July 2009

OIG Says 47% of Chiropractic Medicare Claims Inappropriate

The US Department of Health, Office of the Inspector General (OIG) issued a report that states, "Medicare inappropriately paid $178 million for chiropractic claims in 2006, representing 47 percent of claims meeting our study criteria."  The Report which can be read here, is dated May 2009 from Daniel R. Levinson, Inspector General.

The objective of the report was stated as;

To determine the extent to which:
(1) chiropractic claims allowed in 2006 for beneficiaries receiving more than 12 services from the same chiropractor were appropriate,
(2) controls ensured that chiropractic claims were not for maintenance therapy,
(3) claims data can be used to identify maintenance therapy, and
(4) chiropractic claims were documented as required.

This report conveniently comes out in the heat of the national healthcare debate in Washington. The study was done by the OIG contracting with a medical review contractor to review medical records from a simple random sample of 188 chiropractic claims.

Based upon this single reviewer's opinion, sampling only 188 claims, the OIG issued the report which includes the following, "In 2006, Medicare inappropriately paid $178 million (out of $466 million) for chiropractic claims for services that medical reviewers determined to be maintenance therapy ($157 million), miscoded ($11 million), or undocumented ($46 million). These claims represent 47 percent of all allowed chiropractic claims that met the study criteria. Claims representing $36 million had multiple errors."

As if this was not bad enough, the OIG also said, "Efforts to stop payments for maintenance therapy have been largely ineffective." And they continue, "...83 percent of chiropractic claims failed to meet one or more of the documentation requirements."

The question begs to be asked, are 83% of all chiropractors doing it wrong, or is the process so medically broken that only 17% of DCs can comply with a totally non-chiropractic system. Some day someone will figure out that THERE IS NO MEDICAL NECESSITY FOR CHIROPRACTIC. Can you imagine a system where the appropriateness of medical care was judged using the criteria of "Chiropractic Necessity"?



Philosophy on the Farm Ready To Rock!

Philosophy on the Farm combines an evening for discovery of the innate world of animals with discovery and enrichment of the chiropractic philosophy. Come see a wide variety of animals including horses, chickens, ducks, rabbits, chinchillas, turtles and variety of tortoises including "Gilligan" and "MaryAnn" a pair of rare Galapagos tortoises. 

This year's headliner is Dr Gary Walsemann. Dr. Walsemann is the new ICA President and was a high volume chiropractor for 40 years.  Dr. Gary ran a huge family practice seeing over 200 people a day from 1968 to 2008.

He was on the ICA Board from 1986 until his election as President in May. He was named "Chiropractor of the Year" by both the ICA and the New Hampshire Chiropractic Society in 2001. In 1988 he was named as a "Distinguished Fellow" of the ICA.

Dr. Gary was a member of the New Hampshire Board of Examiners for 11 years and has been politically involved most of his professional career.  He is a specific upper cervical practitioner who is one of the most sought after speakers in chiropractic.

This is an outdoor event. This means you bring your own folding chairs, tables and bug spray. For a complete list of what you should bring, and how you should be prepared please visit the website created for this event at www.philosophyonthefarm.com. Those who are interested in attending are asked to email Dr. Braile at braile@braile.net so that a head count can be made.



Preventing Gardasil Vaccine Injuries & Deaths

The National Vaccine Information Center (NVIC) has released a new video that exposes the dangers and misinformation surrounding Gardasil. Barbra Low Fisher, co-founder of the NVIC authored the video and the accompanying article which can be seen on the NVIC site here.

The NVIC article states, "Gardasil vaccine was fast tracked to licensure by the Food and Drug Administration in 2006. It contains genetically engineered virus-like protein particles (VLPs) and aluminum, which affect immune function.  The exact mechanism of protection is unknown and the vaccine has not been evaluated for the potential to cause cancer or be toxic to the genes."

The NVIC is an organization that is solely funded by donors and sponsors. I urge all chiropractors to be a part of this important organization by becoming a sponsor. You can join and give to this effort on their website www.nvic.org, or directly on this page here


The Good, the Bad, and the Subluxated! - AKA - Chiropractic in the News

The world wide web is full of articles that are of interest to us as chiropractors. Not all of these stories are good, and many of them I do not agree with. However, you should be aware of them. To see the actual articles, please click on the headline links below.



NYK Upcoming Seminars and Shows

We would like to thank the many associations, organizations and groups that have us speaking on their programs. Dates permitting, we would love to participate at your Association or Society convention as well. If you are interested in having us at your program, please contact us at either nowyouknow@nowyouknow.net or call us at 1-800-695-8937. Below is a list of programs and speaking engagements we have scheduled in the near future.




Now You Know Internet Educational Services

First and Foremost, We Are a Service:  Since we are chiropractors we understand the concept of "service".  We make every aspect of our service user friendly.  You do not have to have a computer degree to get the most out of your NYK service.  In addition, we are so confident that you will be satisfied with our service that we do something that others do not.  NO CONTRACTS!  You simply subscribe to our service and pay by the quarter. We have to continually earn your business.

NYK ADJUSTable Websites:  The NYK website service combines technology with the best education available. Some of the features you get with a NYK website include:

  • ADJUSTable website so you change the theme of your website instantly any time you want.
  • Online appointment requests so patients can request appointments from your websites with the request being sent via text message to whatever cell phone or email you choose.
  • Search Engine Optimization so that others can easily find your site. You can also add your own key words and searchable phrases unique for your practice.
  • Over 800 pages of content, educational videos, your videos online, and much more

Now You Know Email Newsletter Service: The NYK email newsletter service is really two services in one:

  • REAL NEWS - REAL CURRENT!  No other newsletter service in chiropractic delivers more timely, real news, directly to your patients' inbox.
  • Your Contact Info, Pictures and Logo - The newsletter looks like it comes from you.
  • Add a personal Message - You can add a custom message to the newsletter to add that personal touch and keep in touch with your patients
  • Bulk Email Abilities -  With the NYK email newsletter service, you can also easily send bulk emails out to your entire patient list.

Echiropractic: We push technology to the limit with online chiropractic pamphlets, cards, and office letters for your unlimited use.

  • Send unlimited Ecards:  You can send Echiropractic messages either individual or by bulk emails, directly to a single patient or your entire list!.  
  • Additional Customized Message - Echiropractic emails can be customized with a personal message from you.
  • Over 80 unique cards and messages - This service works similarly to some other popular online greeting cards, with one big difference. These messages are for chiropractic offices with chiropractic messages.

Chiropractic Depot:  Why pay for a website when you can also have your website start paying you?  Chiropractic Depot brings education and income together on your website.

  • Storefront on your website - with this service you get a storefront inside your website where visitors can select and purchase from a growing list of health, wellness, and fitness products.
  • Over 500 Products - The Chiropractic Depot has over 500 products, and the list keeps growing.
  • Select only the products you want - Chiropractic Depot allows you to remove any products that you do not want to have available for sale in your storefront
  • Sales filled by vendors - All sales are filled by the vendors and products are shipped directly to the purchaser. 
  • The Best Part - And the best part is that you get a commission on each sale!




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