RISK
NON-COMPLIANT DOCUMENTATION puts you at risk of FAILING an AUDIT.
This can cost you tens (or HUNDREDS) of thousands of dollars if you are requested to REPAY previously-paid claims, and can
FREEZE your CASH FLOW for current and
future services.
STRESS
If you are not ABSOLUTELY POSITIVE that your documentation is compliant, then it is PROBABLY NOT.
WHY WORRY if you are going to be the next of your colleagues to receive an AUDIT LETTER?
TIME
NON-COMPLIANT DOCUMENTATION can actually take MORE TIME for
you to complete.
MANY docs put in TOO MUCH of what ISN'T supposed to be in their notes in addition to not enough of what SHOULD be there.
FRUSTRATED??
INSURANCE AUDITS are no longer a "rare occurrence" where you hope that 'they' will get "the other guy" and not you.
INSURANCE AUDITS are a part of your contract with your carrier. You AGREED to provide specific information to them. It is no longer an option to ignore this.
INSURANCE AUDITS are a way for insurance carriers to confirm that what YOU, as a practitioner, are putting in your documentation is what meets the CARRIER'S guidelines for "Medical Necessity."
MOST CHIROPRACTORS are NOT CLEAR on what those carrier guidelines ARE for the plans they participate in.
MOST CHIROPRACTORS are AT RISK for not only BEING audited, but of FAILING the audit (based upon Medicare statistics that 82 % of Chiropractors have non-compliant documentation).
MOST CHIROPRACTORS are lacking in 3-5 crucial areas (or more!) of content when it comes to their documentation, and they don't know where to START fixing things. So they DON'T.
There are LOTS of GREAT workshops, seminars, presentations, and expert advisors out there. You probably have been to one, and more likely, several of them.
So WHY would 82% of docs' notes still NOT pass an AUDIT
There are many EXCELLENT experts and resources out there, and even though you put in the time to attend that workshop, you show up at your office on Monday morning with TONS of notes and the BEST of intentions. Yet, if you are like MOST docs, you quickly attempt AND FAIL at making MEANINGFUL CHANGES to your procedure and EHR documentation.
FAILURE. WHY??
Because you weren't given a PLAN to IMPLEMENT that information. In short: you weren't given the TOOLS that answered the question: "WHERE DO I START??
ACT. IMPLEMENT. SUCCEED.
WHAT IF...
- You were FINALLY motivated to ACT?
- You had an IMPLEMENTATION PLAN that was broken down into specific, single steps of what to do FIRST, then SECOND, then THIRD?
- You identified YOUR specific weak spots so you know EXACTLY where to BEGIN?
- You were FIANLLY CONFIDENT at the end of each day? And when that "records request" arrives, you are prepared?
- What if you SUCCEEDED?
(That is the NEW REALITY of how practice needs to be, doctor! Suck it up and FIX IT!)
ACTION. IMPLEMENTATION. SUCCESS.
Confidently Compliant Documentation: Self-paced course
COMING in SPRING 2020!
I have re-structured my live-format BOOTCAMP into a
self-paced online course!
WHY a course? So you don't have to do this on your own.Have you tried to get compliant before and failed?Don't know where to start? That's why. Because I'm NOT gonna lie, doc, this is going to be WORK! FIXING YOUR NOTES will take DISCIPLINE. FOCUS. EFFORT. DETERMINATION. This course will give you:
- STRATEGY. GUIDANCE. FEEDBACK. ACCOUNTABILITY. MOTIVATION.
- SELF-paced webinar-based specific content for you and your staff to IMPLEMENT.
- ACTION SHEETS and accountability calls to keep you on-task.
- Surveys, checklists, and customized-for-your-office GOALS.
The REAL problem of COMPLIANT DOCUMENTATION:
BUSY DOCS need a solution that:
They can do while maintaining their busy patient schedule.
Makes sense in today's practice environment.
Will eliminate the FRUSTRATION of trying and failing.
Will let them SERVE their patients with LESS STRESS.
Will bring them FREEDOM from the menace of an AUDIT.
BOOTCAMP GRADUATES SAY:
Dr. Gary Brand, Wisconsin
"My documentation used to take up most of my time, and even then I knew that it wasn't correct. Now I can leave my office at the end o the day ON TIME and with PEACE OF MIND."
Dr. Karen Brennan, Virginia
"We feel much more confident now in our documentation of therapeutic procedures now that our staff follows a SPECIFIC protocol set by the Doc."
Dr. Wade Quinn, Virginia
"The custom patient education video about maintenance and active care ALONE saves me and my staff hours of time EVERY SINGLE DAY.
THAT is PRICELESS!"
No Longer an OPTION not to ACT:
Why you should be concerned about a documentation audit:
In 2017, my office of 17 years was subjected to a post-payment documentation audit and prepayment review audit. Anthem asked for my EHR documentation from 18 months previous, 10 patients for six-months' worth of care, which was over 800 pages. I heard back 6 months later: they contested some billing codes, asked for some money back (a LOT), made some vague comments about notes that "appeared templated", AND...my office was subjected to "PRE-PAYMENT REVIEW."
Here's where the fun REALLY began!
If you are NOT familiar with what "Pre-payment Review" is:
- ALL current and ongoing dates of service are to be submitted on paper claim forms with printed notes, mailed in, and reviewed by the claims department prior to approval and payment.
- EACH DAILY VISIT for every patient that you see in YOUR office is evaluated and held to 100% COMPLIANCE, 100% of the time, on EVERY single carrier requirement or it will be denied.
- EACH DAILY VISIT for every patient will be determined if the services were actually "Medical Necessary"...or not.
SOUND SCARY? If it doesn't, it SHOULD.
This will throw YOUR office staff, YOUR office flow, and YOUR mindset into an absolute turmoil, believe me.
If you are even a half insurance-based practice, your CASH-FLOW will be decimated....for at least 6 months, maybe more.
EVEN if you are doing everything right.
Between myself and 12 other close colleagues, we lost a collective $1 million dollars in severely delayed or unpaid claims. Two colleagues closed their doors because they couldn't cover their overhead, payroll, and their own income.
DO NOT LET THIS HAPPEN TO YOU.
