Investigation Services



FORENSIC CHIROPRACTIC HEALTHCARE FRAUD INVESTIGATION SERVICES

Forensic Investigation of Suspicious Chiropractic Medical Claims

There is an unidentified group of chiropractic health care providers who are interfering with the public's trust and right to receive competent examinations, diagnostic studies and treatment. This group represents a waste of public health care dollars being spent today.

Every person pays the price of unnecessary chiropractic treatment and examinations and other schemes and scams. These schemes and scams include abusive, over-utilized and fraudulent billing procedures.

Fraud in chiropractic may potentially be reaching epidemic proportions. This can occur in the area of diagnostic testing, up coding, unbundling, over utilized and/or abused diagnostic procedure codes. Not only have these suspicious chiropractic medical claims become an arena for entrepreneurs without any chiropractic background, it becomes a source of income for treating chiropractors through various "kickback schemes."

The National Board of Forensic Chiropractors offer training and Health Care Fraud investigation for patients, attorneys, criminal investigators, government health care fraud agencies, special investigative units and insurers in the following areas:

  • The technical aspects and proper chiropractic protocols of diagnostic testing.
  • Identifying chiropractic providers who use the procedure coding system to their financial advantage.
  • Forensic Chiropractic Peer Review of diagnostic tests and procedures can be cost effective and stop the churning of the file.
  • Identifying chiropractic medically unnecessary diagnostic tests and procedures that can drastically cut cost in your organization.
  • How the Forensic Chiropractic investigation and review of suspect files can benefit the claimant/patient.
  • Identifying warning signs from coding and billing practices that can alert the adjustor or SIU to potential misuse.
  • Identifying certain Chiropractic providers who are intentionally and consistently cheating the health care system..
  • Identifying appropriate Chiropractic Forensic Investigative Procedures to successfully combat the problem.

The information contained in this website should not be used as a substitute for the medical care and advice of your provider. There may be variations in treatment and opinions rendered by your provider based on individual facts and circumstances.