Tag: audit

Results of an Audit: a Case Study

Results of an Audit: a Case Study

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:

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Preparing for an Audit – The Time Is Now

Preparing for an Audit – The Time Is Now

Chiropractors across the country have been opening up their mailboxes to find audit letter(s) from Medicare. Although consultants have preached an increase in audits within the profession for years, many chiropractors were shocked to be the recipient of such a letter. You may be wondering why so many are being audited and what to do if you receive an audit letter at your office.

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