TIPS ON HANDLING WORKERS’ COMPENSATION CLAIMS INVOLVING CHIROPRACTIC CARE
Understanding the differences between a physician and a chiropractor
and knowing key terms and billing codes will assist adjusters handling workers’
compensation claims, according to a recent webinar presented by Wisc.-based
insurance broker HNI.
According to Dr. Marc Gilerovich, a chiropractor and the HNI
University webinar presenter, chiropractors need eight years of education –
four years each of undergraduate and graduate school. In addition, they need to
pass four national board examinations.
During their education they study anatomy and physiology
extensively. In fact, a chiropractor will receive more training in physiology
than an average family doctor, he said.
The basic philosophy of chiropractic medicine is that the
nervous system controls all of the processes within the human body.
Dr. Gilerovich, a medical case manager for Alaris Group,
said that only a chiropractor can perform an adjustment – all other providers
perform manipulations. But he said, the differences between an adjustment and a
manipulation is just semantics.
Chiropractors typically treat musculoskeletal and radicular
pain not caused by a large disc herniation, headaches, and injuries where other
treatment has failed.
Typically, chiropractors start their own business versus
doctors who join large practices where they are taught about the different
types of insurance. He said that between three and five percent of a
chiropractor’s business may be treating workers’ compensation patients.
The terminology used by chiropractors can seem foreign to
adjusters and employers.
For example, subluxation is a word commonly used, said Dr.
Gilerovich.
“It is the misalignment of two bones on the spine putting
pressure on the exiting nerve,” the doctor said. This can disrupt the brain’s
ability to control whatever is on the other end of that nerve.
Subluxation, also called subluxation complex or vertebral
subluxation, may be caused by three things:
·
Trauma
·
Stress
·
Toxins
Firm believers in chiropractic think all medications are
toxins and are only concerned about subluxation.
“These are the guys that are going to give you trouble on
your work comp cases,” Dr. Gilerovich said. “They are not going to discharge,
they are going to treat and treat and treat.”
According to the medical case manager, if a chiropractor
doesn’t use MRIs or make referrals to other doctors – he or she is unlikely to
consider other sources to evaluate a particular medical problem.
Those reviewing bills should examine the initial and follow
up exam codes. The exam should be exactly like an orthopedic spinal surgeon’s
exam since both practitioners will conduct a heel and toe walk, sensory,
orthopedic and neurological testing.
Determining whether a patient is a new or an established
patient can also provide clues. A patient may have been receiving chiropractic
treatment prior to sustaining a workers’ comp injury. If that is the case, the
bill will note the initial exam as an established patient exam. This will alert
the bill reviewer that additional treatment records may exist.
Dr. Gilerovich said that an adjuster or employer should
never see an exam code referencing multiple trauma that would be used in an
emergency room. In addition, he warned of decompression treatment.
Decompression tables take up half a room and, according to the Alaris medical
case manager, all they do is traction. The cost is between $5000 and $10,000
for a treatment course.
The frequency and duration of a chiropractic treatment plan
can cause confusion.
According to Dr. Gilerovich, chiropractic colleges tend to
espouse a cookie cutter template for treatment. He said that three treatments
per week for two weeks is the gold standard.
If no improvement is recognized, a referral to a specialist
should be considered and three treatments per week for four weeks is the
maximum.
Every state has state statutes that govern chiropractic
records, he said. Despite that, most records kept by chiropractors are
difficult to understand much less read.
As a result, he recommended a record review when a
chiropractor continues treating with no improvement on the patient’s part. He
said it is likely the records won’t support the continued treatment. During a
record review the treatment, exam codes and billing are reviewed. Typically, a
record review is much more affordable than an independent medical examination.