seen him on our presentations in the past, Sam runs the HJ Ross seminars. We refer all of our doctors to HJ Ross not just to learn the billing and coding. We also have, through a HJ Ross and under Sam's direction, an electronic HIPAA compliance program. He does an unbelievable job with the doctors which is why every time I have a issue or question, I run right to Sam and I always get an immediate response. That makes total sense to me. I’m always glad to have you, Sam. I’m proud to be associated with you as well and I want to come to you and say when it comes to things like Medicare that we're talking about with Dr. Murkowski as well, it always seems to me that the chiropractor is singled out. I remember reading years ago an article that Medicare did an audit of this hospital system and they found so many millions upon millions and millions of dollars that were paid to them in error because they should have never been billed correctly, just like we're talking about insurance audits. They forgave the hospitals because the hospitals said, "Well, they had to do that to make up for the cash-paying patients that they didn’t make as much money on." As ridiculous as that is to me, it points out when we get paid so little money, why do they even waste their time coming after the chiropractor? It's offensive as the first point but it always feels as if we're being single out. I want to come to you. You deal with this all day long. A, are we really being singled out or is this something that we're just part of? Why do they single us out for these reviews? Thanks. I appreciate being here as well and always sharing the time with you. I think for Medicare, the issue becomes it's just money. Being singled out I think chiropractic and I agree with you being my father was a chiropractor as well, I have been around this my entire my life. Chiropractic in many ways is low- hanging fruit because the OIG has come up with that Chiropractors have a 92% failure rate for documentation. However, some of that and most of it maybe just simply the doctor didn’t sign their records. That makes your notes or chart invalid. It's something as simple as that may look like your notes are 92% of the time wrong but it could one little simple thing. The other issue becomes, it's a question to me is why they did pick on chiropractic because I agree with you. I think there's a little bit more because it's maybe easier but if you eliminated chiropractic from Medicare, it would probably not make a budgetary difference considering the volume of money that goes to the system. However, it's their way of demonstrating that, "Oh look at what we're doing, how we're correcting all these errors." That being said, I think chiropractic has had some things that we just have to make a good understanding of that they're going to look for. The one thing I will say about Medicare, it's like a spouse who tells you certain things to do. You have to know what that spouse wants and do it. Medicare really does publish all these things. As Dr. Ken pointed out, all those issues of contraindications, one of the simple things to do with that is have a good history. Did the patient take any medications? Have they had any past history of fracture? You can go through a lot of that with just a good history that I think most doctors do. What we have to make sure they're doing is that they're checking the box, if you will, to say, "Oh, these things are not present."
Dr. Collins:
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