The antitrust laws of the United States and the various states prohibit agreements, combinations, and conspiracies in restraint of trade. Business competitors are prohibited from engaging in actions that could result in unreasonable restraint of trade (i.e. price fixing).
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A clear financial policy in a physician’s office clarifies billing and collections, easing common doctor discomfort with financial issues. This guide outlines essential policy elements, ensuring transparency for patients and smoother practice management.
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It’s no revelation that each leap of technology brings a new set of unanticipated consequences. Nowhere is this more apparent than in information technology, where the exponential availability of information on the Internet is both a blessing and a bane.
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In addition to the looming changes with BCBS-IL and Orthonet, Cigna and ASHN, and other carriers, there are a number of other changes.
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A new study that was released at the end of October is leading to several changes in guidelines related to face coverings and facemasks. These guideline changes are primarily for the public, but they also can be applied to the chiropractic office setting.
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Reimbursement woes are often at the forefront of chiropractic practices that rely heavily on patient insurance for payment. Many chiropractors find their cash flow dependent on the whims of insurance companies and their ever-changing reimbursement policies that bounce up and down like rubber balls. Trouble is – insurance companies seem to be “dropping the ball” more often lately when it comes to chiropractic care, and many chiropractors are being hit hard by state legislation that negatively affects reimbursement as well.
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A large number of questions I receive deal with appealing denied insurance claims and these denials cause most doctors headaches. When a claim has been denied because of medical necessity or because a service is not covered, an important step in the appeals process is to determine if the patient’s plan is a self-funded ERISA plan.
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A couple of weeks ago, I received a phone call from one of our clients in obvious distress. He indicated that his server had crashed and low and behold, both of his backups also failed. Not only did he lose three years worth of electronic patient records, but every patient’s billing information, payments, and accounting. He was obviously the most worried about what would happen if any insurance carrier were to ask for records during this period of time. Little did he know, this was only the beginning of his nightmare.
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