Health Care Compliance Programs for Chiropractors in Pennsylvania

The new federal health care law, the Patient Protection and Affordable Care Act as amended by the Reconciliation Act (PPACA), REQUIRES chiropractors to adopt a compliance program as a condition of participation under Medicare.

A compliance program should, at a minimum, incorporate HHS Office of Inspector General’s recommendations for compliance. This includes a comprehensive establishment of OIG elements, a breakdown of all guidelines for coding and documentation, and an analysis of fraud and abuse laws as they relate to chiropractors. A compliance program, to be effective, should include all of these laws and guidelines.

The Martin Law Firm, an experienced health law firm with a focus on chiropractors, has developed a compliance program based on federal law and OIG recommendations. Specifically, the health care compliance program for chiropractors, as created by the Martin Law Firm includes, but is not limited to the following topics:

A comprehensive compliance program will save the chiropractor money by reducing risk, avoiding the flags that trigger post payment reviews, protecting reimbursement and profits and helping to resolve payment disputes with Medicare and other insurance payers.

Federal law mandates that all chiropractors adopt an effective compliance program. Private insurance payers expect that all chiropractors implement one. All chiropractors who want to ensure compliance should contact the Martin Law Firm today.

Please call (215) 646-3980 to schedule an appointment.

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