Consultant Articles

Strategies to Improve Record Keeping, Coding & Compliance

Question:  Dr. Kotlar, “My recordkeeping, coding, and collection systems are outdated. I’ve been documenting the same way for the last 8 years even though I’ve added more services and products. I am seeing more patients but not collecting more money. Can you share...

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Occupational Healthcare: Decrease Your Insurance Dependence

Change is in the air in all areas of healthcare reimbursement and this is particularly true when it comes to the workplace. Employers are dealing with rising insurance costs that are taking a big bite out of their bottom line. They are searching for an answer that...

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Avoid Duplication of Diagnoses

Although multiple segments or regions may be involved in the cause of a patient’s ailment, it is important to identify the main segment or region and report the diagnosis specifically.  Medicare has recently reaffirmed that duplication of diagnoses on the claim form...

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Follow This 9-Step Action Plan for the Health of Your Practice

Question: Dr. Kotlar, “I want to make sure I’m doing everything right from a compliance standpoint. What do you recommend?” Answer: I am a frequent speaker at many chiropractic conferences nationwide and one of the most common statements I hear attendees say is that...

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A Date with Box 14

Recently, Medicare announced they will be beginning a new round of Medicare audits.  Medicare audits continue as part of the contractor’s responsibilities.  While it's true that typically they are just “fishing,” certain information you send in with your claims may...

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What Chiropractors Need to Know about Regenerative Medicine

The field of regenerative medicine includes emerging therapies that have the potential to heal damaged and painful tissues in ways that were unheard of just a few short years ago. Regenerative therapies have the potential to fully heal injuries and damaged tissues...

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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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