Download Support Tools We have created a visual process of the “doctor thinking” that occurs with each new patient encounter or new episode of care. The doctor is thinking and evaluating the patient from the moment s/he starts looking at the intake information and the individual patient. Chiropractors are excellent at observing and gathering important…
Sample Recoupment Rebuttal Letter
Download Support Tool This letter can either be used as a template that you can customize and use as needed or that you can use as an example if you prefer to write your own rebuttal letters. It can be a great time saver and help you ensure that you include all of the pertinent…
Medicare Fraud and Abuse
Download Reference Document Because Medicare requirements are so stringent, pay close attention to the material in this document. The information is succinct yet provides a detailed overview of the available tools Medicare has at your disposal and lists a number of website links that you can access for additional information on this very important topic….
Overpayment Resources
Download Reference Documents Overpayments are often simple mistakes that can be addressed and resolved pretty quickly. The big mistake many offices make is to ignore them or simply forget to take steps to resolve the issues. The following documents are great resources that can help you stay on top of these problem areas and keep…
Correction of Minor Errors and Omissions Without Appeals
Download Reference Document According to section 937 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), Public Law 108-73, the Secretary of the Department of Health and Human Services is required to establish a process for physicians, providers, and suppliers to correct minor errors and omissions in insurance claims without making them…
Appeal Template Letters
Download Support Tool Having a selection of Appeals Letter Templates in your arsenal can be a real time-saver. This ST houses a wide cross-section of appeals letters that you can customize to meet the most common situations that you might encounter. They guide you through all of the information needed to help you be successful…