Chiropractors across the nation commonly are victimized by third party payers either through delays or denials in settling bills for treatment performed or post-payment, when the insurers audit and contest their charges, according to Bharon Hoag, senior consultant with the ACOM Chiropractic Consulting (http://www.acomconsulting.com/resources_success_stories.html) and confidence in their own billing accuracy.
On November 17, Hoag will address the FCA Winter conference of the Florida Chiropractic Association, with a seminar entitled "Proving Medical Necessity through Your Coding;" and on
December 1, another entitled "Understanding Documentation and How to Implement It," at the Annual Seminar of the Advantage Chiropractic Network, an affiliate of the Iowan Chiropractic
Society. October appearances included the 2007 ISCA Fall Conference of the Indiana State Chiropractic Association (October 12) and the OSCA Northeast District Fall Meeting of the Ohio
State Chiropractic Association.
"It is absolutely ethical to bill for the services you performed, but many doctors fail to do so because they don't know how to bill properly, or they down-code for fear of an audit," he
tells his audiences. "This leads to one of two scenarios: the doctor cheats him/herself, or the insurance company detects questionable billing procedures and challenges the request for
payment. Insurance companies are not in business to pay claims. So be assured that they won't call attention to underbillings, but understand that they will certainly demand repayment if
they feel that medical necessity has not been demonstrated."
Hoag's primary message to doctors is that to survive and prosper, they must cultivate a detailed understanding of chiropractic coding and documentation (http://www.acomconsulting.com
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