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Chiropractic Services: High Improper Payment Rate within Medicare FFS Part B

The Office of Inspector General (OIG) recently released a 2016 Final Report on Medicare payments for chiropractic services. There were approximately $389 million in improper payments for chiropractic services during the 2013 reporting period; most payments did not comply with Medicare requirements. The OIG attributed the improper payments to services that were medically unnecessary, incorrectly coded, insufficiently documented, or not documented to support the billed services.

Understand Medicare requirements for chiropractic services, especially documentation and medical necessity. Resources:


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