractors Incur Penalties for No Meaningful Use?

A lot has been spoken about Medicare incentives in connection with demonstrating meaningful use via your EMR program.  Understandably, many chiropractors are growing tired of the nearly endless assault of stimulus ads by software companies touting how much money you can potentially earn back by using their certified program. This is not to say these ads are untrue.  Meaningful use …

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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

The Chiropractic Audit, Compliance & Staff Bomb You Don’t Want to Explode (Part 2)

In Part 1 of this article series, I introduced the “triple threat” that is looming around your practice attempting to take your money, your license and your good reputation down with it.  We discussed the fact that the most likely attacker would be a “secret shopper” calling on behalf of an insurance payer to determine if your office has a …

adminThe Chiropractic Audit, Compliance & Staff Bomb You Don’t Want to Explode (Part 2)