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January 7, 2011 / Brett Cohrs

Billing and Documenting: The Devil’s Playground

Most nonprofits don’t provide chiropractic services, but if you’re billing any entity for services, don’t do what this guy did.

I admit that I am not intimately familiar with how my nonprofit service providers report  to medicaid for payment.  I don’t know if the process makes for an easy scam or not.

My understanding, though, is that health insurance companies and governmental entities pay fees to nonprofits for their professional services. Therefore, the temptations are the same, regardless of nonprofit or for-profit status.

You have to maintain accurate records and report your services honestly and conscientiously.

In addition to potentially falling into fraudulent or negligent billing practices, poor documentation can lead to more serious medical or counseling negligence.

It’s extremely difficult to defend against a claim of medical or counseling error if you don’t have good documentation. Any professional knows that the devil is in the details and the details are the billing, the documenting, the privacy, and so forth.

So… dot your I’s and cross your T’s.

Question: What kinds of seemingly innocent admin or documentation mistakes have you seen to have huge consequences? (please–put in terms of hypotheticals. We don’t need names to be named here).

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