2 Sneaky Letters PI Payers Use to Sabotage Your Chiropractic Claims

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 …

Eliminating the Auditor’s “Ace in the Hole” to Protect Your Chiropractic Practice

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 …

How to Audit a Chiropractic Audit

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 …

Why A _ _ _ a May Be Dangerous to Your Chiropractic Practice

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 …

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.