PI Marketing for Chiropractors: PI Fraud
Dr. Paul Hollern, Chiropractic Internet Marketing Expert
Special Investigations Unit: Otherwise Know as Chiropractic Insurance Fraud
An Allstate adjustor signed an affidavit that a system known as Casualty Hub is capable of and is in fact used for tracking the relationship between attorney and chiropractic provider.
If either the chiropractor or the lawyer has a history of taking cases which for whatever reason were considered as possible fraudulent, both the doctor and the attorney could end up o the SIU (Special Investigations Unit) list.
Once on this list all future cases in which the doctor and/or the attorney will be involved will be considered suspect of fraud.
Providers may be placed on the SIU list if they provide treatment that does not match the diagnosis, as well as for not diagnosing injuries correctly. For example, continual treatment for a sprain/strain of greater than eight weeks creates a problem in that a sprain/strain should not take that long to treat.
If an insurance company asks to come to the provider’s facility to “review some files” that a provider can assume that they are on the SIU list.
If the clinic is multidisciplinary in nature and the question revolves around billing for services provided, it is recommended that you show the company representative that all billed modalities/procedures are present in your office.
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