Are You Really Out of Network? Understanding Chiropractors’ Status in Medicare Advantage Plans
by Mario Fucinari • DC, CPCO, CPPM • The world of Medicare can be complex, especially when it intersects with Medicare Advantage plans. Chiropractors often find themselves in a gray area, uncertain about their network status when commercial insurance...
Text Messaging and HIPAA: Essential Guidelines to Protect Patient Information
by Marty Kotlar, DC, CPCO, CBCS • President of Target Coding • When shopping for a text messaging platform vendor, it is crucial to consider Health Insurance Portability and Accountability Act (HIPAA) guidelines and standards that...
Does Your Clinical Assessment Need an Update? Add Balance & Proprioception Testing
by Mark Sanna, DC, ACRB Level II, FICC • President & CEO Breakthrough Coaching • Chiropractors are constantly evolving their clinical assessments to meet the ever-growing needs of their patients. Today, we must ask ourselves: Are...
Box 14 and the Episode of Care
by Mario Fucinari • DC, CPCO, CPPM • When receiving a request for records, did you ever say to yourself that they chose the worst case to audit? Medicare and commercial insurance audits continue as part of the contractor’s responsibilities. While it...
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Why is the Discount Challenge prize amount $15,024? Because that is the average “per-occurrence” fine for Medicare inducements. That’s not $15,024 per patient, that’s not per provider, that’s PER VISIT. Stinks, doesn’t it? To us, the prize amount is worth the investment if we can help our profession better understand proper discounting.