Articles for Providers

Establishing a Compliance Plan Is Easier Than You Think

Implementing a compliance plan in your office can feel overwhelming. I know providers who have purchased multiple compliance manuals from different consultants. These sat in the corner of their offices collecting dust waiting on their owners to rustle up enough energy...

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Audit Risks Growing for Out-of-Network Providers

With audits on the rise, more and more providers tell me they plan to go out-of-network with insurance companies to reduce their risk. If only it were that easy. The rules for billing, coding, and documentation are the same whether you are in-network or...

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Trust, but Verify

As far back as 2004, a bulletin for providers published by the Department of Justice and the Federal Trade Commission stated that“…much of the regulatory framework arose haphazardly, with little consideration of how the pieces fit together.” The misalignment of state...

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The High Cost of Not Focusing on Your Fees

As your clinic grows, everything becomes more complex. More patients come in, more employees are hired, and processes that seemed to happen automatically in the beginning, don’t seem to be happening at all anymore. It doesn’t take long for things to fall off your...

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Maintaining a Compliant Practice During a Natural Disaster

With the recent wildfires in the Northwest U.S. and the destruction left by hurricanes Harvey, Irma, and Maria, providers are left wondering how to maintain a compliant office while facing the wrath of mother nature. Every office should have a contingency plan in the...

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Checks and Balances

I have been in practice for over thirty years and know the risk I take when I trust my team to follow the policies and procedures I have in place when it comes to collections, compliance, and patient follow-up. I learned the hard way, that when you don’t have a system...

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Opting Out IS an Option

We receive calls from providers across the country wanting to know if patients can opt out of using their insurance, and the answer is yes – in most cases. In 2013, the Department of Health and Human Services issued updates to HIPAA privacy regulations....

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Chiropractic Success Starts with You

Recently, one of my employees shared with me her Facebook post from seven years ago. Her post stated, “I am praying to find a good job, a place where I can be happy and have a long career.” This year, she will be celebrating six years with us. She was our...

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