Consultant Articles

How to Diagnose Radiculopathy

Question: Dr. Kotlar, “I want to report a radiculopathy ICD-10 code. My patient has neck pain with radiating pain and tingling into the right arm. Do I need to order an MRI? What is the best radiculopathy code to use?” Answer: Radiculopathy is caused by compression or...

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New Changes Instituted in Medicare and Blue Cross

Changes in Medicare and Blue Cross continue to batter claims in 2018.  Medicare has instituted changes late last year and in the first quarter of 2018.  It is incumbent upon each chiropractic office to keep up with these changes.  Here is a brief synopsis of the major...

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Your Staff Can Increase Your Practice Profitability

A primary reason for hiring staff is to increase the ability of the practice to deliver more services more efficiently. The staff's role is to make the job of the doctor easier. The most successful practice teams are the most effective at delegating all services and...

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Four Reasons to Have a Billing & Coding Policy Manual

Question: Dr. Kotlar, “I just had a patient ask for a refund because he was not getting the results he was expecting. Do I have to return the money and how can I prevent this issue in the future?” Answer: I’m assuming you did not guarantee the patient any type of...

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Employee Termination: Protecting Your Practice

Terminating an employee is never a comfortable or easy task. When done, it must be free and clear of legal complications. Even firing an incompetent employee can be a risky endeavor. Do it for the wrong reason or in the wrong way and you may have to pay substantial...

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CMS Finalizes Quality Payment Program Rule for Year 2018

On November 2nd, the Centers for Medicare & Medicaid Services (CMS) issued the final rule with comment for the second year of the Quality Payment Program (calendar year 2018), as required by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)...

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CMS Announces New Identification Card

Identity theft among seniors has become a significant problem. Social security numbers, license numbers and bank account numbers should be guarded and not released unless you definitively know who is viewing this information. Then why do the Medicare Health Insurance...

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September is Drug-Free Pain Management Awareness Month

The opioid crisis has hit a new record high in the United States with deaths estimated at 65,000 in 2016. In response to this crisis and in an effort to help consumers choose chiropractic care as the first-line option for drug-free pain management, the Foundation for...

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Billing & Coding for MULTIPLE Extremity Adjustments

Question:  Dr. Kotlar, “I treat a lot of extremity conditions. On some patients, I will adjust multiple extremities. Example, a rotator cuff strain, golfers elbow and iliotibial band all on one visit. How do I compliantly code and bill for this? Answer:...

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Lessons Learned from Medicare Audit Results

Recent studies released by the Office of Inspector General (OIG) have resulted in increased scrutiny of chiropractic services.  This scrutiny includes audits by the Medicare Administrative Carriers, independent contractors such as Strategic Health Solutions, and most...

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The Coming Consolidation in Chiropractic

Make no mistake, the future of chiropractic looks quite different from what you likely expect. In fact, massive changes are already being made and the rate of change is only going to accelerate, leading to a very different landscape in our great profession. This...

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