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!
When you’re unwilling or unable to formally discharge a patient from active symptomatic care, you inadvertently create one of the more common audit triggers - seemingly ongoing active care that does not reflect the various phases of care available in your practice.
There has been an abundance of records requests since the beginning of this year. I would imagine the providers that are receiving these requests wish they had initiated a chart review themselves before someone else asked to see how their documentation stood up to expectations.
When we talk about documentation platforms, it is assumed that we are talking about Electronic Health Records (EHR). However, many practices use paper medical records to document their interactions with patients.
The terms telehealth and telemedicine are used interchangeably and are the all-encompassing administration of healthcare services via required real-time telephone or video conferencing. The patient must consent to the service before or at the time it takes place.
Historically, chiropractic practices have depended on manipulation, ultrasound, stim, and heat - in other words, passive care. Insurance carriers did not demand the rigid standards they do today to prove medical necessity.
When a doctor does the work of diagnosing, treating, and documenting, there are both risks and rewards. All doctors want to be paid for the clinically reasonable and medically necessary services and procedures rendered to patients, so it is important to understand the contracts that might be required and each company’s definition of medical necessity.
It’s possibly one of the least understood, yet the concepts are clear, based on the definitions provided. Read on for our clarified explanations.
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.
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.
Creating consistency in the systems you put in place is easy, but compliance can be complicated, overwhelming, and confusing. It is not surprising that many doctors zone out when they hear the word “compliance.”
