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1. Do you know the TEN most common mistakes chiropractors make in billing claims?
- Claim input errors.
- Failure to use the code that most properly identifies the service performed.
- Faulty use of modifiers.
- Faulty insurance verification.
- Failure to target and collect patient payments at time of service.
- Failure to modify and resubmit denied claims.
- Failure to chase down improperly denied claims.
- Establishing systems to monitor and review the claims department.
- Inability to query the billing system, determine causes for deficient collection rates and implement corrective action.
- Filing claims that are not documented in the treatment records.
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2. Did you know that the Federal Government has determined that two thirds of all chiropractic claims have billing errors or are “fraudulent” in nature?
Federal penalties can exceed $10,000 per violation. On average a clinic spends 10% of its gross income on billing activities. Doesn't it make sense to pay the ACOM experts less than what you are currently spending to do your billing right and at an increased collection rate?
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3. Are you aware that everyday more and more chiropractors experience the pain of post payment audit reviews forcing them to pay back thousands of dollars (and in some cases, hundreds of thousands of dollars) to insurance companies?
ACOM will not only train you and your staff on the proper documentation requirements but we will also help implement the systems to guarantee that you continue to meet those requirements no matter the variation of patient visits. This will help you to avoid and survive insurance company audits.
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4. Did you know that insurance companies change their billing submission rules frequently in order to delay and/or deny your claims?
Is your billing staff keeping up with the changes? The mire number and complexity of denial tactics by all party payers, coupled with the rapid changes, require expert claims handling by qualified and experienced personnel. ACOM provides you with a team of Certified Professional Coders to assist with these denials.
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5. Are you confident that your billing department is getting you your best return?
On average a clinic spends 10% of its gross income on billing activities. ACOM will ensure that all services are being billed correctly and will assist in the collections process.
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6. Do your treatment records support your claims?
Every year your treatment records and billing records are coming under greater scrutiny. When your clinic bills for a service, you must document that service in your records. Otherwise, the third party payers will question whether the service happened at all and claim fraud. ACOM has created innovative ways to correct this problem while not making documentation torture.
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