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

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!

Do This One Thing to Improve Your Documentation

Posted by Evan Gwilliam, DC, MBA, QCC, CPC, CCPC, CPMA, CPCO, AAPC Fellow | May 8, 2024 | Billing and Collections, Coding, Documentation, ICS Message, Insurance, Practice Management, Videos, zall | 0 |

Dr. Evan Gwilliam, SVP with Practisync (an ICS-owned company), covers an easy way to improve your notes.

Why HIPAA Compliance Is Important

Posted by Marc Abla, CAE | May 1, 2024 | Compliance, Documentation, HIPAA, ICS Message, Legal, Personal Development, Practice Management, Videos, zall | 0 |

Dr. Evan highlights the significance of consistent HIPAA compliance and cybersecurity training, advocating for tools like Statusfi to ensure crucial protection for healthcare practices. Watch the video for details!

The Four Step Formula for Billing CMT

Posted by Evan Gwilliam, DC, MBA, QCC, CPC, CCPC, CPMA, CPCO, AAPC Fellow | Apr 17, 2024 | Billing and Collections, Documentation, ICS Message, Insurance, Practice Management, zall | 0 |

Chiropractic manipulative therapy (CMT) is crucial in many clinics. This article outlines a process to ensure reimbursement for this service. Read on to discover more!

Billing and Documenting for Therapeutic Exercises versus Therapeutic Activities

Posted by Evan Gwilliam, DC, MBA, QCC, CPC, CCPC, CPMA, CPCO, AAPC Fellow | Jun 1, 2022 | Billing and Collections, Coding, Practice Management, zall | 0 |

Some chiropractic physicians may struggle to determine if they should bill for therapeutic exercises or for therapeutic activities. This article from Dr. Evan Gwilliam may help to provide some clarification.

Results of an Audit: a Case Study

Posted by Evan Gwilliam, DC, MBA, QCC, CPC, CCPC, CPMA, CPCO, AAPC Fellow | Jun 20, 2017 | Compliance, zall | 0 |

Some time ago I worked with a client who needed help with an appeal. The provider had seen a patient over the course of four weeks for severe low back pain with radiculopathy to the left calf and foot. The provider put together a care plan and outlined goals based upon functional deficiencies. At each encounter, the following codes, among others, were billed:97110 Therapeutic exercises, 97140 Manual therapy. The therapy services were denied for most of the visits. The claims reviewer provided the following partial explanation for the denial: