Common Billing Red Flags and how to avoid them.

One of the biggest fears for chiropractors and to attract the attention of auditors. Its been described as the equivalent of a full IRS audit or worse !! Unfortunately, your claim forms and billing patterns might be raising all kinds of bright red flags to the wrong people. There are obvious elements for any claim to be payable: medical necessity, billing only for services that were provided, meet coverage rules, full documentation, proper coding to name a few. But there are also many gray areas making it hard to know if you are being compliant or if you are at risk.

A quality EHR system should have systems in place to help you stay compliant. SilkOne offers a full compliance module which helps you step by step to follow all the rules for meaningful use that auditors look for. And this module is At No Extra Charge !!

Here is how SilkOne Keeps You Compliant and Audit Protected:

  • It costs insurance companies a great deal of time and money to audit a practice. They are smart enough to choose the most vulnerable practices to audit, knowing they will get a good return on their investment. Our Easy to Use Comprehensive Compliance Enhancements follow all EHR rules for Meaningful Use and the bullet points insurance companies use to search for a vulnerable office. Insurance companies will not waste their time and money once they see how compliant your records are. They know there are plenty of other doctors they can go after for a much greater ROI.

  • To be Compliant you need to have the proper information on your History, Exam and MDM forms.  Through the work of our Compliance Experts we have provided every necessary field in all forms.  Our Proprietary Smart Technology makes it very quick and easy for you to fill them out properly.

  • History forms are Specially Designed and filled out by the patient online.  The information auto-populates into the system, saving much staff time.

  • Proprietary "Smart Technology" auto-populates information from Intake and Exam forms in each step with one click, making the entire process quick and easy, with no wasted steps.

  • Increase Collections on All E&Ms and Exams--by using our simple to follow History, Exam and MDM forms you will be 100% compliant and able to bill for the highest level CPT codes for your exams (99205), and have the documentation to back it up.

  • Dr. fills out the MDM form in 2 minutes or less.  This is the final and crucial step in the process of being compliant. This form is required yet 95% of doctors do not fill this out !! We make it quick, easy and compliant for you to fill this out.

  • Our system will then autoscore your exam to let you know the exact CPT code you can bill for (which will likely be a higher level exam code than you can currently bill for, instantly increasing you collections on all exams usually by 50%.)

  • SilkOne can help you with Correct Diagnosing, and the software will auto-order your diagnosis' for maximum reimbursement.

  • We will help you implement this Compliant Strategy. Every new client that chooses to use our Compliance Module is given a Free Compliance Consultation by our contracted Compliance Experts. This is a $595 value but we give it free.