It is important that practices establish strategies to determine who is able to pay for chiropractic services. As charitable as chiropractors are, the law does not allow routine amortization of co-countries and franchises, without the risk of violating payers` contracts or federal and regional laws. If patients have insurance, the practice must demonstrate that there are indeed financial difficulties and record all costs that are cancelled. In addition, difficult cases should be assessed regularly, as a patient`s financial situation may change. Written standards that the practice guidelines for financial rigour are consistent with Community standards, the HNS and HNS Payor guidelines, the guidelines of the current public licensing bodies and all state and federal laws. Consensus terminology for levels of care: acute, chronic, recidivism and well-being J Manipulative Physiol Ther. 2010 (Jul); 33 (6): 458463 – FULL TEXT As the chiropractic profession delineates its role in the emerging health market, it is increasingly important to clearly define the extent of appropriate chiropractor care in relation to the overall management of patient cases. For this reason, the Commission has launched a multidisciplinary consensus process on “level of care” terminology for chiropractic guidelines and practical parameters. You can also take advantage of this critique of this ACA process, titled: Chiropractic reaches consensus on terminology for levels of care. If you are a participating provider with ChiroHealthUSA, you can get a free emergency model from KMC University. What could be better than starting with sound fiscal policy, options for affordable patient care and a policy of healthy toughness? This seems to be the first step towards a successful 2019. Q10.
Can I offer discounts for different groups, such as the army, clergy, students, etc. A. Be careful here. If you decide that uninsured members of the clergy or army or students are part of your hard-line discounts, you can be assured of offering this discount to all members of these groups, provided you follow the emergency rules correctly. But it is also important to build your difficult cases so that they are addressed to those who are really in need when they are in need. One of the “missing” points I see in many difficult cases is a calendar. For example, if you offer hardness to a quadruple unemployed father because of his financial criteria, this may be acceptable. But make sure you create an “expiration date,” so that if Dad lands a 150k a year`s work, you don`t look stupid for offering an emergency discount. Surviving the Scrutiny: New Efforts to Expose Fraud and Recover Overpayments Puts Health Care Providers Under the Magnifying Glass ACAnews June 2006 – FULL TEXT If your documentation and coding are in order, experts advise that file verification should not be a problem.
However, the 2005 HHS Office of the Inspector General (OIG) report warned that 94 per cent of chiropractic data is missing or not sufficiently missing, or does not sufficiently represent key elements, a treatment plan, medical necessity and/or contraindications for treatment. Thanks to Nataliya Schetchikova, PhD and ACA News, newspaper of the American Chiropractic Association, for permission to reproduce this article exclusively on Chiro.Org! Q7. How about reducing costs for patients who cannot afford care? A. Believe it or not, most states and most payer contracts allow you to offer your patients a rigorous case discount on an individual basis. In general, this requires written documentation of what constitutes your hardness criteria, but there is no generally accepted definition of these criteria.