regulations from their state board as to what the documentation requirements are for a new patient’s/first visit versus ongoing visits. You cannot do less than the minimum requirement. Just keep that in mind as you go through this presentation, dealing more on the health and the insurance side of things, but when we are talking about documentation it's wide open in terms of the areas that you have to be concerned about.
Alan Weinstein:
I think we're ready, Stu.
Stu Hoffman:
All right. Go to it, Sam.
Sam Collins:
Great. All right. I just want to make sure can everyone hear me and can see the screen?
Alan Weinstein:
Perfect.
Stu Hoffman:
Perfect.
Sam Collins:
Perfect. All right, great. Thanks. I'm glad to be here. Audit prevention and defense, here's really the issue. Most doctors will definitely hear issues where scare tactics if you will, almost. You're going to get audited. You're going to go to jail. Certainly that's very rare, but we do have to understand that insurance companies are going to audit because they're looking at it from a money standpoint. Let's talk about what goes on and what targets a claim for review. What really targets a claim for review is simply a profile. Every provider's profile, I'm sure many chiropractors are aware of Medicare now publishes on their website, documented about how much every doctor has billed for the last year or several years. We all have been profiled. This profile just shows are we going to be an outlier? What are they going to really be looking for when they see this? What they're looking at is comparative billing. How do you compare to your peers? That's where they audit. They're not necessarily going to audit someone that's a low-level provider, but someone that's going to be simply what we'll call an outlier. What is an outlier? Someone that does something way more than another provider. Now, I will say to doctors let's be careful. Because you're an outlier it doesn't mean you've done anything improper. It simply means you may be doing things more than another. For instance,
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