Fw: [aca-members] Medicare planning to audit Chiropractic services

[Guest guest]

Wonderful news from that wonderful program called " Medicare " be

alert.....Vern Saboe DC., ACA Delegate

[aca-members] Medicare planning to audit Chiropractic services

> FYI

>

>

> CMS TO BEGIN CHIROPRACTIC SERVICES SUPPLEMENTAL MEASURES STUDY

>

>

>

> Background: On November 20, 2009, the President issued Executive Order

> 13520

> - Reducing Improper Payments and Eliminating Waste in Federal Programs.

> This

> order further intensifies efforts to eliminate payment error, waste,

> fraud,

> and abuse in Federal programs, while continuing to ensure that the right

> people receive the right payment for the right reason at the right time.

> The

> executive order requires federal agencies to conduct semiannual studies to

> identify and reduce vulnerabilities in high risk areas. The Centers for

> Medicare & Medicaid Services (CMS) is conducting these studies under the

> Comprehensive Error Rate Testing (CERT) program.

>

>

>

> Chiropractic services claims paid under the Medicare Part B Program were

> selected as an area of focus. Chiropractic services were chosen as a focus

> area for several reasons. Medicare pays only for medically necessary acute

> chiropractic treatment. When further improvement cannot reasonably be

> expected from continuing care, the services are considered maintenance

> therapy and are not payable under Medicare. A recent Office of Inspector

> General (OIG) study found that significant vulnerabilities exist in

> connection with chiropractic claims, particularly concerning Medicare

> payments for maintenance therapy. In addition, the 2009 Medicare

> fee-for-service (FFS) error rate for chiropractic services was 31.7% with

> $174.1 million in projected improper payments. The primary causes of the

> errors were payments for maintenance therapy and missing plans of care.

> For

> more information and to learn what to do if your claim is selected for

> review, read the full article here:

>

> http://www.wpsmedicare.com/part_b/business/cert_articles.shtml

>

>

>

> Attend the WPS Medicare teleconference " Chiropractic Care and CERT " !

> Please

> see the following website for more information:

>

>

http://www.wpsmedicare.com/part_b/education/training_programs/teleconference/201\

0_chiro_cert.shtml

>

>

>

>

> --

> Kind regards,

>

> Rick Branson, DC

> ______________________________________________________

> ACA-members mailing list

> To post to the list:

> ACA-members@...

> NOTE: The ACA does not accept requests/inquiries through the listserve.

> The listserve is for peer-to-peer collaboration only. If you have an

> insurance-related question/concern you wish to bring to the attention of

> the ACA, please email insinfo@....

> To unsubscribe or change membership options:

> http://ww3.chirolists.com/mailman/listinfo/aca-members

> List options tutorial:

> http://www.chirolists.com/index.cfm?nid=6

> Email filters tutorial:

> http://www.chirolists.com/index.cfm?nid=7

>

>

> Visit the ACA online at:

> http://www.acatoday.org

> ______________________________________________________