An Audit from the Inside
By: American Chiropractic Association

Course Description

Audits from a DCs perspective... Much information available for Chiropractors about insurance compliance audits is presented: by attorneys, billing or documentation specialists, state associations that may or may not have current data to share/various degrees of assistance, Chiropractic malpractice insurance carriers who may offer legal defense coverage for DCs, or companies who are trying to sell DCs services related to documentation reviews. Dr. Ellen will give a timeline for what happens from “when that letter comes” for a review documentation for a number of patients for a specific timeframe what I call “Phase 1” of an audit, from what legal sources for example Mike Miscoe/Chirosecure recommend before sending off your “big box of notes”, to waiting for the results, to handling an audit call if your malpractice insurance carrier does not offer audit legal representation, and, IF YOU FAIL Phase 1, how to prepare for and be PROACTIVE in the face of Pre-payment review “Phase 2”: getting access to your denials information, staying on top of responding before things get far behind, and supporting yourself and your staff though the process Much of the information available for Chiropractors about insurance compliance audits is presented  by attorneys, billing or documentation specialists, state associations that may or may not have current data to share/various degrees of assistance, Chiropractic malpractice insurance carriers who may offer legal defense coverage for DCs, or companies who are trying to sell DCs services related to documentation reviews.     Dr. Fitzenrider will give a timeline for what happens from “when that letter comes” for a review documentation for a number of patients for a specific timeframe what she calls “Phase 1” of an audit, from what legal sources recommend before sending off your “big box of notes”, to waiting for the results, to handling an audit call if your malpractice insurance carrier does not offer audit legal representation or should you pay for a lawyer yourself, and, IF YOU FAIL Phase 1, how to prepare for and be PROACTIVE in the face of Pre-payment review “Phase 2”: getting access to your denials information, staying on top of responding before things get far behind, and supporting yourself and your staff though the process.     Learning Objectives:   Discuss the sequence of events in a typical audit.   Review the steps on how to prepare for an audit Much of the information available for Chiropractors about insurance compliance audits is presented by attorneys, billing or documentation specialists, state associations that may or may not have current data to share/various degrees of assistance, Chiropractic malpractice insurance carriers who may offer legal defense coverage for DCs, or companies who are trying to sell DCs services related to documentation reviews.   Dr. Fitzenrider will give a timeline for what happens from “when that letter comes” for a review documentation for a number of patients for a specific timeframe what she calls “Phase 1” of an audit, from what legal sources recommend before sending off your “big box of notes”, to waiting for the results, to handling an audit call if your malpractice insurance carrier does not offer audit legal representation or should you pay for a lawyer yourself, and, IF YOU FAIL Phase 1, how to prepare for and be PROACTIVE in the face of Pre-payment review “Phase 2”: getting access to your denials information, staying on top of responding before things get far behind, and supporting yourself and your staff though the process.     Learning Objectives:   Discuss the sequence of events in a typical audit.   Review the steps on how to prepare for an audit Much of the information available for Chiropractors about insurance compliance audits is presented by attorneys, billing or documentation specialists, state associations that may or may not have current data to share/various degrees of assistance, Chiropractic malpractice insurance carriers who may offer legal defense coverage for DCs, or companies who are trying to sell DCs services related to documentation reviews.   Dr. Fitzenrider will give a timeline for what happens from “when that letter comes” for a review documentation for a number of patients for a specific timeframe what she calls “Phase 1” of an audit, from what legal sources recommend before sending off your “big box of notes”, to waiting for the results, to handling an audit call if your malpractice insurance carrier does not offer audit legal representation or should you pay for a lawyer yourself, and, IF YOU FAIL Phase 1, how to prepare for and be PROACTIVE in the face of Pre-payment review “Phase 2”: getting access to your denials information, staying on top of responding before things get far behind, and supporting yourself and your staff though the process.     Learning Objectives:   Discuss the sequence of events in a typical audit.   Review the steps on how to prepare for an audit Much of the information available for Chiropractors about insurance compliance audits is presented by attorneys, billing or documentation specialists, state associations that may or may not have current data to share/various degrees of assistance, Chiropractic malpractice insurance carriers who may offer legal defense coverage for DCs, or companies who are trying to sell DCs services related to documentation reviews.   Dr. Fitzenrider will give a timeline for what happens from “when that letter comes” for a review documentation for a number of patients for a specific timeframe what she calls “Phase 1” of an audit, from what legal sources recommend before sending off your “big box of notes”, to waiting for the results, to handling an audit call if your malpractice insurance carrier does not offer audit legal representation or should you pay for a lawyer yourself, and, IF YOU FAIL Phase 1, how to prepare for and be PROACTIVE in the face of Pre-payment review “Phase 2”: getting access to your denials information, staying on top of responding before things get far behind, and supporting yourself and your staff though the process.     Learning Objectives:   Discuss the sequence of events in a typical audit.   Review the steps on how to prepare for an audit

Course Details

  • An Audit from the Inside
  • By:    American Chiropractic Association
  • Instructor:    Ellen Fitzenrider, DC
  • Total CE Hours:    1
  • Course Format:     Online Distance Learning
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  • Course Categories:     DC Continuing Education, Board-Mandated Remediation
  • Course Subjects | CE HOURS:
    • Documentation  -1 CE Hours