Kats Chiropractic Consultants CHIROpulse

153: The Medical Necessity Trap

December 10, 2023 Michael Perusich
153: The Medical Necessity Trap
Kats Chiropractic Consultants CHIROpulse
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Kats Chiropractic Consultants CHIROpulse
153: The Medical Necessity Trap
Dec 10, 2023
Michael Perusich

153 The Medical Necessity Trap


Are you managing medical necessity or are you falling into the trap?

A huge potential trap has opened up in recent years and it spawns around how you develop your diagnosis and treatment plan.

The insurance companies have separated our patient care into two categories - acute care and non-acute care.  Most insurance companies only pay for the acute aspect of care that meets their guidelines for medical necessity.  However, many doctors are not following the rules well and may be putting themselves at risk for audits and payment recoupment.

Join us for a discussion where Kats Consultants CEO, Dr. Michael Perusich, discusses:

  • The rules of medical necessity
  • How you create medical necessity
  • How to use the rules to your advantage
  • How to help patients understand the difference between medically necessary care and clinically appropriate care
  • The dangers of playing the game incorrectly

Kats Consultants is a team of highly experienced business advisors, practice owners, and Chiropractic coaches who help doctors maximize success.  

From their perspectives as experienced Chiropractic advisors, Kats Consultants explores different and unique ways to keep Chiropractic Physicians on the cutting edge of Chiropractic practice regardless of technique, location, or economic conditions.  



Be sure to SUBSCRIBE to the Kats Consultants CHIROPulse Podcast
When you are ready we can help.


KC CHIROpulse Podcast. Helping Chiropractors keep their pulse on success. Thanks for listening.



Show Notes

153 The Medical Necessity Trap


Are you managing medical necessity or are you falling into the trap?

A huge potential trap has opened up in recent years and it spawns around how you develop your diagnosis and treatment plan.

The insurance companies have separated our patient care into two categories - acute care and non-acute care.  Most insurance companies only pay for the acute aspect of care that meets their guidelines for medical necessity.  However, many doctors are not following the rules well and may be putting themselves at risk for audits and payment recoupment.

Join us for a discussion where Kats Consultants CEO, Dr. Michael Perusich, discusses:

  • The rules of medical necessity
  • How you create medical necessity
  • How to use the rules to your advantage
  • How to help patients understand the difference between medically necessary care and clinically appropriate care
  • The dangers of playing the game incorrectly

Kats Consultants is a team of highly experienced business advisors, practice owners, and Chiropractic coaches who help doctors maximize success.  

From their perspectives as experienced Chiropractic advisors, Kats Consultants explores different and unique ways to keep Chiropractic Physicians on the cutting edge of Chiropractic practice regardless of technique, location, or economic conditions.  



Be sure to SUBSCRIBE to the Kats Consultants CHIROPulse Podcast
When you are ready we can help.


KC CHIROpulse Podcast. Helping Chiropractors keep their pulse on success. Thanks for listening.