Mario P. Fucinari DC, CPCO, CPPM, CIC, Author at Illinois Chiropractic Society

Strategic Health Solutions Audits Chiropractic Medicare Records

Posted by Mario P. Fucinari DC, CPCO, CPPM, CIC | Mar 1, 2017 | Compliance, Medicare and Medicaid, zall | 0 |

Strategic Health Solutions, a contractor working for Medicare, is auditing chiropractic records throughout the United States. Many doctors in multiple states, most recently Illinois, have received requests to send in records in response to a Medicare audit conducted by Strategic HealthSolutions. This round of audits is a Centers for Medicare and Medicaid Services (CMS) initiative to request, receive and review medical records through its Medicare Contractors, including Strategic Health Solutions.

Are Your Spinal Screening Tests Legal?

Posted by Mario P. Fucinari DC, CPCO, CPPM, CIC | Dec 12, 2016 | Medicare and Medicaid, zall | 0 |

The OIG based their opinion on whether providing the free service would induce a patient to obtain other services provided by that entity.

Medicare Reimbursement Overhaul Joins ICD-10 Coding Changes

Posted by Mario P. Fucinari DC, CPCO, CPPM, CIC | Nov 2, 2016 | Coding, Medicare and Medicaid, zall | 0 |

As we head into 2017, the chiropractic physician of the future has a significant opportunity to...

Medicare Changes Take Effect July 1, 2014

Posted by Mario P. Fucinari DC, CPCO, CPPM, CIC | Jun 23, 2016 | Medicare and Medicaid, zall | 0 |

The law provided for a 0.5% update for claims with dates of service on or after January 1, 2014 through December 31, 2014.

Medicare Increases Compliance Audits

Posted by Mario P. Fucinari DC, CPCO, CPPM, CIC | Jun 23, 2016 | Medicare and Medicaid, zall | 0 |

MS is encouraging providers to conduct “self-evaluation and correction” to determine if coding errors occurred, and to make voluntary refunds if necessary.

OIG Recommends 24-visit Cap For Medicare

Posted by Mario P. Fucinari DC, CPCO, CPPM, CIC | Jun 23, 2016 | Medicare and Medicaid, zall | 0 |

The Department of Health and Human Services, Office of the Inspector General released an analysis report on chiropractic utilization in Medicare.

Proving Medical Necessity (Part 2)

Posted by Mario P. Fucinari DC, CPCO, CPPM, CIC | Jun 2, 2016 | Medicare and Medicaid, zall | 0 |

According to Medicare, one of the three major issues with chiropractic services is poor documentation, incorrect coding and lack of medical necessity.

10 Common Electronic Health Records Errors

Posted by Mario P. Fucinari DC, CPCO, CPPM, CIC | Jun 1, 2016 | Documentation, Electronic Health Records, Insurance, zall | 0 |

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.