CMS to Draft Rule Requiring Prior Authorization for Chiropractors

Look for a proposed rule later this year that could make it harder for some chiropractors to submit Medicare claims. The Centers for Medicare & Medical Services is looking to require chiropractors with high rates of claim denials to obtain prior authorization before treating a patient. Chiropractors impacted will have to submit a request for […]

OIG Report: Medicare Paid out Millions in Improper Payments to Chiropractors

A report issued this month by the Office of Inspector General (OIG) finds that about half of Medicare payments made for chiropractic services between 2010 and 2015 were improper – that is they either were not medically necessary, not billed properly or not sufficiently documented. The report, titled “Medicare needs better controls to prevent fraud, […]

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