Chiropractic has been under scrutiny by the OIG (Office of the Inspector General), being subjected to Medicare Audits and CERT (Comprehensive Error Rate Testing) reviews for more than a decade.
The OIG findings conclude that Medicare continues to issue improper payments for chiropractic services that are medically unnecessary, incorrectly coded, insufficiently documented, or not documented at all.
From the start, documentation errors, lack of documentation, and lack of medical necessity have been, and continue to be among the profession's biggest documentation pitfalls.
The bottom line is that the audits will continue. If you have not gotten a request for records it is only a matter of time. Let us help you get it right in 2018.
CALL OUR TRAINING DEPARTMENT: 800-642-0600 Ext:113
OR SUBMIT a TRAINING REQUEST ONLINE to learn if you are audit ready.
MORE ABOUT MEDICARE AUDITS:
Medicare Audit/Record Request TIPS
TIPS from the ACA on How to Respond to Record Requests
Have you ever wondered what you would do if you received a record request from Medicare?
Have you actually gotten a request for records and found yourself not knowing what to do next?
In this situation, being prepared is invaluable!
The American Chiropractic Association has some helpful suggestions for responding properly and in a timely fashion.
FLORIDA MEDICARE PROVIDERS!
BIG CHANGE EFFECTIVE 9/12/16
SUBLUXATION MUST BE PRIMARY DIAGNOSIS!
The biggest 9/12/2016 LCD change for Florida chiropractors is that subluxation (M99.0x) must now be listed FIRST on Medicare claim forms. This is to be followed by a supporting NMS (neuromusculoskeletal) diagnosis.
Document Plus Is Here to Help!
CALL TO SCHEDULE A MEDICARE TRAINING SESSION
MEDICARE DOCUMENTATION.
GET IT RIGHT IN 2018!
The bottom line is that the audits will continue. If you have not gotten a
request for records it is only a matter of time. Make sure your documentation is audit ready in 2018!
Whether documentation for Medicare is completely new or you think you know your stuff, I urge that you SCHEDULE A MEDICARE TRAINING SESSION TODAY!
CALL OUR TRAINING DEPARTMENT: 800-642-0600 Ext:113