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Is your practice prepared?

Chiropractors Under Medicare Scrutiny
Chiropractors Under Medicare Scrutiny

Multiple audits performed by TrailBlazer, the Office of the Inspector General and most recently the Comprehensive Error Rate Testing (CERT) contractor have revealed unacceptably high numbers of inappropriately paid claims for chiropractic manipulation. Findings echoed previous results of government auditors.

As a result, Chiropractors can continue to expect their claims to be reviewed by their local Medicare contractor. Will your office be prepared? Is your documentation up to snuff?

The first step in being prepared for a review is a complete documentation record. Find out exactly what components Medicare is looking for in a review here:

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It is interesting that the vast majority of the time, a claim was changed from pended status to denied, because the Medicare contractor never received the requested documentation.

So, be prepared by first implementing good documentation processes, and then when the medical record is requested—send it via certified mail, return receipt requested so that you have proof  that it was received.

Virginia College Healthcare Reimbursement Services offers complete medical billing and coding services as well as electronic medical records solutions to help our clients stay compliant as well as improve cash flow. Feel free to give us a call today!