An AUDIT will throw YOUR office into absolute turmoil if your documentation does not meet carrier guidelines (and that's for the 50% of all DC's who have non-compliant documentation). FAILING an AUDIT can cost you tens, or even hundreds of thousands of dollars.
It is IMPERATIVE that you recognize if this is a problem in your office, ACT, and fix this on your time frame. Don't wait for an AUDIT: Go to my CONFIDENTLY COMPLIANT MASTERCLASS HERE
(Providers take heed: Legal Defense coverage by your malpractice carrier does NOT cover any recoupment settlement that might be made where you are required to repay the carrier for previously paid services!)
FRUSTRATED with your clients who continue to STRUGGLE with non-compliant documentation?
Until now, all you could do was recommend they attend yet one more documentation workshop. They've probably already been to several...and yet here we still are. Check out and SEND them to my CONFIDENTLY COMPLIANT MASTERCLASS HERE
Re-submissions & recurring mysterious rejections? Carrier processing errors (and errors and errors)? Other creative carrier "oops!" scenarios?
STOP accepting carriers' mistakes: fight back!
Please each out! I want to hear your stories!
Defending ANOTHER provider with bad documentation? Send them to my CONFIDENTLY COMPLIANT MASTERCLASS HERE
I CAN HELP BUILD YOUR CASE TOO!
I have interviewed and worked with dozens of healthcare attorneys, as well as OIG and fraud specialists. Reviewing a Provider Contract with the eyes of a provider (and an audited one at that!), I have been able to locate important, relevant details that can be overlooked to help you be on the offense, not just the defense.
Carriers overlook (or ignore) things ALL the time!
Yes, Most Chiropractic Malpractice Insurance Policies NOW COVER Audit Legal Defense and I'm taking to YOU:
TIRED of defending ONE MORE provider with bad documentation against a carrier audit? YOU know how many of your audited docs have bad documentation.
YOU know they have been to documentation workshops before. This is a ridiculous and losing game off Whack-a-Mole that carriers are playing with us, and half the time they GET the mole (the DC).
Your doc DOESN'T need another documentation workshop, they need an IMPLEMENTATION STRATEGY. You guessed it: they need my MASTERCLASS.
It's NOT ENOUGH to be ONC-Certified!
MOST of the non-compliant providers I have worked with were using ONC-certified software, but using it ineffectively....and it's NOT all their fault!
Is there a breakdown in YOUR process metrics?
WHAT percentage of your customers are non-compliant and WHAT is their demographic?
WHY are they having problems using YOUR product?
WHAT are YOU going to do about it?
I hold several certifications in Software Project Management, and would love to consult with your Project Development Team to help them identify factors that negatively impact the correct utilization of your product.
Data & Analytics?
Healthcare Reform?
Something else?
Where dose YOUR business fit into this picture?
HOW can I help you?
Better yet: how can we work TOGETHER?
NOBODY seems to be talking to EACH OTHER! If you are reading this, you understand some of the major problems with healthcare today through the lens of your experience, industry, or profession.
In the beginning I didn't expect to be so fascinated speaking with not just colleagues, but healthcare attorneys; billing, coding, and compliance experts; EHR software companies; healthcare data specialists; medical audit and fraud examiners; Chiropractic malpractice insurance carriers; and basically anyone in a related field who will engage in conversation with me, answer my passionate emails, or respond to my spontaneous LinkedIN connection request.
FIXING this problem will require the sharing and collaboration between these MANY diverse individuals and professional communities and industries.
TO BE CLEAR: I am not defending outright and intentional insurance fraud. I am also NOT arguing for the reasonableness of carrier documentation guidelines, NOR for the behavior of some carriers during the audit process.
HOWEVER...providers who disagree with the current state of requirements by ignoring them is a dangerous and ill-advised strategy (and your KNOW who you are). FIX your notes, and work for change in more appropriate and less risky ways.
"Dr. Ellen" lives in Norfolk, Virginia and is a 1991 Palmer graduate. She has built and sold 2 highly successful Chiropractic practices in 2 states, and in 2018, along with dozens of her colleagues in Virginia, was subject to a devastating and unjust insurance carrier audit. She currently spends her time advocating for and educating her colleagues about audits, documentation compliance, and standing up to insurance carriers when appropriate.
READ MY PERSONAL AUDIT STORY HERE
