Chiropractic documentation gap analysis

Recognize what’s missing to master your reimbursement and collections!

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.

Take The Billing GAP Analysis

Need more guided help? Work with a KMC coach 1-on-1

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

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New Course Available!

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!

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There's no need to fear the OIG. We've got your back!

The most effective chiropractic OIG compliance programs are scaled according to the size of the practice!

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How Does KMC University’s OIG Compliance Program Work?

KMC University’s online Library is renowned in the profession for the quality, scope, depth, and breadth of its curriculum and support. It is constantly updated and stays on the cutting edge of healthcare reimbursement and compliance. The OIG Compliance Program Implementation and Oversight adds more than 10 additional courses and a supercharger, the KMCU certified specialist, to the basic Library subscription.

Between your assigned, certified specialist and your appointed Compliance Officer and providers, the program is customized specifically for your practice needs. During this 12-month program, your OIG compliance needs are essentially outsourced to our compliance team. Because our compliance team is certified and trained, we will serve as your compliance officer during this time, taking the anxiety and worry off your shoulders.

Here is what we will do:

  • Perform your Initial Baseline Analysis which will include the following:
    • Baseline Audit and report including error rates – Minimum of 5 charts per provider
    • Practice Performance Profile and report – includes practice fee analysis, a 3-year statistical analysis, and 6-month coding audit
    • Explanation Of Benefits audit and report – random review of 15 varied EOBs (Explanation of Benefits) with commentary
  • Review any existing policy and procedure and oversee implementation of new, required, personalized policy and procedure to fill gaps as areas of correction are applied
  • Implement the 8 steps of OIG compliance, as required, with your team doing the boots-on-the-ground assistance during the ongoing coaching calls, which we expect to be in live, video calls 2-4 hours per month
  • Provide on-demand answers to your questions and emails as needed outside of the scheduled calls
  • Perform the function of being your compliance officer during this period, while taking you under our wing to train you on what is necessary to do going forward. If you decide you would like us to continue in this role after 12 months, we are happy to do so and can discuss costs at that time.
  • Oversee training of the team and physicians on the elements uncovered in the baseline audit
  • Install and execute a compliance calendar for the practice, to keep up on the daily, monthly and annual requirements of fulfilment of the process
  • Perform continuous monthly spot-check audits and additional audits necessary based on the error rate uncovered in the baseline audit
  • Ongoing training and correction of the issues uncovered in the audits, and document the corrections
  • Immediate response to detected offenses, incidents, or other concerns, while guiding you in how to correct and document them
  • A slow hand-off to you as compliance officer as the one-year program ends, or a discussion about our staying on board and keeping this task

OIGThe intensive aspects of the compliance implementation are usually completed in the first six months of membership. Then, the next six months include not only the ongoing oversight, but also personalized training to ensure that issues that came up in the audits are corrected. Most practices cover the cost of compliance implementation and oversight for an entire year for about the cost of about 3 patient visits per week, assuming a Collected Visit Average of $50.

Some practices prefer a jump start to the program and baseline audit, and that is conducted in a one- or two-day onsite visit. If the practice decides to implement that, we can spread the cost of that over the months of membership, if desired.

The cost of compliance implementation pales when compared to the monetary and emotional costs of non-compliance and the subsequent fines, recoupments, and penalties. We promise to do most of the heavy lifting and make the process as smooth and trouble-free as we can. Get started now with a personal consultation to evaluate your specific needs

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...Not only is the Library impressive, but our one-on-one coaching with our Subject Matter Expert, Jill, was what really got us through this process. Jill got us set up with a portal to organize our work and keep us on task, coached us via phone call to discover any risks and resolve them, and continued to meet with us until all our assignments were completed. We still have some things to finish up throughout the remainder of the year, but Jill expertly trained us so that we can stand on our own from here and complete the process ourselves. To me, the ability to feel confident enough in this process to continue on my own is the most valuable thing, and Jill and KMC have provided us with that ability...

Neomi Hunt, M.S.