Medicare’s Rules for Records Requests

Medicare continues to request records in order to determine if a claim is payable. However, they have very specific rules and regulations that they are required to follow in requesting the records and reporting the findings. In this webinar Dr. Short will show you: Who can review your records, what needs to be in the request for records, how long you have to respond to a request for records, how to respond to a request for records, how they are required to report the results of the review. You can obtain the notes for this webinar by subscribing to my e-mail updates at (the link to the notes will be in the final welcome e-mail) or by following the link provided in my e-mail update. They will be available by the Monday prior to the webinar presentation.

Medical Necessity: it’s far easier to prove than you think, and far more important than you realize.

Besides coding errors, it’s the 2nd most common tool used by health insurers and 3rd party payers to deny care and deny liability. How do you decide what to use as a tool to prove your care is viable and needed? Expensive equipment and elaborate testing procedures are not what you need. It’s as simple to prove as opening a can of beans, unless you don’t have a can opener. I’ll share with you my insider tips and experience as a medical expert on over 3000 successful PI case settlements and give the can opener that you and your patients need you to use to prove medical necessity, and why you’ll need it in treating what I feel is the next great opportunity for Chiropractic: V_______ care.

Setting Goals that Prove Medical Necessity in Your Records

‘Reduce pain” may be a real goal of chiropractic care, but is it enough? While you may want to help your patients to reduce their pain, goals need to focus on what kinds of functions are affected by that pain. Does it keep the patient from sleeping, from sitting at a desk, from washing their hair when in the shower? Learn how to create goals that are easy to defend and use to justify ongoing treatment in this fun-filled webinar by Dr. Evan Gwilliam, a Certified Professional Medical Auditor.

Modalities Used in Your Chiropractic Office

Electrical stimulation, ultrasound, and mechanical traction are modalities commonly used in chiropractic offices. And they are commonly documented incorrectly or billed improperly. Learn the right (and wrong) ways to get paid for these kinds of services. Join Dr. Evan Gwilliam, certified coder, and all-around nice guy, as he answers your most burning questions about the CPT codes 97012, 97014/G0283, 97032, and 97035.

Use the Right Modifiers for Chiropractic Billing

Do you really know when to use the 59 modifier? What about the AT? There are relatively few modifiers to consider when it comes to chiropractic billing and coding, but some payers have their own rules and it can be tricky to know when to use one modifier and not another. In this exciting webinar, Dr. Evan Gwilliam, a certified coder, will clear up all the questions you have about the modifiers you need to consider.

Medicare Overpayments and the 60 Day Rule

Sometimes overpayments happen and you are responsible to identify and repay those overpayments. Dr. Short will explain what overpayments are, why they happen, how to identify them, and what responsibility you bear in this whole process. In this webinar you will learn:  What are overpayments…