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!
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.
During a recent after-dinner trip to a favorite ice cream eatery, I happened into the ladies’ room. Hanging next to the sink was a detailed and illustrated explanation of how to wash your hands. Honestly, do any of us really need a primer on how to wash our hands? Of course not! But this national chain ice cream eatery was practicing what most of corporate America knows is vital to running a business: Standard Operating Procedure (SOP). If they wanted their employees to properly wash their hands, they were going to spell it out, step by step.
No office expects it… you go to work; you go home and get up the next day to start all over again. The phone rings and you cannot believe your ears. You have worked there for years and now everything has changed in just one phone call. No one expected it.
Should you verify the patient’s insurance before the first visit? On the first visit? Before the Report of Findings (ROF)? Do you perform a Financial Report of Findings (FROF) first? Or do you submit the claim and wait for the Explanation of Benefits (EOB) to come. All of this uncertainty could be solved with a simple insurance verification.
A new patient stands before you, intake paperwork in hand. The phone is ringing. Your DC has a question. Another patient’s child is crying in the reception area. Your stomach rumbles—you didn’t have time for breakfast. You wonder when you’re going to get to those reach-outs to patients with outstanding balances. The UPS guy walks in.
