You’ve seen the term “Administrative Defense Coverage (ADC),” but do you really know what it is and understand why it’s so important to your practice?

An administrative claim is very different than a malpractice claim. For example, ADC provides defense for board actions brought against you, whereas malpractice insurance provides defense and indemnity for liability actions.

So why is ADC important? Because an administrative claim could cost you your livelihood! If your chiropractic license is revoked, you’ve lost your ability to practice. Your professional reputation is irrevocably damaged and your chiropractic career is over. Let that sink in.

Take a look at what our ADC covers. It’s included in your policy at $25,000 per policy period and in the aggregate.

• Administrative disciplinary actions
• MCO de-certification or contract terminations
• Actions brought by government payers such as Medicare or Medicaid
• Actions by state licensing boards
• Investigations involving billing and coding practices
• Meaningful Use audits

At some point in your career, you will be audited. In most instances, the first appeal of an administrative claim will fail. But did you know you could be able to appeal a Medicare claim up to five times? Because we know how devastating an ADC claim can be to a chiropractor’s practice, we will be there for you at each of the five levels of appeal allowed.*

Other actions may be covered, too. Check your policy for complete details. If you have any questions, call us! In fact, when you receive any notice - legal or otherwise - please call your OUM Risk Management Department as soon as possible for a confidential consultation at (800) 423-1504, and press 7. If you are not insured with OUM, fill out our online form to get a no-obligation quote.

In a word, yes. Many chiropractors significantly underestimate how much a breach will cost, and think they can self-insure it. Outlining what will happen in the event of a breach is very useful when understanding the value of cyber liability coverage. Below are a variety of claims scenarios that help illustrate the severity of cyber claims, and how widespread cyber breach activities are throughout the healthcare industry.

Scenario 1
Employees of a large chiropractic group discovered that their email accounts were not accessible. The group’s IT department investigated and discovered that a ransomware attack infected 10 servers and 50 workstations. The group had to close operations for two business days and suffered losses in relation to the event.

Cyber insurance covered a total of $83,050, as follows: