Newsletter

Medicare Warning - Dr. Street
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Updated: August 2010
Dear Doctors and Staff,
YES A WARNING! WPS, along with most other Medicare carriers, will take part in a National Review aimed at eliminating payment error, waste, fraud and abuse in federal programs. This program is part of Executive Order 13520 entitled "Reducing Improper Payments", which President Obama signed into law on November 20, 2009. This law stems from a 2009 report by the Office of the Inspector General (OIG) and expands provisions of the Medicare Comprehensive Error Rate Testing (CERT) program.
The Executive Order adopts a comprehensive set of policies that 1) allow for transparency and public scrutiny of significant payment errors, 2) focus on identifying and eliminating the highest improper payments, 3) promote agency accountability for reducing improper payments, and 4) coordinate federal, state and local government action in identifying and eliminating improper payments.
Beginning in August 2010, CERT contractors will request records from Chiropractic Offices as part of a Special Studies request. Special Studies requests utilize targeted samples, focused scripts, and have a compressed response time of 30 days for submission of requested medical records, as opposed to the 75 day time frame allowed for standard CERT requests. WPS along with all Medicare carriers encourage all Chiropractic offices to work with CERT contractors to comply with requests for documentation to support this important initiative. For additional information on lowering improper payments, please reference the following website: http://paymentaccuracy.usaspending.gov/ To read the full version of this article, please access the following website: http://www.wpsmedicare.com/part_b/publications/2010_0726_chiroreview.shtml
If you still believe “documenting” in Medicare is using S.O.A.P. notes, hang on for the expensive ride!
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.
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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