A federal audit found that more than 80% of the money Medicare paid to chiropractors in 2013 went to medically unnecessary procedures, according to a Wall Street Journal article. Yes, you read that right – 80%. But there’s more. A review by the Department of Health and Human Services Office of Inspector General (OIG) found that all chiropractic care after the first 30 days was unnecessary. The OIG has called for tighter control on payments to chiropractors, including determining whether there should be a cutoff in visits.
While every case is different, these findings are sobering, particularly for practitioners that handle smaller personal injury claims where chiropractic bills comprise the majority of the alleged special damages. If 80% of the claimed chiropractic bills are found to be “medically unnecessary procedures,” then the overall case value can plummet. This audit again reminds us to carefully review the efficacy of chiropractic care when evaluating the cases in order to avoid situations of overpayment.
To learn more about how Cruser Mitchell is helping clients reduce settlement payments by contesting and knocking down chiropractic (and other health care providers’) medical bills that are neither necessary nor reasonable, please contact us.
J. Robb Cruser