Are Your Medicare Notes Functional?

Are Your Medicare Notes Functional?

Share this page: Many are seeing increased denials of care for medical necessity in Medicare. A closer look at the reasons for the denials reveals a change in Medicare’s interpretation of medical necessity and progress in care. The evolution of their interpretation...
That’s Just “Sick”

That’s Just “Sick”

At one point, the idea of chiropractic diagnosis was somewhat controversial. In fact, it’s said that, when pressed for a diagnosis, BJ Palmer himself would only describe a patient as “sick.” But BJ Palmer didn’t have to submit claims to Medicare or other third-party...
Provider Risk in ICD-10

Provider Risk in ICD-10

Share this page: On July 7, 2015, the acting administrator for the Centers for Medicare and Medicaid Services (CMS), Andrew M. Slavitt, sent out a notice to all providers that CMS would be lenient in processing of the claim forms as long as provider’s codes are in the...
You Did That On Purpose!

You Did That On Purpose!

Share this page: “You did that on purpose!” The meaning behind this one simple childhood utterance can literally change your life… almost overnight. Here’s the scenario. Little Tommy intentionally pushes little Suzie. Suzie runs to the teacher...
How to Take a Break – And Survive!

How to Take a Break – And Survive!

Share this page: The demands of practice can often be daunting. We know we should take care of ourselves and take a break once in a while. Getting away is not always practical. Overhead is still present, staff doesn’t always keep to our schedule because of family...
Co-pays, Co-insurance & Deductibles

Co-pays, Co-insurance & Deductibles

Share this page: Question: The recent increase in deductibles and co-pays has negatively affected my patients and practice. I am out-of-network with most insurance plans. Do I have to collect the full deductible? Is it possible to waive a portion of the co-insurance?...