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Office of The Inspector General Report MAY2009 “Medicare inappropriately overpaid $178MILLION to chiropractors”

May 13th, 2009

After you’ve read The Inspector General’s (complete 36 page) report, which had as its OBJECTIVE:

To determine the extent to which:
(1) chiropractic claims allowed in 2006 for beneficiaries receiving more than 12 services from the same chiropractor were appropriate,
(2) controls ensured that chiropractic claims were not for maintenance therapy,
(3) claims data can be used to identify maintenance therapy, and
(4) chiropractic claims were documented as required.

and has released its FINDINGS:

In 2006, Medicare inappropriately paid $178 million (out of
$466 million) for chiropractic claims for services that medical reviewers determined to be maintenance therapy ($157 million), miscoded ($11 million), or undocumented ($46 million). These claims represent 47 percent of all allowed chiropractic claims that met the study criteria. Claims representing $36 million had multiple errors.

I’m eager to hear your comments.

You and I can see all the flaws in this report, but can you also recognize the FACTS contained within are ALL TRUE? What should be done, if anything? This report will certainly aid the argument for increased use of those dreaded “post-payment audits” we’ve been hearing about… How would your office fair? (posted by: Admin)

Does The DCS need The dcsNETWORK?

April 30th, 2009

What are the positives and negatives? Should the network be only for delaware practicing chiropractors? (posted by: Scott Schreiber)

Medicaid in Delaware?

April 8th, 2009

Do you think that medicaid should cover chiropractic in delaware? If so how should the DCS go about making it a reality? What are some “pros and cons”? (posted by: Scott Schreiber)

Are Physical Therapists Stealing “Manipulation”?

March 15th, 2009

Doctors, do you see the line between what we do as Chiropractors and what Physical Therapists do, becoming blurred? What has your experience been? (posted by: Admin)

Informed Consent Bill Pushed in Connecticut

March 14th, 2009

A web article by a Connecticut TV News station published 3/12/09 ( reveals that 2 supposed stroke victims are pushing their state legislature to pass a “informed consent bill, warning of the risk of stroke” requiring all chiropractic patients to sign prior to being treated.

You might recall the controversy was initiated in the Spring of 2005 by a “group” calling themselves “” that littered CT with multiple billboards that read — “Warning: Chiropractic Adjustments Can Kill or Permanently Disable You”. Could this happen here in Delaware? (posted by: Annonymous)

Are you proud to be a “Chiropractor”?

March 13th, 2009

Here in Delaware, it’s my understanding that all chiropractic-related advertising, including the Yellow Pages, MUST include either the words “chiropractor or chiropractic” somewhere in the ad. (see 6.2.4

I’ve noticed a growing tendency to name clinics using generic terms (i.e. “wellness”, “injury pain health center”, “health center”, etc.) that do NOT include the words chiropractic or chiropractor. Is this intentionally done to hide the fact that there are chiropractors delivering these essential services? Is it an effort to reach more of the population that otherwise might exclude “chiropractic” care? Do you think using the words “chiropractor/chiropractic” weakens your public appeal? Do you feel that by excluding “chiropractor/chiropractic” from your clinic’s name you are given a leg-up on your chiropractic peers? What’s the name of YOUR CLINIC and why did you name it so? (posted by: Annonymous)

Do Insurance Companies Reimburse by Statute?

March 2nd, 2009

Our state law mandates that third party payers pay for services rendered that are performed within our scope of practice as defined by the State of Delaware. Often insurance companies ignore this statute, and our profession seems to allow this unlawful activity. What could we do that would effectively enforce the statute that would be practical and inexpensive. (posted by: Annonymous)

Pros and Cons of Chiros Working in MD’s Offices

February 17th, 2009

There are some that feel chiropractors working with MDs deminishes the status of DCs while others feel that exposing MDs to what chiropractors actually do is a good thing. What position do YOU support? Is legislative control necessary?

Hello DCS member!

February 17th, 2009

Welcome to the NEW DCS Blog. Your opinions are important. Please feel free to share them with us. (posted by: Admin)