Audits are on the Rise
By: SideCar, LLC

Course Description

Understanding what risk management has to do with your financial policy. There is now a greater risk of financial loss due to improper discounting and faulty financial and collection policies. It is widely known that the Office of Inspector General (OIG) and Medicare are cracking down on healthcare fraud and abuse, but what most chiropractor offices are unaware of, is how widely successful these efforts have been. In this presentation, we will identify the five most dangerous things we face in chiropractic and how to avoid them.

1. Overview of the 5 Little Things

· Dual Fee Schedules

· Improper Time of Service Discounts

· Inducement Violations

· False Claims Act

· Anti-Kickback Statutes

2. Discount Medical Plan

· How does a DMPO work?

· Using a DMPO as a toll.

3. Compliance Plan

· Compliance is a process not an event.

· What is a compliance plan?

· Benefits of a compliance plan.

4. The Only Thing That Remains Constant is Change.

· Rules and regulations have changed.

· Conflicting regulations and opinions.

· Challenges we face.

· Simple Solution.

5. Discounting Your Fees

· Who cares what we charge?

· OIG – Claims recoupment of $17 for every $1 spent auditing

· Medicare/Medicaid Beneficiaries – Hardship?

· State Board Actions

· State Rules and Regulations

6. Audits are on the rise. Are you prepared?

· Steps to minimize risks

· Financial Policies

7. How to follow the rules and solve the problem

· 1 Fee for each service

· Discounts based on contracts or agreements

· Establishing your fee schedule

· Establishing a rock-solid financial policy

· Using a DMPO

Kristi Hudson will use her knowledge as a Certified Professional Compliance Officer to discuss the common pitfalls that lead to dual fee schedules, improper time of service discounts and inducement violations. He will also review the steps for developing a compliant financial policy.

Instructor will teach via lecture and the visual aid of slides. Examples will be discussed from demonstrative purposes.

Course Details

  • Audits are on the Rise
  • By:    SideCar, LLC
  • Instructor:    Kristi Hudson
  • Total CE Hours:    1
  • Course Format:     Online Distance Learning
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  • Course Categories:     DC Continuing Education
  • Course Subjects | CE HOURS:
    • Risk Management  -1 CE Hours
  •    Course Outline