While cervical disc pathology can unquestionably produce radiculopathy, many patients presenting with arm pain, paresthesia or perceived weakness do not exhibit the clinical behavior of true nerve-root compromise. In these cases, failure to differentiate the primary pain generator may lead to unnecessary spinal injections, nerve ablation procedures or surgical consultation despite limited likelihood of benefit.
ACA Strongly Disagrees With Conclusions in Latest OIG Report
Following the May 6 release of a report by the Office of the Inspector General (OIG) titled "Inappropriate Medicare Payments for Chiropractic Services," the American Chiropractic Association has reviewed the report and strongly disagrees that the data noted in the report supports the policy proposals set forth by the OIG, and will relay these concerns to policy-makers.
As part of its larger strategic plan for promoting chiropractic's full inclusion within the Medicare program and national health reform, the ACA has been actively monitoring the work plans of the OIG and, as a result, had been awaiting the report's release.
A coalition including ACA, the Association of Chiropractic Colleges (ACC), the Congress of Chiropractic State Associations (COCSA) and the Federation of Chiropractic Licensing Boards (FCLB) has been diligently working to assist doctors of chiropractic with navigating the Medicare documentation requirements. A full response to this report will be forthcoming.