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OIG Targets Chiropractors Yet Again in Report Recommending Aggressive Audit Procedures

Unsatisfied with prior efforts to curtail Medicare billing of chiropractic services, the Office of Inspector General (OIG) is doubling down by targeting chiropractors yet again. In 2013, the OIG estimated that $358.8 million or approximately 82% of all money paid by Medicare for chiropractic services was unallowable and issued instructions to CMS to use more scrutiny in paying for chiropractics services.  

Stating that the prior recommendations have gone "unimplemented or have been implemented ineffectively," the OIG (as recently as last week) issued a portfolio report that reiterated the recommendations and recommended more aggressive audits and overpayment reimbursement procedures targeted towards members of the chiropractic community.

Chiropractors should take the warnings in the recent OIG report seriously and review their billing practices prior to an audit. Furthermore, practitioners should call their regular attorney for counsel at the first sign of a potential audit. The experienced attorneys of Hinshaw & Culbertson LLP are also available to review your billing practices, as well as your medical documentations, and can provide guidance to help avoid an audit or provide a strong defense should an audit or reimbursement demands occur.


This post has been prepared by Hinshaw & Culbertson LLP to provide information on recent legal developments of interest to our readers. It is not intended to provide legal advice for a specific situation or to create an attorney-client relationship.

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