Learning the Hard Way
Yep, another doctor on the OIG Report. What was the violation? The report states, " These improper payments occurred because the doctor did not have any policies and procedures to ensure that chiropractic services provided to Medicare beneficiaries were medically necessary and sufficiently documented.
The OIG report recommends that CMS initiate recoupment in the amount of $518,000. Read full report here.
Do you have Medicare policies and procedures in writing? Do your policies cover Medical Necessity, setting fees, OIG exclusions, coding, Mandatory ABN usage, and screening QMBs? If you need help tackling Medicare, KMC University is here to help!
Join our Library Membership today and receive 24/7 access to in-depth learning on specific Medicare billing, coding, and documentation requirements for chiropractors.