Compliance

To remain competitive in the market and make it more affordable for these patients, sometimes inappropriate discounts are offered. This is usually in the form of a so-called Time of Service (Bookkeeping Savings) discount.

MRP stands for Medical Review Policy. Many providers and CAs raise an inquisitive brow when MRP is mentioned, having never even heard of it before. Make no mistake, this policy matters and plays a key role in determining the care that is reimbursable by a payor. The MRP is an administrative and educational tool designed to help providers, physicians, and suppliers submit correct claims for payment.

PHI is at the very core of the Health Insurance Portability and Accountability Act (HIPAA). The underlying purpose of HIPAA is to ensure that the personally identifiable information in a patient’s health record is kept private and protected.

We all think it can’t happen to us . . . until it does. A natural disaster occurs, be it a flood, hurricane, or fire. These have certainly taken center stage recently. Some may experience the latest plague on the internet: ransomware.

We often poll our audience to learn who has a compliance program installed in their practice. On a good day, it would seem about 20 percent will raise their hands.

We have hardly met a chiropractor, or any other healthcare provider, who has not provided care for a family member. There has been serious confusion, if not intense debate, as to whether a doctor can bill the family member’s health insurance for services provided. When faced with these dilemmas, often we can look to Medicare, typically the most stringent of carriers, for guidance.