Is health and fitness care scams far more prevalent in claims submitted by chiropractors than those submitted by members of other health and fitness proper care disciplines? When wanting on the different news-sources, chiropractors will not be found to generate up both the lion-share of health care fraud charges or convictions reported.Regrettably, situations of scams & abuse are present in ALL well being carehealth fraud attorneysChiropractic, Medicine, Physical Therapy, etc. There is no single discipline that can lay claim to a proportionately higher rate of fraudulent conduct than any other health treatment discipline. However, despite this fact, there is an ongoing feeding-frenzy of insurers investigating chiropractic claims. These investigations go beyond simply evaluating either the merits or medical necessity of claims to determine if they should be paid.Insurers are conducting 'post-payment' audits of claims paid in years past - focusing on purported documentation deficiencies in an effort to open the door for carriers to demand the money back! Chiropractors have located themselves faced with large refund demands from insurers. Why?Is it because the services were not performed? No, the insurer verifies the performance of the services through talking with the patient. Is it because the chiropractor did not document having performed the service? No, the services in question are customarily documented as having been performed. Post-payment audits arise because the insurer has retroactively concluded, perhaps based upon some sense of health fraud claim, that the services were not documented sufficiently - i.e., to their satisfaction!Insurers demanding refunds from providers for payments made - armed with allegations that providers failed to adequately document the services that were billed - file complaints with licensing & regulatory boards of the providers. If such complaints are made the real test will be in proving the documentation and standards were not met. The standards for documentation, as well as all other practice activity, for wellbeing proper care providers is established and defined by state health and fitness attention licensing & regulatory boards. The boards, NOT the insurance companies, or managed attention organizations, provide administrative oversight of the activity of licensees with sanctions for those who violate the laws and rules.Allstate Insurance has established a clear-cut policy of suing chiropractors, alleging scams and issuing ">health fraud claim solicitorswith the fanfare of a New Year's Day parade. Information sources, including chiropractic periodicals, do little or nothing to both investigate or evaluate the factual bases of these suits prior to joining in lock-step to print the release giving Allstate the press it so desires.
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Is health and fitness treatment scams far more prevalent in claims submitted by chiropractors than those submitted by members of other health proper care disciplines?
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