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of preventing an audit by watching your services but also making sure the chart notes are good from the very, very beginning. I'm really thankful for this time, Dr. Stu and Alan, to spend with you to give you these little tips and clues on it. I'll be interested in seeing your feedback on this to whether or not it helps and certainly you're welcome to take a look at our site hjrosscompany.com. We do offer lots of seminars. We offer a network service that allows you to have a place to call and deal with it, and we actually do have offices that call us directly when you're being audited. We work with your attorney, work with your boards and so forth to make sure that you are compliant. Thanks, Sam. I do have a couple of points including a question for you. That was terrific because I take all the calls here when one of our doctors is having a post-payment review or insurance audit. One of the points I want to raise for some of our doctors on the line, I know you used standard medical nomenclature in describing chiropractic manipulative therapy. That's from an insurance perspective even though a lot of our doctors understand and utilize the term vertebral subluxation or chiropractic adjustment or spinal adjustment. We're talking an insurance program here, not a philosophical debate. I just want to make that clear for our doctors because I don’t want them to be turned on or off based on vocabulary versus what they can get out of this presentation, which was terrific. That was just the first point. A lot of doctors that call me up or I go out and give a lecture and they say, "Well, I'm a cash practice. I can't get audited." My take on it is most of the cash practices are not cash practices. They're generally insurance practices. They just have the patient pay them direct, give them a super bill or something to that effect to turn in and get reimbursed themselves, but that's still an insurance practice. Are those people ... In terms of the doctors, what are their ramifications to insurance carriers still coming back to them, requesting a review of their documentation? You're exactly right. Many doctors who consider themselves with a cash practice do give patients receipts. These receipts or so called super bills are then submitted by many patients to get some reimbursement from their insurance, which means there's still a vulnerability to having it reviewed. Now, is it as great as one that just solely bills insurance and is waiting for insurance reimbursement? Generally not. Obviously, if the patient’s already paid for the service, the medical necessity has been established a

Stu Hoffman:

Sam Collins:

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