Chiropractic Compliance Consultants

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  • 2009
    • November
      • Health Care Fraud - The Perfect Storm
        11/17/09
        Today, health care fraud is all over the news. There undoubtedly is fraud in health care. The same is true for every business or endeavor touched by human hands, e.g. banking, credit, insurance, politics, etc. There is no question that health care providers who abuse their position and our trust

    • July
      • Chiropractor specializes in innovative technique
        07/16/09
        Fox uses kinder, gentler approach to spinal adjustments

        Susan Schell
        of the Gateway
        Published: 01:55PM July 15th, 2009


        A poster in Dr. Greg Fox’s chiropractic office shows an underwater view of a gigantic iceberg with the usual tiny portion sticking above water,

      • Los Angeles Chiropractor Dr. Ken Best on Theta Healing
        07/16/09
        By Dr. Kenneth Best, D.C., Community Contributor -- Published: July 15, 2009


        Dr. Ken Best Eliminates Harmful Belief Systems and Rewrites Patients’ Lives with Thetahealing. Dr. Kenneth Best, D.C. is a Los Angeles based chiropractor, who also specializes in Applied Kinesiology ("

      • ACA Multidiscipline Practices Official Policy
        07/11/09
        NCLC 2005 Multi-Discipline Practices Resolution # 2 Multi-Discipline Practices (MDP)

        Submitted by: ACA Insurance and Managed Care Committee

        RESOLVED, that the American Chiropractic Association considers the following statement, “Multi-Discipline Practices,” official policy: <

  • 2008
    • November
      • Practice Audits can have consequences for auditors
        11/22/08
        A compliance consultant was instructed that they should ensure that prior to their conducting practice audits for health care professionals that their client retain legal counsel and that the audit be performed ‘only’ under the direction and supervision of the client’s attorney.


        Th

      • It’s Your License, Your Call and Your Exposure
        11/20/08
        May a doctor delegate the administration of therapeutic procedures to unlicensed staff and bill payers as if they actually administered them?


        A number of boards opine that therapeutic procedures can be delegated to unlicensed staff. Some ‘certify’ chiropractic assistants who comple

    • October
      • Reality Check
        10/30/08
        In a late October 2008 tele-conference with state and insurance investigators an executive from a southern state chiropractic association with twenty years of chiropractic experience reported that most of the fraud committed by chiropractors is perpetrated by chiropractors employed in clinics owned

      • "Position of Strength" or "How to Paint a Target on a Provider's Back?"
        10/17/08
        I read with interest the article in the September 2008 edition of The American Chiropractor titled “Deal with Investigators from a Position of Strength” written by a chiropractor in the Minneapolis-St Paul area reporting he offered the article as an illustration of how a strong and reasoned approach

      • Quackbuster got it wrong
        10/16/08
        In response to my article "National Insurance Fraud Seminar Focuses On Chiropractic" published 11/17/03 in Dynamic Chiropractic, Paul Lee, P.T. aka quackbuster writes in his blog -


        This article by a chiropractor is an unsurprising and typical example of how chiropractic an

      • 9 Biggest Mistakes Health Care Providers Make that Lead to Surprise Visits from Fraud Investigators
        10/10/08
        It’s no secret for today’s health care provider that investigators from regulatory boards, insurance companies and law enforcement agencies are on the prowl looking for providers who are not following the laws & rules – with a major focus on health care fraud!


        And, these inves

      • HEALTH CARE COMPLIANCE
        10/10/08
        In the late 1990’s, the government, via well publicized news releases, requested that “ALL” health care providers implement health care compliance programs as a means to self-police themselves to ensure compliance with health care laws and rules, as well as to facilitate detection and correction of

      • Health Care Fraud—The Costly Deception?
        10/10/08
        For years significant resources have reportedly been directed towards combating health care fraud by insurers, regulators, law enforcers and legislators. Yet, despite these reported efforts, it would appear, based on the annual estimates, the problem continues to grow and flourish. Could this indic

      • Chiropractic Fraud - Perception v. Reality
        10/10/08
        Is health care fraud more prevalent in claims submitted by chiropractors than those submitted by members of other health care disciplines? When looking at the various news-sources, chiropractors are not found to make up either the lion-share of health care fraud charges or convictions reported.
      • Test Your Knowledge
        10/10/08
        1. Not knowing what acronyms CPT and ICD-9-CM stand for could be a possible indicator of inappropriate billing practices by health care providers and claims handling by third party payors.


        TRUE: Those having a strong knowledge base and understanding of these coding systems will kn

    • September
      • Consultants auditing chiropractic practices
        09/21/08
        An attorney writing in a chiropractic periodical reported hearing a scary story from a chiropractor that goes: Chiropractor hired a consultant to conduct an audit of his practice, and on completion of the audit the consultant demanded a low five-figure payment from the chiropractor to ensure complia

    • July
      • TENS - increase your profit margin?
        07/24/08
        Advertisements are being sent to doctors from a California company asking if TENS/EMS units are being prescribed to patients for home use? The company reports they can show how to give patients drugless pain relief and add a new profit center to the doctors office.


        The company says

      • Compliance Training - beware
        07/24/08
        A doctor called and asked: Is it true that providers would get in trouble for not purchasing services from a seminar speaker should federal investigators look at them. The caller added that the speaker told the seminar audience he provides the list of seminar attendees to the FBI and that if one o

      • Compliance Placard
        07/24/08
        I was recently told by a compliance client that they had previously used another consultant for compliance who reported that by placing his (consultant's) compliance certificate on the wall in plain view for those coming into the clinic that if an investigator comes in and sees the certificate

      • Compliance Test, Marketing
        07/24/08
        Yesterday I received via email a compliance test in an advertisement. I took the test, which by the way is an interesting tool to facilitate interest in compliance. Anyway, the test consisted of a number of questions with multiple choice answers that were immediately scored by clicking the submit

      • Advertisments
        07/22/08
        There are many advertisements out there on the web or in periodicals from consultants and other vendors that promise increased revenues and contain testimonials from current clients to attract new clients. These ads no doubt attract attention, not only from potential clients but also from those who

      • Practice Consultants
        07/22/08
        Providers are faced with decisions on if a practice consultant should be used to help build their practice, and, if so, what consultant to use. Good care and judgment must be used by providers before signing on with a consultant that is based on using some due diligence to check the consultants bac

      • Screenings
        07/21/08
        Many providers, per instructions from practice building consultants, engage in screening activity, at times using devices that are not recognized clinically or scientifically, to facilitate the development of new patients that is often reported to be a public service as you may be hurt and not know

      • Specialty Testing
        07/21/08
        Some practice consultants instruct their provider clients to administer and bill Range of Motion and/or Muscle Testing on the next visit following an exam for purposes of increasing revenues. This billing practice is instructed for purposes of increasing revenues by the rendering provider avoiding

      • Quick Codes
        07/21/08
        Quick codes are used by some providers that could result in the billing of servics that were not rendered by the provider. With this billing practice the provider's billing staff enters a single (quick) code, usually based on the patient's type of insurance, into the pratice's billin

      • Web address
        07/21/08
        CCC web-site can now be accessed by typing in cccpfc.com as well as using our old address chiropracticcomplianceconsultants.net

      • One-on-one services
        07/21/08
        Do providers really have to perform one-on-one services in one-on-one settings with patients?
        Some consultants have indicated that providers do not, as long as the provider is able to see or hear the patient when they are performing or receiving the (one-on-one) service. Have you heard this?

      • ROF
        07/21/08
        If the ROF (report of findings) is administered primarily as part of marketing efforts would it be consistent with the laws and rules to bill insurers for the ROF using CPT codes for evaluation & management or other services?

      • Massage Therapy
        07/21/08
        If an insurance company does not cover massage therapy performed by a Licensed or Certified Massage Therapist would it be appropriate to have the therapist perform the service but bill the insurer under a provider type that is covered?

      • Increase practice certainty
        07/21/08
        Practice audits by an experienced health care practice auditor assist health care providers on increasing their practice certainty by detecting violations of administrative, civil and/or criminal law with recommendations for corrective actions.

        What percentage of providers audit their p

      • Decompression
        07/21/08
        Could the push to sell patients cash plans for spinal decompression therapy result in an increased future work load for regulatory boards faced with a flow of complaints from patients for amounts charged?