Below you'll find a list of all posts that have been tagged as “chiropractic compliance”
If you do any PI work in your chiropractic practice, it’s likely your patients have (or will) receive a letter from personal injury payers that can have several potentially disastrous effects on your patient’s care, your claims and, ultimately, the reimbursements you receive for your hard work. We’ve been getting more frequent reports from frustrated chiropractors whose patients have exhibited …
In poker, the term “ace in hole” refers to a move that is sure to earn a win in the card game. Unfortunately, many auditors are walking around with their own “ace in the hole” and prepared to pull it out of their sleeve to demand repayment from unsuspecting chiropractors. Fortunately, if you read today’s post carefully, you will learn …
There has been quite an upswing in chiropractic audit activity in the profession lately. I’m not sure if this is “audit season,” if payers have determined that once and for all they are going to “teach” us chiropractors a lesson and/or if we seem to be getting more proficient at making mistakes. Regardless audits are up and so are the …
While one of my primary concerns here at The Strategic Chiropractor is helping you get paid for the work that you do, a frequent question we get at our seminars and via email is in regards to giving away care. Frequently, chiropractors want to know how if or how they can give services away for free AND keep compliant. While …
Yet another compliance requirement potentially darkens the doors of chiropractic practices and is accompanied by an audit threat that is causing a bit of a stir in the profession. But, there is potential good news here for many, possibly even most, chiropractors in regards to Section 1557. Here are the basic facts: What is Section 1557? Section 1557 is the …
This is a question I get all the time, but unfortunately the answer is not always as clean and simple as you’d like. Here’s why: 1) Each state can dictate how long you must store records: if you start with your state law, this will cover the majority of your patients. Sounds good. Except that state laws vary and some laws are …
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 …
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 …
As many of you loyal blog readers over the years have come to realize, I have an unusual pastime of watching the activities of insurance payers and reporting on their shenanigans to the chiropractic community. In performing some of my recent watchdog rounds, I stumbled upon a video blurb (3 minutes) from the CEO of Aetna who was seriously slopping on some …
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.
