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Top Story: Medicare Patients Give Chiropractic High Mark
Results from demonstration project suggest feasibility of expanding chiropractic services in the Medicare program.
By Peter W. Crownfield, Executive Editor
The long-awaited final report on the Centers for Medicare & Medicaid Services (CMS) chiropractic demonstration project, conducted from April 2005 through March 2007, is good news for chiropractic, with 87 percent of patients surveyed giving their doctor of chiropractic a score of 8 or higher when asked to rate their satisfaction with care (1-10 scale), and 56 percent rating their chiropractor a perfect 10. Moreover, in all but one of the demonstration sites (metropolitan Chicago), health care costs did not increase significantly with the addition of chiropractic services.
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Other Top Stories and Articles
Truck driver exams, Department of Transportation (DOT) and non-DOT alcohol and drug testing are the vehicle for all chiropractic physicians to significantly increase their income and fill open appointments. The chiropractic profession has a significant competitive edge over all other providers. That competitive edge will cause a detour in where upwards of $1 billion per year will be spent.
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Near the end of our last article (Jan. 1 issue), we indicated that contractors must evaluate suspected claims errors through the use of "probe" reviews. Under probe reviews, contractors may initially examine 20-40 claims per provider for provider-specific problems. Contractors may also conduct widespread probe reviews (involving approximately 100 or more claims from multiple providers) when a larger problem, such as a spike in billing for a specific procedure, is identified.
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Like you, I keep looking for better ways to help patients out of their ill-health predicaments. Specifically, I look for that deep meaning of what the person's musculoskeletal system is trying to say to me while I look at their posture. My hope is to fulfill their expectation of me to improve their life and condition. I've always felt that if I learned enough about posture and functional anatomy, then my question, "Why does this person have pain?" would be answered.
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Health may be best defined as the ability to maintain a condition of homeostasis, which is the ability of a body to regulate its internal conditions, such as the chemical composition of body fluids, so as to maintain health and functioning, regardless of outside conditions. A common way many of us begin to lose our health is by losing our ability to maintain a healthy level of sugar in our blood. In fact, some experts have said that dysglycemias have become an epidemic.
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Following my last column ("Insider's Secrets About Recovery or Postpayment Audits," Dec. 16, 2009), I received a boatload of e-mail inquiries in regards to audit protection or prevention strategies. The most common question in this regard was an interesting variation of the quest for the chiropractic Holy Grail: the "perfect SOAP note." Much like the Holy Grail of Arthurian legend, the assumption by many DCs is that such an instrument, example or software program (if it exists) would make the chiropractor invincible from all documentation denials or audits.
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Current ChiroPoll
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- 41%-50%
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