"This summer is starting out with aggressive audits on chiropractic services-- specifically 98942 and 98941 manipulation codes by Wisconsin Physician Services, (WPS).
They are skipping the usual request for records, overpayment demand letters and moving straight to placing chiropractic offices into prepayment reviews. This means a doctor must submit patient’s documentation for each visit to be reviewed by a nurse case manager at WPS. The nurse case manager then determines if the services should be paid or denied. If denied you then have the option of undergoing the appeals process.
Unsuspecting doctors finding themselves in this situation will have an alteration in the revenue cycle with all of their Part B Medicare claims. This is not the worse case scenario. These same offices can expect to be placed in a post-payment audit status as well."
Dr. Arkfeld is the only chiropractic compliance consultant in the state of Michigan, and he has assisted numerous doctors through the audit process.
If your office receives this type of notification and you need additional help, you can contact Dr. Ted A. Arkfeld at Advanced Compliance Technologies.
Ted A. Arkfeld DC, MS, CPC
Advanced Compliance
Technologies, PLLC
854 N. Center Avenue,
Suite 3
Gaylord, Michigan 49735
Office (989)448-8065
Fax (877)620-0872
Cell (989)614-0261
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