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Category Archives: Audit Savvy
A Federal Judge’s Ruling: CMS & The Maximum Improvement Standard
On the one hand, a new DHHS OIG report concludes that chiropractic care is medically unnecessary after the first 30 treatments. By that point, DHHS insists, maximum improvement has been reached. And on the other? Hmmm… In 2011, a class … Continue reading
Posted in Audit Savvy
Tagged Max Improvement Standard, Medical Necessity
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DHHS OIG Targeting Tactics for Chiropractic Audits
While you were making last minute preparations for ICD-10, the Department of Health & Human Services Office of the Inspector General published a new report on 9/29/2015. The report makes specific recommendations to CMS with regard to curbing “questionable and inappropriate payments … Continue reading
Posted in Audit Savvy, Encounter / SOAP
Tagged Chiropractic EHR Audit, Chiropractic EHR Software, Chiropractic Practice Management
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Chiropractic Audits & Malpractice: Backups to the Rescue
Irony? I was well into editing this blog entry before being contacted last week by a DHHS Special Agent involved in a NYC investigation. One of my final suggestions — during a conversation that stretched past an hour — was … Continue reading
Posted in Audit Savvy, Encounter / SOAP, Practice Management
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Auditors Are Actively Looking For Documentation Shortcuts
Technology can make clinical documentation faster & more efficient. But beware the temptation – even when the means are at hand – to take these time saving ideals too far. There may be consequences. The Department of Health & Human … Continue reading
Posted in Audit Savvy, Encounter / SOAP, Practice Management
Tagged Chiropractic Audits, Chiropractic EHR Audit, Chiropractic EHR Software
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Meaningful Use Audits
The rumors began the moment the law (ARRA) was passed in 2009, intensified as testing protocols were created, and continued through the implementation process. Some physicians simply couldn’t get past those rumors, and decided to avoid the cash incentives provided … Continue reading
Posted in Audit Savvy, Meaningful Use Resources
Tagged Chiropractic Audits, Chiropractic Meaningful Use
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The Encounter vs. The Audit
For most D.C.’s, audits tend to be both rare and frightening. When a large insurance company contacted Dr. H at his Kentucky clinic, requested myriad patient records, and asked for reimbursement of substantial fees, I have no doubt he was … Continue reading
Posted in Audit Savvy, Encounter / SOAP, Evaluating Software
Tagged Best Chiropractic Software, Chiropractic Audits, Chiropractic EHR Audit, Chiropractic EHR Software, Chiropractic Software Reviews
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Sign-in sheet saves the day…
True story: One of Karen’s Medicare patients, upon receiving an EOB, called Medicare & denied being in her office for a particular date of service. This triggered an audit threat (potential fines, jail time, etc.). Fortunately, Karen produced her manual … Continue reading
Posted in Audit Savvy, Evaluating Software, HIPAA, Practice Management
Tagged Chiropractic Audits, Chiropractic EHR Audit, Electronic sign in sheet, HIPAA Compliance, Sign-In Sheets
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Chiropractic Audit: Watch those CPT Codes!
You’re with a patient. More are in the waiting room. There’s a commotion. Men in uniform sweep into your office and a guy in a suit brandishes official looking paperwork in your face. As they execute their search warrant, they … Continue reading
Posted in Audit Savvy, Practice Management
Tagged Chiropractic Audits
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