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Establishing a Multi-Disciplinary Practice and Being Legal

By:  Brandy Brimhall, CPC, CMCO, CCCPC, CPCO, CPMA
Published:  November 21st, 2014

Q: How do you add another provider type such as a Nurse Practitioner to your practice to provide additional services to patients and legally bill for those services under their license?

A: Multi-disciplinary practices are under scrutiny at the moment by ZPIC, CMS and State Boards. For your reference, just below, there is an article linked further discussing this. http://www.lilesparker.com/2013/10/14/chiropractor-zpic-audits/

The link is posted not to dissuade those considering or working toward adding other disciplines to their practice, but to encourage these practices to be sure to take all appropriate measures in order to best protect your practice as you look to expand or make changes/additions. 

Prior to making commitments to adding other disciplines, practices are encouraged to obtain and review their state Medical Practice act and also their state Chiropractic Practice Act. This will help to define a "blue print" so to speak, in determining what must/can/should/cannot be accomplished. 

Note that rules are not the same from state to state and because there are several variables and other factors to consider when adding another specialty type into a Chiropractic practice (and any other practice type), the very best advice providers can be given is to reach out to a healthcare lawyer for complete information and supporting documentation so you may safely proceed and do so in full compliance of the law. It can be very rewarding to add another discipline to your practice and a first priority is to do so in a manner that best protects your practice and thus allows you to maximize on the addition to your practice worry-free.  


References:

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Brandy is a Certified Professional Coder (CPC), Certified Medical Compliance Officer (CMCO), ChiroCode Certified Chiropractic Professional Coder (CCCPC), a Certified Professional Compliance Officer (CPCO)and a Certified Professional Medical Auditor (CPMA). She is also the President of CHelpDesk Solutions (www.CHelpDesk.com), chiropractic's on-demand Certified Virtual Chiropractic Assistant.

Brandy is a member of the AAPC (American Academy of Professional Coders), PMI (Practice Management Institute), and the ACA (American Chiropractic Association).  

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