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.
Exclusion Authority Requirements for Chiropractic Practices
The Office of Inspector General (OIG) has the authority to exclude individuals and entities from participating in Federal healthcare programs under Section 1128 of the Social Security Act, with exclusions often resulting from fraud, abuse, or other violations. Healthcare providers must regularly check the List of Excluded Individuals/Entities (LEIE) to avoid penalties, as employing or contracting with excluded individuals can lead to significant fines and repayment obligations.
Self-Referral Law for Chiropractic Physicians
The Physician Self-Referral Law (Stark Law) prohibits physicians from referring Medicare and Medicaid patients for designated health services to entities in which they or their immediate family members have a financial interest, covering services like radiology, physical therapy, and home health care. Violations can lead to severe penalties, including repayment of funds, monetary fines, and exclusion from federal health care program
Anti-Kickback Statute for Chiropractic Physicians
The Anti-Kickback Statute prohibits any form of remuneration for referrals related to Federal health care programs, with violations leading to severe penalties, including fines and exclusion from Medicare and Medicaid. Providers must carefully navigate these regulations and consider legal counsel to ensure compliance and avoid costly repercussions.
The False Claims Act for Chiropractic Physicians
Health care fraud, waste, and abuse cost taxpayers between $30 to $100 billion annually, exposing patients to unnecessary services and reducing funds for legitimate care. The False Claims Act enforces strict penalties for false claims, requiring health care providers to implement thorough compliance measures to avoid substantial fines and legal repercussions.
Practisync Announces Partnership with Kentucky Association of Chiropractors for Membership Exclusive Benefits
FOR IMMEDIATE RELEASE Practisync Announces Partnership with Kentucky Association of Chiropractors for Membership Exclusive Benefits Springfield, IL - Practisync, a premier billing and revenue cycle management service provider, is thrilled to announce its new...
Practisync, Ltd Announces Dr. Evan M. Gwilliam as New Senior Vice President
PRESS RELEASE Practisync, Ltd Announces Dr. Evan M. Gwilliam as New Senior Vice President April 2024 – Practisync, Ltd, a leader in healthcare management services, is proud to announce the appointment of Dr. Evan M. Gwilliam, DC MBA CPC CCPC QMCC CPMA CPCO AAPC Fellow...
Practisync Announces Partnership with Washington State Chiropractic Association and Alaska Chiropractic Society for Membership Exclusive Benefits
FOR IMMEDIATE RELEASE Practisync Announces Partnership with Washington State Chiropractic Association and Alaska Chiropractic Society for Membership Exclusive Benefits Springfield, IL - Practisync, a premier billing and revenue cycle management service provider, is...
Unlocking Financial Health: Addressing Insufficient Billing, Collections, and Accounts Receivable Systems
In the world of chiropractic practices, financial health is the lifeblood that keeps the practice thriving. Revenue generation, effective billing, efficient collections, and well-maintained accounts receivable systems are essential components of financial success....
Brandy L. Brimhall Joins Practisync, Ltd as Chief Operating Officer
FOR IMMEDIATE RELEASE Brandy L. Brimhall Joins Practisync, Ltd as Chief Operating Officer Springfield, IL – January 1, 2024 – Practisync, Ltd, a chiropractic management service organization, is delighted to announce the appointment of Brandy L. Brimhall CPC, CPCO,...
Mastering Time Management
In the dynamic world of chiropractic practice, chiropractic assistants (CAs) often wear many hats. They play vital roles in patient care, administrative tasks, and, of course, managing the practice's revenue cycle. However, with so many responsibilities, time...
Demystifying Revenue Cycle: Understanding its Complex Components
In the world of chiropractic practices, revenue generation is essential for the health and sustainability of the business. However, revenue generation is not a simple process; it's a complex system that involves various components. In our previous blog posts, we...
Empowering Chiropractic Assistants: The Role of Training in Revenue Cycle Success
In the world of chiropractic practices, success relies on the synergy between healthcare professionals and their support staff. Chiropractic assistants (CAs) are an integral part of the team, playing a crucial role in patient care and practice management. However,...
Don’t Drop the Baton: The Consequences Poor Responsibility Transition in RCM
In the world of chiropractic practices, the smooth functioning of the revenue cycle system is akin to a relay race. Various team members pass the financial baton from one to another, and each handoff must be seamless to ensure the practice's financial health....
Unlocking the Key to Financial Health: Addressing Revenue Cycle System Interference
In the world of chiropractic practices, much like the human body, the nervous system plays a crucial role in maintaining overall health. Chiropractors and chiropractic assistants (CAs) often educate their patients about how interferences in the nervous system can lead...