Newsletter

Medicare Audits and Your Response
Please share this info with other D.C.'s

Updated: November 10, 2010
Dear Doctors and Staff,
There is a lot of Audit activity out there.  Audits all over the U.S.  CMS has ordered the "specific" following of the Chiropractic guidelines by the Medicare Carriers.
Example:  New York State. The carrier is requesting pre-payment notes on all claims billed.  If you bill twenty patients, you will receive twenty pre-payment requests for records.  They ask for that date of records and documents plus up to 30 days records and documents prior.
The real problem is that the majority are not documenting the Chiropractic Necessity of Care with a document.....only S.O.A.P. notes.   Also.......most Chiropractors are unaware of how item #14, Date of Current, matches any exacerbations. The diagnosis must support the care rendered, and all of this supported by S.O.A.P. notes and with the production of "Documentation" by Federal Standards.  
This small audit is IMPORTANT!  If what you mail back to the carrier indicates that you are doing things incorrectly, you have just invited a BIG audit later. Be careful what you do and be absolutely certain what you mail back to your carrier does in fact.... DOCUMENT THE CHIROPRACTIC NECESSITY OF CARE!!! 
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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