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 …

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 …

The Chiropractic Audit, Compliance & Staff Bomb You Don’t Want to Explode (Part 1)

Over the past couple years, a “triple threat” has been slowly, subversively gaining steam and, in the process, formulating an explosive bomb that could easily destroy your practice.  Unfortunately, too many chiropractors have contacted me after facing even one arm of this threat and very unfortunately, there is little ability to protect your practice once this thing detonates. Worse still, …

Small Chiropractic Documentation Errors That Lead to Big Problems

With auditors examining our every move, many chiropractors are growing increasingly concerned about the state of their documentation.  Here’s the really bad news: as a Certified Professional Auditor and Professional Coder myself, I have reviewed countless chiropractic records and many DCs have good reason to worry. Here’s the good news: this article will teach you how to avoid surprisingly common …

Why Your Chiropractic Assistant, Fraud, & Insurance Verifications are Ruining Your Revenues ( & What Chiropractors Can Do About It)

These days, it’s tough to tell where problems start.  Some of you know you, doctor, are the primary contributor.  For others, it’s the staff.  Still others feel it’s insurance or even healthcare at large. You all may be correct – which is why this article may help point you in the right direction… Recently, I saw an interesting graphic that …

How to Survive a Chiropractic Audit (Part 1)

Are your insurance payers, Medicare or even Personal Injury/Motor Vehicle carriers asking you for refunds? Over the last several years, you’ve probably noticed an increase in the number of payers auditing chiropractic services. This trend seems to be increasing as is the aggressiveness of the audit. Translation – payers are asking for more money back, more frequently.  At times, it …

7 Medicare Documentation Errors From Recent Chiropractic Audits

Medicare has been particularly active lately in attempting to educate chiropractors about errors that we have been making in respect to billing Medicare for chiropractic services.  Over the past month or so, several Medicare carriers (Noridian, Palmetto, NGS, etc) have held training sessions, webinars and teleseminars dedicated to reviewing “the rules” for proper chiropractic billing, coding and documentation in Medicare.  …

Chiropractic Compliance on the Web: How DC’s Can Avoid Internet Trouble

We’ve all heard what a powerful marketing tool the internet can be for our chiropractic practices. I agree that chiropractors should be using the internet as one of their chiropractic marketing tools. Whether or not most chiropractors are doing so effectively is another discussion for another time. For today, I’d like to talk about the dangers of the internet and …