Evan Gwilliam, DC, MBA, QCC, CPC, CCPC, CPMA, CPCO, AAPC Fellow, Author at Illinois Chiropractic Society

Anti-Kickback Regulations For Physicians

Posted by Evan Gwilliam, DC, MBA, QCC, CPC, CCPC, CPMA, CPCO, AAPC Fellow | Sep 11, 2024 | Compliance, ICS Message, Legal, OIG Compliance, Practice Management, Videos, zall | 0 |

The Anti-Kickback Statute forbids trading anything of value for healthcare referrals and imposes severe penalties for violations. Learn how to stay compliant by watching the video!

ICD 10 Changes October 1, 2024

Posted by Evan Gwilliam, DC, MBA, QCC, CPC, CCPC, CPMA, CPCO, AAPC Fellow | Sep 11, 2024 | Billing and Collections, Coding, Compliance, Documentation, ICS Message, Insurance, Practice Management, zall | 0 |

The 2025 ICD-10 updates require chiropractic physicians to use detailed disc degeneration and synovitis codes to prevent claim denials. Effective October 1st, 2024 — read the article for full details!

Exclusion Authority Requirements for Chiropractic Practices

Posted by Evan Gwilliam, DC, MBA, QCC, CPC, CCPC, CPMA, CPCO, AAPC Fellow | Aug 28, 2024 | Compliance, ICS Message, Legal, OIG Compliance, Practice Management, zall | 0 |

This article highlights the OIG’s authority to exclude providers from federal healthcare programs and the need for chiropractic practices to regularly check the exclusion list to avoid severe penalties.

The False Claims Act – OIG Compliance

Posted by Evan Gwilliam, DC, MBA, QCC, CPC, CCPC, CPMA, CPCO, AAPC Fellow | Aug 21, 2024 | Compliance, ICS Message, Insurance, Legal, Medicare and Medicaid, OIG Compliance, Practice Management, Videos, zall | 0 |

Dr. Evan Gwilliam explains the False Claims Act and its importance for OIG compliance, detailing how to maintain legal integrity in healthcare billing.

Self-Referral Law for Chiropractic Physicians

Posted by Evan Gwilliam, DC, MBA, QCC, CPC, CCPC, CPMA, CPCO, AAPC Fellow | Aug 14, 2024 | Compliance, ICS Message, Legal, OIG Compliance, Practice Management, zall | 0 |

The Stark law bars physicians from referring Medicare and Medicaid patients to entities they financially benefit from. This article highlights key compliance tips for chiropractic physicians.

Anti-Kickback Statute for Chiropractic Physicians

Posted by Evan Gwilliam, DC, MBA, QCC, CPC, CCPC, CPMA, CPCO, AAPC Fellow | Aug 7, 2024 | ICS Message, Legal, OIG Compliance, Practice Management, zall | 0 |

In health care, the Anti-Kickback Statute prohibits exchanging gifts for referrals, with severe penalties for violations. Read the article to learn more!

The False Claims Act and Chiropractic Physicians

Posted by Evan Gwilliam, DC, MBA, QCC, CPC, CCPC, CPMA, CPCO, AAPC Fellow | Jul 31, 2024 | Billing and Collections, Coding, Compliance, Documentation, Electronic Health Records, ICS Message, Insurance, Legal, Medicare and Medicaid, OIG Compliance, Practice Management, zall | 0 |

To combat health care fraud, the government enforces the False Claims Act, which penalizes fraudulent claims and emphasizes the necessity for providers to maintain strict compliance with documented policies and procedures. Read the article to learn more!

Diagnosis Pointing Can Help You Get Paid

Posted by Evan Gwilliam, DC, MBA, QCC, CPC, CCPC, CPMA, CPCO, AAPC Fellow | Jun 5, 2024 | Billing and Collections, Coding, Documentation, ICS Message, Insurance, Practice Management, zall | 0 |

Healthcare reimbursement relies on using shorthand codes on a CMS-1500 claim form. Properly linking diagnoses to procedures in the diagnosis pointer column (24E) is essential to avoid claim denials. Read the article to learn more!