A Message from Dr. John Schmidt
Dear Doctor and Staff:
Please accept this invitation to join me for one of the most comprehensive seminars available today on coding, compliance and documentation in the chiropractic, physical therapy and physical medicine practice.
As a chiropractor and former licensed insurance adjuster, I know the challenges that you face in practice and how to help solve them.
Long gone are the days of endless insurance reimbursement. In todays health care market place, providers must demonstrate that their care is both reasonable and necessary. The best way to do thins is by becoming an “Evidence-Based Practice”. This means that you must use objective measures to document treatmnet effectiveness.
Since 1986, there have been significant changes in Federal laws and the AMA-CPT coding rules that have reshaped the way health care providers do business.
Today, insurance companies and the Department of Health and Human Services are thoroughly investigating both erroneous and fraudulent conduct.
Under the revamped False Claims Act (31 USC 3729-3733), the Federal Government does NOT have to prove that a provider had any specific intent to defraud a health care program to be found liable for fraud. The law actually rewards people (‘relators’) for reporting providers who are suspected of committing fraud.
With the advent of HIPAA came another law, Health Care Fraud (18 USC 1347) which provides for a 10 year term of imprisonment for EACH count of fraud.
Under the Patient Protection and Affordable Care Act, signed into effect on March 23, 2010 the governmnet does not need to demonstrate that a provider had any specific intent to commit health care fraud. This means that all mistakes can now be prosecuted as fraud.
Combing Health Care Fraud with the False Claims Act is a recipe for disaster!
Attend this seminar and you will gain a tremendous feeling of control over your insurance coding, awareness of State and Federal laws and treatment protocols…guaranteed!
– John F. Schmidt, DC, FIAMA