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GUIDE Alignment, Tier Assignment, and the Billing Mechanics That Cause Denials

GUIDE Alignment, Tier Assignment, and the Billing Mechanics That Cause Denials

by Jason Farmer | Feb 11, 2026 | Compliance & Risk

The DCMP billing rules are precise and unforgiving. Standalone claim requirements, practitioner roster matching, and duplicate-billing restrictions with CCM and related codes create a pattern of denials that most practices discover the hard way. Key TakeawaysDCMP...
Five Compliance Gaps That Put Your Practice at Risk

Five Compliance Gaps That Put Your Practice at Risk

by Jason Farmer | Dec 6, 2025 | Compliance & Risk

Compliance failures are almost never dramatic. They accumulate quietly — a missed training here, an outdated policy there — until an audit forces the issue. Here are the five we find most often. Key TakeawaysPolicies that exist on paper but not in behavior provide no...
Where 30 Percent of Chiropractic Medicare Payments Go Wrong

Where 30 Percent of Chiropractic Medicare Payments Go Wrong

by Jason Farmer | Dec 1, 2025 | Compliance & Risk

The federal improper-payment data for chiropractic is unflattering and widely misread. Almost none of it is about clinical judgment. Nearly all of it is about the chart. Key TakeawaysCMS’s 2025 CERT data put the improper payment rate for chiropractic services at...
Regenerative Medicine: The Compliance Cost of a Cash Service Line

Regenerative Medicine: The Compliance Cost of a Cash Service Line

by Jason Farmer | Aug 15, 2025 | Compliance & Risk

In January 2025 the FTC obtained orders permanently banning two chiropractic-world founders from marketing regenerative medicine and requiring payment of more than $5.1 million. The marketing, not the medicine, is what was charged. Key TakeawaysIn January 2025,...
Five Compliance Gaps That Put Your Practice at Risk

OSHA for the Medical Office: What Inspectors Actually Look For

by Jason Farmer | May 1, 2025 | Compliance & Risk

Medical offices rarely see OSHA until a complaint or a needlestick brings an inspector to the door. By then, the file either exists or it does not. Here is what belongs in it. Key TakeawaysThe Bloodborne Pathogens Standard is the center of gravity for medical-office...
A Right-Sized HIPAA Compliance Program for the Private Practice

A Right-Sized HIPAA Compliance Program for the Private Practice

by Jason Farmer | Apr 7, 2025 | Compliance & Risk

You do not need a hospital’s compliance department. You need seven working components, documented and maintained — because the fines are indexed to negligence, not to practice size. Key TakeawaysHIPAA penalties scale with culpability, so the difference between a...
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