Newsletter

AUDIT WISE
Please share this important information with other D.C.'s!
Some information from Chiropractic Economics

Updated: October 18, 2010
Dear Doctors and Staff,
The National Health Care Anti-Fraud Association (NHCAA) estimated that every $2 million spent by insurance carriers to investigate healthcare fraud nets $17.3 million in recoveries and savings.
It isn't "if" you are audited...it is "when" you are audited.  The Chiropractic Profession is not proactive.  It's much harder to get money from a medical doctor they keep good records.  It's much easier to get money back from the Chiropractor. We are just easy pickings!
Many Chiropractors "assume" that as long as the Medicare carriers are sending reimbursements, they are coding and billing properly....a dangerous assumption.  A computer makes the payment, but people conduct the audits, which means payments are often automated.  When a pattern is established, a request for records is triggered.  Usually the pattern relates to coding issues, the date in item #14, or "documentation" requests.  If your coding, etc., is different than your peers, you may be flagged for an audit.
It's ok to be the "Outlier" as long as that is exactly what you are doing and you can back it up.  Just make sure you are doing it properly.  It is only a question of when you'll be audited.  It is difficult to avoid an audit altogether.  An internal audit and comprehensive medical compliant plan can set you up for a much less stressful experience.
An audit requires a lot of work and takes away your patient concentration, but the first thing to do is to keep your cool.  Usually the audit gives you 30 or 45 days.  Start preparing quickly and get organized.  If you determine you may not have enough time, call the Medicare carrier and ask for an extension.
Next week we will talk about how to package your materials to send in for the audit and including a cover sheet "treatment" summary.
BOTTOM LINE: If you wish to learn how to do Chiropractic Medicare correctly, including "documenting" by federal standards, please consider ordering our Chiropractic Medicare DVD and booklet. It explains piece by piece every important step in doing and billing Chiropractic Medicare so there are no limits for the chiropractic adjustment. If you are audited you will have done Medicare correctly and win your audit. You and your staff will be very happy you have this important and mandatory information. I promise it will make a difference in your understanding of Medicare and how you bill Medicare.
Seminar Schedule
Keep in mind, Medicare is the only insurance type program that if done incorrectly is fraud, a felony, a fine and/or jail.

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I promise you will be more than satisfied that you made the right decision to purchase this information or attend our presentation. Please give me a call if you have questions. 1-618-395-3162

Best regards,
Dr. Gary R. Street


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