An insightful PI Power Hour featuring special guest Dr. Jeffrey Alan Cronk, DC, focused on the critical importance of comprehensively diagnosing and documenting the three types of spinal injuries and the role that imaging plays in that process. Dr. Cronk explained what documentation needs to include, the importance of storytelling documentation, and how professional guidelines can enhance documentation and support the patient’s case during deposition or trial. Dr. Cronk also shared his four foundations for exceptional PI practice growth.
During part two of this two-session PI Power Hour, Michael Coates and nationally renowned billing and coding expert Sam Collins, director of the HJ Ross Network, take a closer look at billings do’s and don’ts for chiropractors, physical therapists and acupuncturists, and delve into the pain management side as well.
You are always at risk of non-payment of insurance reimbursement claims and personal injury bills. Knowing the finer points of billing and coding is key to reducing or eliminating those risks.
In Part 2 of our PI Power Hour on legal compliance and how NOT to step in it, with Harry Nelson, a nationally renowned healthcare attorney and author, joined Michael Coates of PIMadeEasy.com to discuss the legal and practically pitfalls and potholes that cause so many issues for small medical practices not just in the area of personal injury, which are completely avoidable.
In Part 1 of our PI Power Hour on legal compliance and how NOT to step in it, Harry Nelson, a nationally renowned healthcare attorney and author, joined Michael Coates of PIMadeEasy.com to discuss the legal and practically pitfalls and potholes that cause so many issues for small medical practices not just in the area of personal injury, which are completely avoidable.
Conducting patient collections the smart way can increase revenues and limit the risks. Do it the wrong way and you can walk into a lawsuit, social media feud or a state board complaint.
Tips, risks (billing audits, penalties and legal and licensing exposures) and approaches for responding to insurer denials, including “not medically necessary,” “missing invalid modifiers,” “total time spent,” “diagnosis not consistent with the procedure,” and “diagnosis not substantiated by the patient records.
Dr. Kent Choi and Dr. Ellen Fitzenrider share with Michael their warnings against “cookie-cutter treatment plans;” their advice for treating “eggshell” patients and those with pre-existing conditions; using storytelling SOAP notes and patient journaling; managing specialist referrals; and improving compliance and EHR reporting.
Strategies for how providers can enforce their medical liens; demand attorney transparency; handle statutes of limitation; auto coverage, and “at fault” issues; and leverage state bar attorney ethics rules to their advantage.
Examine how insurance fraud, kickbacks, improper fee reductions and illegal fee-splitting can happen – intentionally or otherwise – and the risks associated with using third-party intermediaries. They also review providers’ legal rights should they be investigated, how providers should deal with law enforcement, and when providers should retain a criminal defense attorney.