Coding and Communicating Complex Conditions in Chiropractic

As we all know, not every case that comes into our office is the same. Some instances have fewer complicating factors and multiple region involvement than others. We should not document and code every case the same for the same reason. Changes in the Evaluation and Management (E/M) and ICD-10 codes have made communicating complex […]

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Does Exercise Therapy Really Help Low Back Pain?

Exercise therapy, including general exercise, yoga, pilates, and motor control exercise, has been shown to modestly decrease pain in chronic lower back pain. Exercise therapy may improve function and decrease work disability in sub-acute and chronic lower back pain. Exercise therapy has not been associated with improvement in acute low back pain.

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Unfair Recoupment Practices Struck Down in Illinois

As providers, when we perform medically necessary services, we expect to be reimbursed for these services. Once reimbursement is received, it seems that the money is safe in the bank, but that was not always the case. Insurance companies could seemingly come into the picture anytime they want and recoup the money.  That was true until recently in Illinois, when the governor signed into law time limits for recoupment.

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The Standard of Care is the Backbone of Risk Management

We are faced with the ongoing threat of COVID-19. The chiropractic philosophy is ingrained in our minds, but as physicians, we must also rely on the scientific evidence emerging on this threat. Ultimately, to minimize the danger of exposure and possible death, we must assess the risk, rely on recommendations for our communities, and act in the best interest of our patients, our staff, and our families.

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Audits and Procrastination Do Not Mix

An audit by any entity is never pleasant. Some audits are just spot checks by a provider. Other audits can spell trouble. Recently, a client of mine contacted me “just to make sure” that the requested records were not anything to be worried about. Make no mistake, a 40-chart audit is never a spot check. Do you know the players in an audit?

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