chiropractic audits in 2020

Chiropractic Audits in 2020 – A Great Return on Investment for the Feds and Bad News for Chiropractors

A quick glance at healthcare news will reveal that chiropractic audits in 2020 will see an increase again thanks to the fact that they are perhaps the best return on investment the federal government sees with the Office of Inspector General’s program (or perhaps any program). While this may be good news for the OIG’s coffers, it’s definitely bad news …

chiropractic telemedicine

Is Chiropractic Telemedicine or Telehealth an Untapped Opportunity for Your Practice?

Chiropractic Telemedicine or Telehealth is one of the hottest topics in practice management, clinical patient management and billing/coding circles – and it is one that we have been getting many questions about from the chiropractic community. Because this opportunity to implement chiropractic telemedicine or telehealth in your practice is so new, it’s one that does not have a long track …

medicare documentation changes chiropractic

How New Medicare Documentation Changes Will Affect YOUR Chiropractic Practice (Good News!)

For the first time in many years, there are rules regarding new Medicare documentation changes that are actually good news! In fact, for the first time in…well, forever…the latest changes proposed by Medicare will actually make chiropractic documentation easier in respect to your Evaluation & Management (E/M) notes.  Here’s why: New E/M Medicare Documentation Changes for 2019 Medicare had originally …

ACA Objects to United Healthcare Chiropractic Policy — And Why Chiropractors & Their Patients Should Be Concerned!

The American Chiropractic Association (ACA) just sent a polite, but firm, letter that objects to the new United Healthcare Chiropractic policy that is presently creating quite a stink in our profession. The letter was co-signed by State Association Presidents as well as other prominent political advocates for the chiropractic profession such as Jay Greenstein, DC of Clinical Compass, Don Cross, …

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, …

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 …

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: …

Conquering Colossus (& Other PI Claims Processing Software) in Your Chiropractic Practice

Anyone who has cared for personal injury patients is likely familiar with the claims processing software known as Colossus (or you should be). Depending on your data sources (because auto insurance payers aren’t likely to reveal them), the list of carriers who use Colossus to determine your patient’s claim value and how much treatment to permit is pretty beefy. Most …