HIGHMARK AUDITS ON THE RISE
Jason B. Martin, Esquire

As a Pennsylvania healthcare attorney and as general counsel to the PCA, I have the advantage of spotting trends with the healthcare industry. Within the last week or so, I have spoken to many chiropractors who have received records request letters from Highmark’s Financial Investigations and Provider Review department. When a chiropractor receives a request letter for medical records, the chiropractor can be certain that the records submitted to Highmark will be reviewed by a Highmark consultant for billing, coding and documentation errors. If Highmark determines that an error has occurred, Highmark often requests a refund of the alleged overpayments made to the chiropractor for those services.

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