Medicare Reimbursement Overhaul Joins ICD-10 Coding Changes
As we head into 2017, the chiropractic physician of the future has a significant opportunity to...
Read MoreAuthor: Mario P. Fucinari DC, CPCO, CPPM, CIC
Medicare Changes Take Effect July 1, 2014
The law provided for a 0.5% update for claims with dates of service on or after January 1, 2014 through December 31, 2014.
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Medicare Increases Compliance Audits
MS is encouraging providers to conduct “self-evaluation and correction” to determine if coding errors occurred, and to make voluntary refunds if necessary.
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OIG Recommends 24-visit Cap For Medicare
The Department of Health and Human Services, Office of the Inspector General released an analysis report on chiropractic utilization in Medicare.
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Proving Medical Necessity (Part 2)
According to Medicare, one of the three major issues with chiropractic services is poor documentation, incorrect coding and lack of medical necessity.
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10 Common Electronic Health Records Errors
Medicare recently released three clarifications on documentation requirements. Documentation is not only critical for proper reimbursement but is also necessary for risk management and continuity of care. Providers must maintain proper documentation even for the cash patient to decrease the risk of allegations of negligence or malpractice. Electronic health records (EHR) are effective to provide accurate records in an efficient manner.
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Medical Necessity Requirements
On December 23, 2015, the Centers for Medicare and Medicaid Services (CMS) released a new instructional video describing their policies and procedures for establishing the medical necessity of chiropractic care.1 The video was released on the heels of a new study released by the Office of Inspector General (OIG), “CMS Should use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services”2, which revealed extrapolated data suggesting fraud and abuse in chiropractic Medicare utilization.
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Post ICD-10: Implementation
Since the implementation of ICD-10, the interpretation of code usage and policies pertaining to billing procedures are becoming evident with each carrier.
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