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Medical Necessity Requirements

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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License Investigations by the State of Illinois – Know the Process

License Investigations by the State of Illinois – Know the Process

Understandably, no one is happy to hear that he or she is the subject of a license investigation by the Illinois Department of Financial and Professional Regulation (IDFPR). However, as with any other worrisome situation, lack of knowledge about the process causes much of the trauma. There can be long blocks of time during which the licensee hears nothing, which in itself is very unnerving. Knowing what procedures to expect, together with careful handling of the case, can ease the stress considerably.

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