A lien filed by a Chiropractic Provider for $6,447.00 was withdrawn in its entirety after Argus West’s SPEAR Program Lien Unit uncovered an extensive list of billing violations and regulatory failures that rendered the claim indefensible.

During a deep-dive of the billing data, the SPEAR Unit identified a staggering array of discrepancies across dozens of dates of service.

Key findings included:

• Regulatory Failures: The investigation revealed that the entity was not even registered with the Board of Chiropractors during the majority of the treatment period.
• Billing Violations: numerous dates of service lacked mandatory CMS 1500 forms, and several dates failed to include a required organizational NPI.
• Statutory Overages: The provider billed for 45 chiropractic visits, nearly double the 24-visit limit mandated by Labor Code §4604.5(c)(1).

Equipped with this evidence, Argus West’s Lien Negotiator, initiated aggressive negotiations with the provider’s representative. By systematically laying out the provider’s lack of legal standing and the potential for sanctions should the matter proceed to trial.

To avoid the inevitable litigation costs and legal exposure associated with these findings, the provider chose to walk away, nearly a month before the scheduled Lien Conference. The lien was withdrawn in full.  Argus West secured a 100% savings, effectively neutralizing the lien through superior technical analysis and persistent negotiation.