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From the Desk of Dr. Mark Studin
Academy of Chiropractic
Preamble: many of these issues are small, yet each issue is just that… an issue. If you take care of the small issues, then the larger issues often take care of themselves and you can focus on the larger issues… a larger, more profitable practice and more family time.

“Medical Fees”

Compliance & Collections Alert

“The 6 P’s will get you paid” Mark Studin 2017



Over the last 4 days I have heard 5 separate complaints from doctors not getting paid and being compelled in various formats to justify their fees. This is the “2017 reason du jour” by the carriers for withholding payments. It is not new as I have written about this before, so, therefore, this is a reminder. 

 
In order to get paid and avoid litigation for fraud, you must have fees that are legally defensible. There are a myriad of sources, but I like Medical Fees in the United States by PMIC because they have been a published and recognized independent source for many years. 

 
 
I do get 50% as a kickback because my kids have to eat (NOT!!!!!!  A guy can dream…oy), so this is a tool you must have in your library and please ensure that your fees are commensurate with the published source. I choose to use the 95thpercentile as my guide and historically, your fees are well below your geographic usual and customary fees. 
 
 


Respectfully,



Mark Studin DC, FASBE(C), DAAPM, DAAMLP

Adjunct Assistant Professor of Chiropractic, University of Bridgeport, College of Chiropractic
Adjunct Professor, Division of Clinical Sciences, Texas Chiropractic College
Educational Presenter, Accreditation Council for Continuing Medical Education Joint Partnership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences

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