Preventing Medical Necessity Denials – Is it Possible?
Medical necessity is a real thing – by definition anyway. We may not like the terminology since it doesn’t have anything to do with technique…
We know you count on us to keep you up to date with the most important information in the profession. We have compiled updates, blogs, and news for you into this convenient digital publication.
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
Each year, billions of dollars are spent improperly because of Fraud, Waste, and Abuse. It affects everyone—including Chiropractic providers and teams.
The most effective chiropractic OIG compliance programs are scaled according to the size of the practice!
Medical necessity is a real thing – by definition anyway. We may not like the terminology since it doesn’t have anything to do with technique…
Remember, just because you receive reimbursement does not mean all is well. If suddenly targeted for an audit, you will likely have to reimburse the insurance carrier for monies paid unless all required documentation has been provided.
It sounds simple, but if it were, a large percent of chiropractic practices wouldn’t be getting it wrong!
There are several steps that can be taken to improve your documentation, coding, and compliance and not let your resolution remain unfulfilled.
According to the Centers of Medicare and Medicaid Services (CMS), there are ten principles to adhere to in the documentation of a medical record. Let’s take a look:
As the provider is not tasked with both treating the patient and documenting the encounter at the same time, services performed are often more accurately documented, which contributes to more proficient coding as well, minimizing risk.
Great news! Not a lot of changes to worry about this year, but an important few are highlighted in this Help Desk video by KMC. Check it out for what you need to know in order to be up to date with the new codes.
ICD-10 Coding Updates - this synopsis highlights a few revisions that may be relevant to chiropractic clinicians, coders, and billers.
Make Time for the Details For many doctors, documentation can be a daunting and cumbersome chore. After all, who has time for all these details…
In this helpful video, KMC addresses the most common questions we get about what goes in the documentation for an ROV. She explains what auditors are looking for in this documentation, and as usual, makes it easy to understand and to duplicate. Watch this short explanatory video and watch the documentation of ROVs in your practice go from good to great!