Evaluation and Management Coding for Chiropractic – part 4 – using Medical Decision Making
Medical Decision Making (MDM) offers chiropractors a structured method for selecting E/M codes based on complexity rather than time. This guide breaks down the levels of MDM with examples to help ensure accurate, defensible documentation.
Evaluation and Management Coding for Chiropractic – part 3 -Coding Using Time
Under the 2021 E/M coding changes, chiropractors can now select office visit codes based solely on total time spent on the day of the encounter. This article explains what activities count, how to document them, and when time-based coding may not be the best option.
Evaluation and Management Coding for Chiropractic – part 2 – Medically Appropriate History and Examination
Even though history and examination no longer determine E/M code selection, they remain essential for complete and defensible chiropractic documentation. This article outlines what constitutes a “medically appropriate” history and exam in light of the 2021 E/M coding changes.
Evaluation and Management Coding for Chiropractic – part 1 – New vs. Established Patients
Understanding how to correctly code evaluation and management (E/M) services is essential for accurate billing and defensible documentation in a chiropractic setting. This article breaks down the difference between new and established patients, and how the 2021 E/M updates impact code selection.
What Every Chiropractic Physician Should Know About OIG Compliance
The Office of the Inspector General (OIG) plays a crucial role in preventing fraud, waste, and abuse in Medicare, Medicaid, and other HHS programs, overseeing approximately $2 trillion in government spending. Chiropractors can enhance compliance and minimize risk by following the OIG’s updated guidance, including implementing a comprehensive compliance plan and adhering to key regulatory standards.
Civil Monetary Penalties, OIG, and the Chiropractic Practice
The Office of Inspector General (OIG) has the authority to impose civil monetary penalties (CMP) for various forms of healthcare fraud and abuse, including submitting claims for medically unnecessary services or engaging in kickback schemes. CMPs can range from $10,000 to $100,000 per violation, and chiropractors are not exempt.