De-Mystifying Active vs. Maintenance Care with Medicare
It’s possibly one of the least understood, yet the concepts are clear, based on the definitions provided. Read on for our clarified explanations.
This Documentation Gap Analysis allows us to evaluate the significant components of your current Documentation program. It should take less than 5 minutes to complete.
Sometimes you need more than a self-service, on-demand program and need an expert to analyze your issues, train the corrections, and help you implement the changes, so they stick
This course explains the significant role chiropractic care can play in the sports industry and how a DC can succeed as a Sports Chiropractor. Start your steps to success here!
The most effective chiropractic OIG compliance programs are scaled according to the size of the practice!
It’s possibly one of the least understood, yet the concepts are clear, based on the definitions provided. Read on for our clarified explanations.
A CAs job is never done. Offices need to have systems and procedures in place that will manage both outbound claims, inbound checks, and accounts receivable.
The term “Routine Office Visit” describes treatment visits where the patient is being seen for the execution of the written treatment plan at the beginning of the Episode of Care. The documentation of these visits contains the details of patients’ progress, or lack thereof, as they advance through the stated plan.
Social Media is one of the most cost-efficient methods of marketing. It is a great way to connect to people in your area and attract new patients, but it can become your foe if you, as a healthcare provider, ignore your obligations to protect health information.
Now that we've had a month to settle into the new Evaluation and Management (E/M) coding rules that went into effect at the beginning of the year, the questions are getting more specific and refined.
One of the more common questions we get at our Help Desk is what to do with Explanations of Benefits (EOBs) for paid claims once the payment has been posted. Regardless of the payer class, whether personal injury, worker’s compensation, or simple commercial insurance, you have many choices and can select one that is best for your practice.
We have been preparing all year for the inevitable start date in January, and now is the time to learn how the coding changes affect you!
More and more, third-party payers have written medical review policy deeming roller table type traction as experimental, investigational, and unproven. However, because it is usually billed as 97012, Traction, the payer wouldn’t know that the service performed was roller table and would likely pay it. It’s up to the provider to be aware of these kinds of rules. Billing with a deceiving code could be dangerous.
With private insurers falling in line behind the government, it has become increasingly common for records requests and audits to come flying in from all directions. Because of this focus, DCs and CAs must learn more about rules and regulations, adding “documentation experts” to their many hats.
When it comes to reimbursement, most chiropractors and team members believe they are not being paid every dime they deserve. Third-party reimbursements have indeed been shrinking while documentation requirements have increased. As a result, it has become practically impossible to thrive in an insurance only practice.