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General Coverage and Subluxation

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Chiropractic Services Fact Sheet

This Fact Sheet is for informational purposes only and is not intended to guarantee payment for services...

Drugs and Biologicals Pub-100 Ch 17

Drugs and Biologicals Pub-100 Ch 17

Billing Requirements for OPPS

Billing Requirements for OPPS Providers with Multiple Service Locations

Select the title to see a summary and a link to the full article.

Inadequate Exclusion Screenings Could Put Your Practice at Risk

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Exclusion screenings require far more than just checking a name on a federal database at the time you are hiring someone. Far too many providers don’t realize that in order to meet compliance requirements, there is MUCH more involved. There are actually over 40 exclusion screening databases/lists that need to be checked.

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Billing for Telemedicine in Chiropractic

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Many large private payers recognize the potential cost savings and improved health outcomes that telemedicine can help achieve, therefore they are often willing to cover it. While there are several considerations, there could be certain circumstances where telemedicine might apply to chiropractic care.

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Q/A: Can Chiropractors Bill 99211?

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Can chiropractic offices bill code 99211? Technically it can be used by chiropractors, but in most instances, it is discouraged. Considering that 99211 is a low complexity examination for an established patient, this code is not really made for the physician to use. In fact, in 2021, changes are coming for this code...

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Denials due to MUE Usage - This May be Why!

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CMS assigns Medically Unlikely Edits (MUE's) for HCPCS/CPT codes, although not every code has an MUE. MUE edits are used to limit tests and treatments provided to a Medicare patient for a single date of service or for a single line item on a claim form. It is important to understand MUE's are ...

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Medicare Changes Bilateral Reporting Rules for Certain Supplies

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DME suppliers must bill bilateral supplies with modifiers RT and LT on separate claim lines or they are being rejected.

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ICD-10-CM - Supplement information for E-Cigarette/Vaping Reporting

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The CDC has released additional information and coding guidance for reporting encounters related to the 2019 health care encounters and deaths related to e-cigarette, or vaping, product use associated lung injury (EVALI).  The update offers coding scenarios for general guidance, poisoning and toxicity, substance abuse and signs and symptoms.  ICD-10-CM Official Coding Guidelines - ...

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Clarify the Complexity Please! NDC Codes and Drug Classification Systems

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Different Drug classification systems are used to categorize drugs to identify the medication, with each system having their own logic. There are four main drug classification systems used in the United States, not to be confused with a class of drugs or "Drug Class". A drug class is the way drugs ...

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CMS says Codes are on the Move!

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Have you noticed your LCDs are missing something? CMS is moving codes out of LCDs and into Billing and Coding Articles. MACs began moving ICD-10-CM, CPT/HCPCS, Bill Type, and Revenue codes in January 2019, and will continue through January 2020. Therefore, if there is an LCD with its codes removed, you will find ...

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Modifier 50 — Four "Must Know" Tips For Getting Paid

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Modifiers added to an HCPCS or CPT© code alters the code description, providing clarity about the service for proper claim processing and reimbursement. Here are four things you must know about modifier 50 to ensure proper payment. - Modifiers are either informational or payment related. Informational modifiers provide additional...

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Q/A: Can I Order a TENS unit for a Medicare Patient?

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Question Can a chiropractor order a TENS unit for a Medicare patient? We cannot order X-rays for a Medicare patient so I assume we cannot order a TENS unit either. Answer It’s not that you can’t order the TENS unit, it’s just that when it comes to doctors of chiropractic, Medicare only covers ...

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Answering the Question: Does my Insurance Cover Chiropractic Care?

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The question "Does my insurance cover chiropractic care" is the ongoing question chiropractic offices have struggled with for years. Unfortunately, when it comes to insurance, coverage often varies between payers — even varying between plans for a single payer so there isn't one easy answer.

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"What is the ICD-10 code for...?" - Search Smarter With Find-A-Code Tools

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Do you still find yourself searching the internet for an ICD10 code? Medical coders often type into their search engine, what is the ICD10 code for ... and a specific diagnosis code, to avoid repeatedly dragging out the incredibly large ICD10 codebook. Ironically, some of the most commonly searched ICD10 diagnoses include: ...

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Hypertension ICD-10-CM Code Reporting Table

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In ICD-10-CM, hypertension code options do not distinguish between malignant and benign or between controlled and uncontrolled. What is important for code selection is knowing if the hypertension is caused by or related to another condition. The following table shows some of these options.

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Q/A: How do I Code a Procedure for the Primary Insurance so the Secondary Can Get Billed?

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Question: How do you modify a code submitted to the primary insurance company to let them know it is not covered by them so you can bill to a secondary?

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Changes to Portable X-Ray Requirements

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On September 30, 2019, CMS published a final rule which made changes to portable x-ray services requirements as found in the law.

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HIPAA Final Rule Eliminates HPID and OEID

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Final rule eliminates the requirement for health plans to obtain a unique health plan identifier (HPID) and also eliminates the voluntary use of the other entity identifier (OEID). This change becomes effective December 27, 2019.

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And Then There Were Fees...

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Find-A-Code offers fees and pricing for just about everything, this article will address two of some of the most common payment systems with CMS. (OPPS) -Outpatient Medicare Outpatient Prospective Payment System. (MPFS)- Medicare Physician Fee Schedule The Fees section on each code page is determined on the type of services...

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VA- Reasonable Charges Rules, Notices, & Federal Register

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Hypertension & ICD-10

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Hypertensive Diseases and ICD-10. Helps and examples for these codes.

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2020 Official ICD-10-CM Coding Guideline Changes Are Here!

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It’s that time of year for offices to get ready for the ICD-10-CM code revisions. As part of that process, it’s also good to know what is going on with the ICD-10-CM Official Guidelines for Coding and Reporting. In the examples listed below, strikeout text is deleted and highlighted text ...

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Federal Workers Compensation Information

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When federal employees sustain work-related injuries, it does not go through state workers compensation insurance. You must be an enrolled provider to provide services or supplies. The following are some recommended links for additional information about this program. Division of Federal Employees' Compensation (DFEC) website Division of Federal Employees' Compensation (DFEC) provider ...

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The New ICD-10-CM Code Updates Are Here — Are You Ready?

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Chapter 1: Certain Infectious and Parasitic Diseases (A00-B99) A small revision in the description changed[STEC] to (STEC) for B96.21, B96.22, B96.23. Remember, in the instructional guidelines, ( ) parentheses enclose supplementary words not included in the description (or not) and [ ] brackets enclose synonyms, alternative wording, or explanatory phrases. Chapter 2: ...

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New Codes for Dry Needling

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Find out what you need to know about the new codes for dry needling, also known as trigger point acupuncture.

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CMS and HHS Tighten Enrollment Rules and Increase Penalties

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This ruling impacts what providers and suppliers are required to disclose to be considered eligible to participate in Medicare, Medicaid, and Children's Health Insurance Program (CHIP). The original proposed rule came out in 2016 and this final rule will go into effect on November 4, 2019.  There have been known problems ...

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Q/A: Is the Functional Rating Index by Evidence-Based Chiropractic Valid?

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Question Is the Functional Rating Index, from the Institute of Evidence-Based Chiropractic, valid and acceptable? Or do we have to use Oswestry and NDI? Answer You can use any outcome assessment questionnaire that has been normalized and vetted for the target population and can be scored so you can compare the results from ...

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Attention Chiropractors!

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Find-A-Code has created a TOPIC page specifically for Chiropractors. Check it out! We have simplified your search with Articles, Tips, Webinars, and Tools all in one place for your convenience. Be sure to visit us today. Simply go to Findacode.com then hover over TOPICS at the top of the page, then select Chiropractic. ...

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Are You Aware of Medicare Advantage Plans Timely Filing Rules?

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The Medicare Fee for Service (FFS) program (Traditional or Original Medicare) has a timely filing requirement; a clean claim for services rendered must be received within one year of the date of service or risk payment denial. As any company who has billed Medicare services can attest, the one-year timely filing ...

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Medical ID Theft

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Medical ID Theft "So, do you guys think you can do something with that?" John asked angrily at our first meeting with him in August 2017 as he slammed a stack of medical bills, EOBs and collection letters - three inches high - down in front of my partner and I. ...

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How to Properly Report Prolonged Evaluation and Management Services

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Have you ever had a patient take more time with the provider than they were scheduled for? Do you understand which codes to report and the rules that govern them to allow for better reimbursement? Prolonged Service codes were created just for that reason but you must carefully follow the documentation ...

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Will Medicare Change Their Rules Regarding Coverage of Services Provided by a Chiropractor?

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Two separate pieces of legislation introduced in the House of Representatives (H.R. 2883 and H.R. 3654) have the potential to change some of Medicare’s policies regarding doctors of chiropractic. Find out what these two bills are all about and how they could affect Medicare policies.

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The OIG Work Plan: What Is It and Why Should I Care?

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The Department of Health and Human Services (HHS) founded its Office of Inspector General (OIG) in 1976 and tasked it with the responsibility to combat waste, fraud, and abuse within Medicare, Medicaid, and the other HHS programs. With approximately 1,600 employees, HHS OIG is the largest inspector general's office within ...

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Q/A: What if my Patient Refuses to Fill out the Outcome Assessment Questionnaire?

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Question: What if my Medicare patient refuses to fill out the outcome assessment questionnaire? Answer: Inform the patient that Medicare requires that you demonstrate functional improvement in order for them to determine if the care is medically necessary. In other words, they may have to pay for the care out of pocket if ...

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The Role of Chiropractic in Value Based Payment Systems

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Chiropractic care can play a valuable role in overall patient health. It is important to realize that chiropractors can effectively participate in Medicare's new value based payment systems. Read about one organization who has made this transition.

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Q/A: How do I Bill Mobile Clinic Services?

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Question: I have a part time mobile clinic. I travel to treat patients at their homes. Are there special considerations when billing for these encounters?

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Anthem is Changing their Timely Filing Requirements for All Plans, Including Medicare Advantage

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Anthem has been very busy sending out notices stating that, beginning October 1, 2019, all timely filing deadlines for claims will be 90 days. We've seen this letter, or something very similar, sent to doctors and other healthcare providers from California to Kentucky. In their notice, Anthem states: "Effective for all commercial ...

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Q/A: What do I Need to Document for Periodic Adjustments on a Medicare Patient?

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Question: What type of documentation is required for a Medicare patient with degenerative joint disease who get adjusted once or twice a month for occasional flare-ups of the D. J. D. region? The noted adjustments give good relief of the patient's symptoms. Answer: There is no question that these adjustments would be considered ...

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Are These Problems Hurting Your Practice?

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There are many things that can be missed when trying to run an effective and profitable practice. This article covers some important tasks that are often overlooked such as not reviewing your payer contracts or failing to check eligibility.

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Act Now on CMS Proposal to Cover Acupuncture for Chronic Low Back Pain

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Now is the time to comment on a proposal to cover acupuncture for chronic low back pain. This comment period is the part of the HHS response to the opioid crisis. You only have until August 14th to officially comment.

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Q/A: Do I Use 7th Character A for all Sprain/Strain Care Until MMI?

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Question:  It is in regards to the Initial and Subsequent 7th digit (A and D) for sprains and strains. Recently, I have been told that I should continue with the A digit until the patient has reached Maximum Medical Improvement (MMI) and then switch over to the D place holder. Is ...

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5 Ways to Minimize HIPAA Liabilities

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Last year was historic for HIPAA enforcement. The HHS Office of Civil Rights collected a record $23.5 million in settlements and judgments against providers guilty of HIPAA violations. To avoid becoming part of that unwanted statistic, it’s important to pay extra close attention to five key areas of HIPAA vulnerability. Take ...

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Q/A: Can I Put the DC’s NPI in Item Number 24J for Massage Services?

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Question: Are there scenarios in which it is acceptable to put the DC's NPI in box 24j for massage services?  Answer: While the answer to this is yes, it is essential to understand that there are very limited scenarios. In most cases, Item Number 24J is only for the NPI of the individual ...

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Will the New Low Level Laser Therapy Code Solve Your Billing Issues?

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Low level laser therapy (LLLT), also known as cold laser therapy, is a form of phototherapy which uses a device that produces laser beam wavelengths, typically between 600 and 1000 nm and watts from 5–500 milliwatts (mW). It is often used to treat the following: Inflammatory conditions (e.g., Rheumatoid Arthritis, Carpal ...

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Helping Others Understand How to Apply Incident to Guidelines

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Over the past few months, I have worked with different organizations that have been misinterpreting the "incident to" guidelines and, in return, have been billing for services rendered by staff that are not qualified to perform the services per AMA and CPT. What I found within the variances is that ...

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Rules for Rendering Unproven, Investigational or Experimental Procedures

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If you haven’t reviewed your state guidelines or taken a recent look at third-party payer policies on unproven, investigational or experimental procedures, now is the perfect time to make sure you’re up to speed with this important information.  Most providers are surprised to see commonly used devices or techniques listed ...

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Q/A: Do I Really Need to Have an Interpreter?

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Question: I heard that I need to have an interpreter if someone who only speaks Spanish comes into my office. Is this really true? Answer:  Yes! There are both state and federal laws that need to be considered. The applicable federal laws are: Title VI of the Civil Rights Act of 1964,  Americans with Disabilities ...

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2018 Medicare Improper Payment Report Shows Slight Improvement but There's Still Work to be Done

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The Medicare Improper Payment Report for 2018 is not a measurement of fraud. Rather, it is an estimate of the claims paid by Medicare which did not meet Medicare coverage, coding, and billing rules. The estimated Medicare FFS payment accuracy rate (claims paid correctly) from July 1, 2016 through June 30, 2017, was 91.9 percent. ...

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Q/A: Can I Refuse to File a Patient's Medical Insurance for an Auto Accident?

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Question: Can a Chiropractor refuse to file a patients Medical Insurance for an Auto Accident? Answer: There isn't a simple answer to this question. It depends on who is responsible and state laws. Who is responsible (the auto insurance or the medical insurance) can depend on state requirements as well as who is ...

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Small Breaches Can Be Subject to Large Penalties

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Small Breaches Can Be Subject to Large Penalties    We may have heard about the large fines issued by the Office for Civil Rights (OCR) against big organizations like Anthem or the University of Texas MD Anderson Cancer Center. These organizations have been in the news due to privacy breaches that constituted violations ...

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Extrapolation Policies Apply to RAD-V Audits

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Risk Adjustment is a program that was implemented to identify and support Medicare beneficiaries with health conditions, illnesses, or injuries that put them at risk of death or organ system/bodily function failure. Through Risk Adjustment (RA), Medicare ensures their beneficiaries are being followed at least annually for any healthcare conditions ...

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A United Approach

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A United Approach As auditors, we all have a different perspective when evaluating documentation. It would be unreasonable to think that we all view things the same way. In my opinion, differing perspectives are what makes a great team because you can coalesce on a particular chart, work it through and ...

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What Medical Necessity Tools Does Find-A-Code Offer?

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Find-A-Code is a great resource for individuals working in all aspects of healthcare, from providers and ancillary staff to the attorneys and payers who assess and critique the documentation supporting the services performed. When recently asked what tools Find-A-Code has to help support medical necessity, our response was, "We provide many resources ...

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How to Code Ophthalmologic Services Accurately

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Have you ever tried to quickly recall the elements required to support a comprehensive ophthalmologic exam versus an intermediate one? Make coding decisions quickly by creating a cheat sheet containing vital information that allows you to quickly select the right code. According to Article A19881 which was published in 2004 and ...

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Noting "Noncontributory" for Past Medical, Family, Social History - Is It Acceptable?

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Is "noncontributory" really an unacceptable word to describe a patient whose family history doesn't have any bearing on the condition being evaluated and treated today?

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Q/A: For Physical Therapy Claims, What is the Correct Modifier Order?

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Question Page 116 of the 2019 ChiroCode Deskbook shows examples for Medicare modifiers. Is this the specific order for the modifiers to be entered? Our practice management software system is advising the GP or GY should be used as Modifier 1 and not as Mod 2 or Mod 3. Also, it shows the ...

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Your New Patient Exam Code Could Determine How Many Visits You Get

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The initial exam is where the provider gathers the information to determine the need for all the care that follows. It is billed most often as an office or outpatient evaluation and management (E/M) code from the 4th edition of the AMA’s Current Procedural Terminology book. There are actually five ...

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RT and LT Modifier Usage Change (effective 2019-03-01)

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According to Noridian Medicare, there are new changes required when reporting the RT and LT modifier(s). In the past, it was appropriate to bill the RT and LT modifier on the same line when it was required for certain HCPCS codes. Noridian released a publication stating claims reported with RT/LT on the same ...

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Electrical Stimulation and Electromagnetic Therapy Devices

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Electrical Stimulation and Electromagnetic Therapy Devices can be used for pain, muscle atrophy, help spinal cord injuries, treat symptoms caused by other medical conditions and can be used in the treatment of wounds. This Regence BC/BS article lists codes and devices and gives guidance on coding from Medicare Advantage viewpoint.

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Medicare Revises Their Appeals Process

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On April 12, 2019, Medicare announced that there will be some changes to their appeals process effective June 13, 2019. According to the MLN Matters release (see References), the following policy revisions in the Medicare Claims Processing Manual (MCPM), Chapter 29 are taking place: The policy on use of electronic signatures Timing ...

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Q/A: I’m Being Audited? Is There a Documentation Template I can use?

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Question: Our Medicare contractor is auditing claims with 98942. Do you have any suggestions for a template for documentation to warrant the use of 98942? Answer: When you submit a claim with code 98942 you are stating that you have determined that it was medically necessary to adjust all 5 of ...

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Medicare Revises Their Appeals Process

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There are policy revisions in the Medicare Claims Processing Manual (MCPM), Chapter 29 taking place June 13, 2019. This will give you a heads up on those changes.

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Let's Talk High Risk E/M Services

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Have you ever assigned a high-complexity E/M code (e.g., 99205, 99215, 99223, 99233, 99245, etc.) and wondered if it would stand up to further scrutiny? Well, let’s take a closer look at the requirements for reporting high-level E/M services.   Both the American Medical Association and Medicare-published E/M Guidelines agree that a ...

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What is Medical Necessity and How Does Documentation Support It?

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We recently fielded the question, “What is medical necessity and how do I know if it's been met?" The AMA defines medical necessity as: It is important to understand that while the AMA provides general guidance on what they consider medically necessary services, these particular coding guidelines are generic and may be ...

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Auditing Chiropractic Services

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Chiropractic is unique from other types of health care and auditors need to be aware of the nuances of this field. Chiropractic has become the focus of more and more audits as doctors seem to struggle to create records that properly support the care provided to the patient throughout the entire episode.

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Q/A: What’s Wrong with the Diagnoses on my Claim?

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Question: I got a denial on my claim and it said the problem was with the diagnoses codes that I used. I used M54.15 and M79.2. I don’t understand why this is a problem.

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Prepayment Review Battle Plan

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Any type of payer review can create some headaches for providers and cause problems for a healthcare office. Even for a practice that has taken administrative steps to try and prevent a prepayment review, it can still happen. A prepayment review means that you must include documentation WITH your claim. ...

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Q/A: I Submitted a Claim to the VA and it’s Being Denied. Why?

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I submitted a claim to the VA and it’s being denied. Why? There are several reasons why your claim might be denied by the Veterans Administration (VA). However, without more information about the claim itself (e.g., services billed), we can only provide the following general information about the VA and chiropractic ...

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Corrections and Updates

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One constant in our industry is change. Policies change, contracts change, and there are updates. Also, people aren’t perfect and mistakes can be made. So this article will cover a variety of topics. Published Articles We appreciate feedback from our valued customers. We have received feedback regarding two of our articles which ...

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Q/A: Can I Tell a Medicare Patient Which Option to Check on the ABN?

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Question My patient seemed confused about which of the options they should check. Can I just tell them which one they should check? Answer No! That could be construed as coercion. The official instructions state “Under no circumstances can the notifier decide for the beneficiary which of the 3 checkboxes to select.” Now, this ...

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Pain Codes in ICD-10-CM

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When coding with ICD-10-CM, pain codes can be found in different sections: The Body System affected or site-specific pain codes, such as Low Back Pain M54.5, can be found in Chapter 13. Diseases of the Musculoskeletal system (M00-M99). Other examples might be ocular pain H57.1, found in Chapter 7. Diseases of ...

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Clearing Up Some Medicare Participation Misunderstandings

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Even though we may think we truly understand what it means to be a participating provider, Medicare doesn’t quite work the way that other insurance plans do. Far too many providers do not understand the difference and get into hot water. To further complicate matters, the rules are different for ...

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Q/A: How do we Know Which Codes a Payer Will Allow?

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How do we know which codes a payer will allow? The best way to determine the codes (CPT, ICD-10-CM and HCPCS) allowed by a payer is to review their payer policy. While it is good to know the official guidelines (e.g., ICD-10-CM Official Guidelines for Coding and Reporting, AMA Guidelines, Medicare ...

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The Impact of Medical Necessity on High Level E/M Services

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I was recently asked the question, "Does 99233 require documentation of a past medical, family, and/or social history (PFSH)?"  The quick answer is, "it depends." Code 99233 has the following minimal component requirement: Subsequent inpatient E/M encounters can meet the code level requirement either by component scoring & medical necessity or time & medical necessity. ...

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How to Report Imaging (X-Rays) of the Thumb

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If you've ever taken piano lessons, you know that the thumb is considered the first finger of the hand. Anatomically, it is also referred to as the first phalanx (finger). However, when you are coding an x-ray of the thumb, images are captured of the thumb, hand, wrist, and all ...

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Q/A: Can you Help me Understand the New Medicare Insurance Cards?

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As many of you are aware, CMS began issuing new Medicare identification cards last year which required the replacement of social security numbers with a new Medicare Beneficiary Identifier (MBI). All cards have now been mailed out and patient's should have the new cards when they come in. Currently, we are in the transition period until January 2020.

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UnitedHealthcare to Discontinue Coverage of Consultations

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In United Healthcare's March provider bulletin, they announced that beginning on June 1, 2019, they will be phasing out coverage of consultation services (99241-99255).

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Understanding NCCI Edits

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Medicare creates and maintains the National Correct Coding Initiative (NCCI) edits and NCCI Policy Manual, which identify code pair edits. When performed on the same patient, on the same day, and by the same provider, the secondary code is considered an integral part of the primary code, and payment for ...

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Medicare Supplemental Policies (MediGap) and Extremity Adjustments

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The nice thing about MediGap policies is that they pay for some of the healthcare costs that an original Medicare plan (Part B) does not cover. So when a patient has Medicare and a Medicare supplement (MediGap) and their condition is related to an extremity (a noncovered service), Medicare must ...

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Q/A: What's the Difference Between Q5 and Q6 for a Substitute Provider?

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It is important to understand that modifiers Q5 and Q6 are not interchangeable. So when do you use each of them?

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Proposed Rule: Expanded Telemedicine Benefits for Medicare Advantage Beneficiaries

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Telemedicine continues its rise, with new technologies allowing for better communication and access to more aspects of healthcare than ever before. Each year Medicare has made strides, albeit small strides, in their telemedicine coverage while commercial payers continue to make great strides, constantly improving and expanding telemedicine service offerings to ...

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Coding Medicare Initial Preventive Physical Exams (IPPE)

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The Medicare Initial Preventive Physical Exam (IPPE), also commonly referred to as the “Welcome to Medicare Physical”, may seem daunting to many, but when broken out to identify the requirements is fairly straightforward. Purpose An IPPE helps the Medicare beneficiary (the patient) get to know their healthcare provider at a time when they ...

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Q/A: Do Digital X-rays Have Their Own Codes?

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Question Are you aware if digital x-ray of the spine requires a different code than plain x-ray?  If so, where can I find the information specific to digital x-ray codes? Answer There are no separate codes for digital x-rays. However, there may be modifiers that are required to be submitted with the usual ...

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Clinical Staff vs. Healthcare Professional

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State scope of practice laws and regulations will help determine who is considered Clinical staff and Other qualified Health Care professionals.  Physician or other qualified healthcare professionals:  Must have a State license, education training showing qualifications as well as facility privileges.  Examples of Qualified Healthcare professionals: (NOTE: this list is not all-inclusive, please refer to your payer ...

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Physical Therapy Caps Q/A

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Question: How do I code it so that PT services in a chiropractic office don’t count against their PT visit max? Is there a way to code claims so that they are considered chiropractic only? But still get compensated enough? We have been running into some issues as of late ...

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Attestations Teaching Physicians vs Split Shared Visits

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Physicians often use the term "attestation" to refer to any kind of statement they insert into a progress note for an encounter involving work by a resident, non-physician practitioner (NPP), or scribe. However, for compliance and documentation purposes, "attestation" has a specific meaning and there are distinct requirements for what ...

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Empowering Medicare Beneficiaries

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BLOG: CMS announced a NEWS release today making it easier to help Medicare Beneficiaries access cost and quality information. CMS announced,  "Today, the Centers for Medicare & Medicaid Services (CMS) launched a new app that gives consumers a modernized Medicare experience with direct access on a mobile device to some of ...

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Medical Necessity vs. Documentation for Inpatient Services

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Auditing the documentation of inpatient and observation E/M services can often be challenging. Many of the notes we are provided for review include so much information that the note feels like a short novel instead of documentation for one date of service. This over-documentation can make it difficult to see ...

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Everything You need to Know about Drugs

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We have it all! Search our WK Drug Database for drugs and pharmaceuticals. When it comes to support and guidance the WK Drug Database offers a paramount search and is conveniently presented in one place.  Pricing  GPIs  NDCs  Billing Codes  Indications/Diseases Packaging Information Active and Inactive and more... Additionally, learn more about drugs and pharmaceuticals that can be used to detect, treat, or monitor ...

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How to Report Co-Surgeons Using Modifier 62

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Modifier 62 is appended to surgical claims to report the need for the skills of two surgeons (co-surgeons) to perform a procedure, with each surgeon performing a distinct part of the same procedure, during the same surgical session. An easy way to explain this is to visualize a patient requiring cervical fusion where ...

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AMA Issues new CMT Information

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As many of you may already be keenly aware, there have been ongoing problems with many payers (e.g., BCBS of Ohio) regarding the appropriateness of reporting an E/M visit on the same day as CMT (CLICK HERE to read article). The AMA recently released an FAQ which renders their opinion ...

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Are You Protecting Your Dental Practice From Fraud?

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With the expansion of dental coverage through Medicaid and Medicare Advantage plans, an ever-increasing number of dental claims have come under scrutiny for fraud. One such payer, Aetna, is actively pursuing dental fraud by employing their special investigative units (SIUs) to identify and investigate providers who demonstrate unusual coding and ...

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Dry Needling

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The correct coding of dry needling, also known as trigger point needling, has been a subject of confusion for quite some time. The American Chiropractic Association (ACA) and the American Physical Therapy Association (APTA) have been working together for several years to obtain appropriate codes to describe this service. In ...

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CMS Finalizes Major Changes to ACO Program

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Back in August of 2018, as part of the Medicare Shared Savings Program (Shared Savings Program), CMS proposed some sweeping changes for Accountable Care Organizations (ACOs). There has been some controversy over these changes which require ACOs to move to two-sided models. In this Final Rule which was scheduled to be published in the Federal Register ...

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2019 Coding Changes for Chiropractic

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The new year is upon us and so it’s time to double check and make sure we are ready. Those with Premium Membership can use the ChiroCode Online Library and search all the official code sets: ICD-10-CM, CPT, and HCPCS. It also includes the updated NCCI edits and RVUs for ...

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Select the webinar title to view a summary and link to the webinar video.

January 7, 2020 -Rock Solid Care Plans

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August 29th, 2019 — ICD-10-CM Changes Effective October 1, 2019

Are you aware of the ICD-10-CM code changes set take effect as of October 1, 2020? Do any of them apply to your organization? Which of them will be assigned as an HCC? What are the documentation and coding guidelines applicable to them and which guidelines are changing or being ...

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Telehealth Policies for Medicare and Commercial Payers

Telehealth Policies for Medicare and Commercial Payers

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March 5th, 2019: Evaluation and Management Coding

The Evaluation and Management service is an important part of an episode of care. It is the initiation of care and determines the scope and severity of the patient’s condition. Dr. Ron Short will review the levels of Evaluation and Management codes and which are appropriate in the chiropractor’s office. In this webinar you will learn: What constitutes a new patient Which Evaluation and Management codes should not be used When to use the consultation code What changes are coming to Evaluation and Management coding

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E/M and the Organ Systems Part 2 of 2

E/M and the Organ Systems Part 2 of 2

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E-M and the Organ Systems (Part 1)

E-M and the Organ Systems (Part 1)

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Chiropractic Manipulative Treatment and Medicare - Part 2

In this CE webinar, Dr. Gwilliam will continue his discussion from the webinar delivered Dec. 18 about chiropractic manipulative treatment. But this time, it is all about Medicare. If you don't treat Medicare beneficiaries, you should probably listen anyway. Usually whatever Medicare wants is the same thing as all the other payers. Find out the difference between acute, chronic, and maintenance, as well as when to use certain modifiers.

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Chiropractic Manipulative Treatment (CMT) Coding and Documentation (Part 1)

The most used codes in chiropractic are 98940, 98941, 98942, and 98943. In this webinar, Dr. Gwilliam will go over the fundamentals of these codes and make sure you are proficient with them. They probably play a bigger part of your practice than any other code, so it is worth it to make sure you are reporting them correctly. By the end of this presentation you will be able to diagnose, document, and code properly for CMT, as well as avoid common mistakes.

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The #1 most overlooked injury in PI, and it is found in over 90% of all cases

Presented by Tom Grant Jr. DC  December 11, 2018 Tuesday @ 10:15 AM PT, 11:15 AM MT, 12:15 PM CT, 1:15 PM ET *How to recognize this injury *The most effective documentation terms to use *The best combination of ICD-10 codes to validate it Register here: https://attendee.gotowebinar.com/register/8562161323381676035 ...

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HCC Coding Tool

How to use Find-A-Code's HCC Coding Tool

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Documenting Treatment Plan and Goals That Actually WORK - November 20th, 2018

Dr. Friedman will discuss the need to document Treatment Plan and Goals and what we MUST document and what we SHOULD document. He'll also demonstrate how we can do this in the least amount of time and with the least amount of effort.

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Chiropractic Practice For Sale - When, Where, Why & How Much?

Dr. Tom Necela of The Strategic Chiropractor will share tips & tactics to help you with some of the biggest decisions every doc faces towards the end of their career: when to sell, where to find buyers, why sell (and what other options are available) and of course, how much is your chiropractic practice worth. If you are considering a chiropractic practice sale or transition within the next few years, this is a webinar you won't want to miss!

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Success with Out-of-Network Billing in Today's Environment Part 2

In this webinar Maxine will be presenting information and tips for understanding and billing Employment Retirement Income Security Act (ERISA) insurance plans. She will explain the rules and regulations concerning ERISA plans, as well as procedures for handling/appealing "adverse denials" of claims. Coders and Insurance Billing Specialists should not miss this informative presentation.

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Success with Out-of-Network Billing in Today's Environment Part 1

In this webinar Maxine will be presenting information and tips for understanding and billing Employment Retirement Income Security Act (ERISA) insurance plans. She will explain the rules and regulations concerning ERISA plans, as well as procedures for handling/appealing "adverse denials" of claims. Coders and Insurance Billing Specialists should not miss this informative presentation.

Watch the video on ChiroCode.com →

Joints: Rotator Cuff, Elbow, Wrist, and Hand

In this webinar, Brandon will review the bones and major joints of the upper extremities (arm, forearm, wrist, hand, and digits), as well as their supporting structures and how they are affected by injury, disease, and other conditions.

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The Most Expensive Documentation Mistakes Chiropractors Make

Notes need to give payers the information they need in order to adjudicate your claims. Do your notes include what they need to see? Can you standardize and simplify your note taking process to decrease your administrative burden? In this webinar, Dr. Gwilliam, Certified Coder, Certified Professional Medical Auditor, and Clinical Director for PayDC Chiropractic EHR Software, will show you how to make it easy. He will review examples and boost your confidence that you are doing things correctly.

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Coding and Documenting Physical Therapy Treatment Modalities

Presented by Evan Gwilliam DC MBA BS CPC NCICS CCPC CCCPC CPC-I MCS-P CPMA May 22nd, 2018 Tuesday @ 10:15 AM PT, 11:15 AM MT, 12:15 PM CT, 1:15 PM ET Ever wonder how to get paid for that e-stim or ultrasound? Do payers give you a hard time and ...

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All About Knee Coding & Auditing

Total knee replacement now acceptable ASC procedure also, not auditing for a year. Knee replacement coding, knee joint injections, auditing using FAC, LCDs, drugs, modifiers.

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Evaluation and Management Coding and Auditing

Are you responsible for selecting or reviewing Evaluation and Management service levels? Do you wonder how well you know the rules and how to apply them? Join Aimee in this webinar to review and then applly the rules of E/M coding. She will also do a live demonstration of the new Find-A-Code E/M Calculator Tool to assess the level of E/M service for two office visits, one new (99201-99205) and the other established (99212-99215).

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Coding and Auditing TeleHealth Services

Do you report or audit Telemedicine services now or are you considering offering them? Come and learn more about the rules and guidelines surrounding Telehealth services including, documentation requirements, eligible CPT and HCPCS Level II codes, modifiers, and the newest updates to Medicare Telehealth policies.

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Using Find-A-Codes Anatomy Images

Diagnosis coding is difficult when clinician documentation does not match up with the definitions found in the ICD-10-CM code set. Find-A-Code's anatomy images educate both coders and students - bridging the gap between coders and clinicians while simplifying code selection.

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FAC Updates Plus Tools for HCC Coding Chart Review February

Join Taylor to see how you can access free CEUs in 3 clicks, included with top-tier Find-A-Code subscriptions! Also highlighting our New and Improved NCDs system, and how to use the WK Drug Database for HCC Coding/Chart Review

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How to Add Acupuncture to a Chiropractic Office

In this webinar, Dr. Marty Kotlar (certified coding and compliance expert) will discuss how to add Acupuncture services to a Chiropractic office. Topics include how to find and employ acupuncturists, CPT/ICD-10 coding, 15 minute increments vs the 8 minute rule, how to bill for office visits on same day as acupuncture and how to create an acupuncture billing and coding policy manual.

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Learn How to Optimize Your Subscription, Searching and More

Be more productive, work smarter not harder using Find-A-Code. With so much to offer, it is important to understand how to navigate our site to get the most out of your subscription.

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2018 Updates and New Tools

2018 Find-A-Code updates and new tools

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Proper Coding and Billing for Drugs, Biologicals and Injections

Proper Coding and Billing for Drugs, Biologicals and Injections

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The Importance of Gathering Organizing and Using Fee Schedules

The Importance of Gathering Organizing and Using Fee Schedules

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Using Find-A-Code's New Evaluation and Management Calculator Tool

Using Find-A-Code's New Evaluation and Management Calculator Tool

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Documentation Mistakes that Can De-value your Personal Injury Case

Don't make mistakes that will cost you money. In this presentation Dr. Gwilliam will show you how to avoid documentation errors that attorneys and IMEs can use to decrease the value of your personal injury case. Learn how to show medical necessity through the codes you assign and support it properly in the documentation. Create goals that tell the story and establish the need for care. Avoid cloned records. All this and more in this fun-filled presentation.

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Proving Medical Necessity and Functional Improvement

Medicare is required by law to pay for care that is medically necessary. Medicare considers functional improvement to be the primary indicator of medical necessity for chiropractic care. It is up to you, the doctor, to prove functional improvement and medical necessity with your documentation. Dr. Short will show you how to use common practice tools to document functional improvement, medical necessity and maximum medical improvement. You will learn:  What is Medicare’s definition of medical necessity.  How to prove medical necessity.  How to report this information to Medicare.  How to determine Maximum Medical Improvement.

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The Phased Transition: How to Slow Down Without Killing Your Profits or Potential Chiropractic Practice Sale

Many retirement age chiropractors whose numbers are decreasing feel the need to retire before their practice slips even more. Others enjoy chiropractic and want (or need) to keep working but would like to a more relaxed pace. In either case, the timing and logistics of your transition are critical to your success -- if you want to retain the value of your practice .In this webinar, Dr. Tom Necela of The Strategic Chiropractor will share strategies how you can slow down, plan for your future and maximize the value of your practice and avoid costly mistakes too many chiropractors make in their practice sale or transition.

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HCC Risk Adjustment

HCC Risk Adjustment

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Conducting a Self-Audit

As part of a good compliance plan, and just because it is smart, you should be conducting at least annual audits in your office. If done right, you should be able to catch problems before some insurance company comes after you and demands money back. In the new 2018 DeskBook, we have provided you with self audit forms that you can copy and place in your Compliance Manual as evidence of your efforts to improve. Solutions for identified deficiencies are also right at your fingertips. In this presentation, Dr. Gwilliam will teach you how to audit yourself and keep the external auditors away.

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Confessions of an IME Doctor

In this webinar, Dr. Friedman will explain why more and chiropractic cases will be cut off from treatment after only 4 weeks and why you'll be seeing 6 visit maximums in the near future. He'll explain what you need to do get past this and how to determine when more treatment is justified with confidence.

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HIPAA, Complete and Easy

Have you been told that you have to spend many hundreds, if not thousands of dollars to become HIPAA compliant? While HIPAA is complex and there is a lot to learn, anyone can do it with the right tools. In this presentation, Dr. Gwilliam will introduce you to some of these tools from the newly updated HIPAA book available in the ChiroCode store. If you are a do it yourself type, and you don't want to spend a lot of money, and you are overdue for an update to your HIPAA Compliance Manual, this webinar is for you.

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Treatment Plans

Earlier this year the Medicare Administrative Contractors revised their Local Coverage Determinations. There are some changes that will affect how you document your Medicare visits. Medicare requires that you have a treatment plan with measurable goals. The treatment plan also serves the purpose of providing you and your patient with a roadmap of care. In this webinar Dr. Short will show you:  What specific elements Medicare requires in each treatment plan.  How to use common clinical tools to develop effective treatment plans.  Why the treatment plan is critical to proving medical necessity and overall patient care. This webinar will give you practical information that you can apply in your office the next day. You can obtain the notes for this webinar by subscribing to my e-mail updates at http://www.chiromedicare.net/mailing-list- signup/ or by following the link provided in my e- mail update. They will be available by the Monday prior to the webinar presentation.

Watch the video on ChiroCode.com →

Which is the Most Profitable E/M Code for PI: 99203 or 99204?

There is a lot of myth surrounding the use of the E/M codes. Dr. Grant will discuss how to best use these codes in a PI case to avoid the potential for a fraud claim by an insurer or a malpractice action by your patient.

Watch the video on ChiroCode.com →

Checklist Manifesto for Your Office

So much to do and keep track of for all the departments and requirements for your practice. ChiroCode has developed checklists to help you keep organized and on track. Learn the value of a checklist as well as get a free ChiroCode checklist by joining this helpful webinar.

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2018 Coding and Documentation Issues

In this webinar, Dr. Gwilliam will go over code updates for 2018. He will show you some new ways to look at Episodes of Care, which is critical for Medicare. You'll learn how to use self audit checklists to make sure you survive the inevitable third party audit. Confession: This webinar is really just a pitch for all of the cool new things we are adding to the 2018 DeskBook, which will be released in October. We will give you the low down on what you need to be successful next year.

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How to Report MIPS

If eligible, you need to start reporting for MIPS by October 2th, 2017. Do you know who is exempt? Are you familiar with the quality measures that apply to chiropractors? Do you understand how to report on the Advancing Care Information or Improvement Activities? Don’t worry, Dr. Gwilliam has done all your homework and, in this presentation, you will get the crib notes containing just what you need to know. You don’t need to feel overwhelmed with Medicare regulations, you just need to know what to do.

Watch the video on ChiroCode.com →

Better Financial Planning and Management

Join Dr. Brent Kesler for a special ONE HOUR SPECIAL webinar presentation on Tuesday September 19th at 11:00 Mountain Time. In this hour presentation, Dr. Kesler will share financial tips and strategies that have been used by the wealthy, generation after generation. This educational segment is full of information that can change or improve your financial outlook for 2017 and beyond, no matter what it looks like now! Rest assured, this is not an investing or sales related webinar. It is pure facts, strategies, tips, and real life examples that you can take note of and begin to implement right away. To learn more about this webinar presentation and to register, visit the webinars tab at https://chirocode.com/webinars.

Watch the video on ChiroCode.com →

The New Local Coverage Determinations and What They Mean to You

Earlier this year the Medicare Administrative Contractors revised their Local Coverage Determinations. There are some changes that will affect how you document your Medicare visits. In this webinar, Dr. Ron Short will explain the changes to the Local Coverage Determinations and how to utilize them in your practice. You will learn: What has changed and how it will affect you What has stayed the same How to document Medicare Visits

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The Benefits and Use of Hemp Oil

Learn the benefits and use of full spectrum, phytocannabinoid rich, hemp oil and taking advantage of the ground breaking information that is coming out on the medical benefits of hemp oil. There are new reports each and everyday and health practitioners all over are adopting the use of hemp oil and suggesting its use to their clients. Meet a practicing Chiropractor that is using the full spectrum, phytocannabinoid rich hemp oil in their practice and recommending it to their clients.

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In-Network or Out-of-Network....Which is Best for You?

Join this webinar to learn the facts and fiction of In and Out-of-Network status for your providers and practices. Gather information to make the best decision for you and your practice. Learn some of the contract "tricks" that payors like to include which can be costly to you if you aren't sure what to look for or what questions to ask. Making the decision to be In-Network or Out-of-Network isn't the same for every practice. Find out also your risk of audits as it pertains to network status. Finally, learn about payor guidelines that you must be aware of in order to minimize your risk of audit, review, denial, recoupment and other penalties.

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The Chain of Medical Necessity

Payors often will say that care is denied due to lack of medical necessity. Wouldn't it be nice if there was a simple formula or litmus test to ensure that each service billed met the criteria? Well, there is and Dr. Gwilliam will show you how to establish a clear "Chain of Medical Necessity" in this webinar. Remove the cloud of confusion and define, once and for all, what medical necessity really is.

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How to Launch Your Associate Into Instant Success and Profit

Win-Win Associate Development: Get the help you need, the freedom you desire and the extra income you deserve. Most associateships don’t work out and end badly. But it doesn’t have to be that way. Dr. Lloyd has discovered strategies, systems, processes and techniques for hiring and developing successful motivated associates who produce their own new patients, make more money than they cost, and are great to work with in long-term relationships.

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How to Document Subsequent Visits for Medicare and Everyone Else REALLY REALLY FAST Without Driving Yourself Crazy in the Process

Everyone seems to want to know how to document WELL, but FAST. Dr. Friedman will explain and demonstrate how this is not only POSSIBLE to do for Medicare, but for everyone else, too. We just need to find that ONE format of documentation that will work for EVERYONE, so there's ONE LESS THING for us to think about. Believe it or not, Medicare has actually made it EASY for us to document well and fast. Dr. Friedman will take you through the steps, from his perspective of practicing for more than 30 years and from reviewing records, performing IMEs and teaching documentation seminars nationally for years

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The Perfect SOAP Note

The so-called perfect SOAP note is a little like Sasquatch, or the Chupacabra. Does it really exist? In this groundbreaking presentation, Dr. Gwilliam will finally show the world a perfect SOAP note template that will always work for all payors at all times. And it will be easy to create in almost no time. Okay, actually, he will just get as close as he can by combining years of ChiroCode wisdom, Medicare guidance, and private payor preferences. Bring your opinion to this webinar because, odds are, it will differ in some way, and perhaps, as a group, we will be able to come to a consensus.

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Keys to a Successful Chiropractic Practice Sale or Transition

In this webinar, Dr. Tom Necela will discuss how to maximize the value of your practice so you can sell on top or transition well to meet your goals - as well as how to avoid the costly mistakes chiropractors make in selling, pricing their practice, finding their prospect, or in the financing of their business sale or transition.

Watch the video on ChiroCode.com →

Evidence-based Care Plans for Chiropractic

In this special webinar for the Kentucky Association of Chiropractors, we will review the latest evidence available about effective care plans for chiropractors. More information is found in Chapter 4.5 of the 2017 ChiroCode DeskBook, which is all about creating care plans that are evidence-based and focused on measurable goals. Proper care plans still allow the doctor to take care of patients based on their clinical skill, but also show medical necessity to outsiders. This presentation is based on an updated article published last year, and available free here: http://www.jmptonline.org/article/S0161-4754(15)00184-0/fulltext

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Contusion Confusion - PI's Great Overlooked and Misused Finding

Each injury has a set of confirmatory symptoms that can be used to convey severity. Contusions are one of the easiest to report, but not always the easiest to find. Most contusions are not being recognized. The truth is that they are very prevalent and they are not being documented properly by DC's. This webinar will help you expand your diagnostic skills for contusion discovery and give you insight on how to document, validate, treat and code for contusions.

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How to Convert Your Medicare Patients to Cash to Avoid the Penalties of MACRA

The #1 concern reported by CMS about chiropractors is that, as a profession, we do a poor job of understanding maintenance care. Of course, that is THEIR definition of maintenance care. When you better understand the rules of medical necessity in Medicare, you begin to see what they are talking about. The truth is that there is a “gray” area between the distinct “white” of active treatment and the “black” of maintenance treatment, and that gray area is confusing when defining “covered” vs. “not covered” chiropractic care in Medicare. Join us to find out the following critical information in time for the MACRA Section 514 implementation January 1, 2017: Find out exactly what Medicare deems as maintenance care and how to recognize it with our patients Learn what your options are for treating your Medicare patient’s maintenance care for cash Hear scripting that is vital to your patient understanding what’s going on with their coverage, or lack thereof Properly document the difference between active and maintenance care Better manage those little incidents that come up for chronic, Medicare patients

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Figuring Out Your Fees

There are many considerations when determining if your fees are in that sweet spot: not too high, not too low, and not breaking any laws. In this presentation, Dr. Gwilliam, a Medical Compliance Specialist, will help you find that magical place where you are following all the rules and still making a decent living.

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Medicare Subsequent (daily) Visit Documentation

Medicare has increased their review of chiropractors recently. What are they looking for? Medicare regulations are specific in what they want in your documentation. In the second of this two part series Dr. Ron Short will review the regulations regarding the subsequent (daily) visit documentation and translate them into practical actions that you can take in your office. In this webinar you will learn:  What Medicare needs to see documented during the daily visit  How to best capture the required information  What element to have on each visit  When to re-examine the patient. You can obtain the notes for this webinar by subscribing to my e-mail updates at http://www.chiromedicare.net/mailing-list- signup/ or by following the link provided in my e-mail update. They will be available by the Monday prior to the webinar presentation.

Watch the video on ChiroCode.com →

Improving Your Over the Counter Collections

Practices find that too much of their revenues are slipping through the cracks! This is too costly to practices and must be addressed! Though there are many reasons and areas in your practice that can have an impact on your cash flow, your Over-the-Counter Collections is one of them! Let's take a closer look at your OTC Collections, identify trouble areas, implement more seamless systems, and all around look at ways you can improve your collections over-the-counter.

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So What Exactly IS Medical Necessity?

In this webinar, Dr. Friedman will discuss the initial new patient exam and how it doesn't do what we THINK it does for our documentation. He'll also discuss what establishes the NEED to begin care and justifies the NEED to continue care. Understanding this concept is CRITICAL for ALL patients, regardless who is paying for the care.

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Better Financial Planning and Management

Join Dr. Brent Kesler for a special one hour webinar presentation on May 30, 2017 at 11:15 Mountain Time. In this one hour session, Dr. Kesler will share financial tips and strategies that have been used by the wealthy, generation after generation. This educational segment is full of information that can change or improve your financial outlook for 2017 and beyond, no matter what it looks like now! Rest assured, this is not an investing or sales related webinar. It is pure facts, strategies, tips, and real life examples that you can take note of and begin to implement right away. To learn more about this webinar presentation and to register, visit the webinars tab at https://chirocode.com/webinars.

Watch the video on ChiroCode.com →

The NEW “Episodic Care” Concept in Medicare

Recently, Medicare stated that they expected chiropractic care to be “episodic” in nature. Find out what Medicare expects from your treatment plan to justify medical necessity. How many treatments is too much? What are they looking for in your care? Medicare and ICD-10 Guideline changes in 2017 have resulted in massive audits taking place across the country. Many calls are coming in pertaining to denials and audits. Most are because the doctor and staff are unaware of the regulation changes. Mario Fucinari, DC, CCSP, CPCO, MCS-P, MCS-I is uniquely qualified as being still in active practice, a Certified Medical Compliance Specialist, Certified Compliance Officer and a member of the Carrier Advisory Committee.

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Medicare Initial Visit Documentation

Medicare has increased their review of chiropractors recently. What are they looking for? Medicare regulations are specific in what they want in your documentation. In the first of this two part series Dr. Ron Short will review the regulations regarding the initial visit documentation and translate them into practical actions that you can take in your office. In this webinar you will learn: -What Medicare needs to see documented during the initial visit -How to best capture the required information -What you need to make a good treatment plan -When to start a new episode of care

Watch the video on ChiroCode.com →

Nutritionist Represents Healthy Eating and Exercise Plan

What are the ONLY two things every Health Professional from MD’s, Chiropractors, and all others agree with that if worked on will reverse illness, lengthen lifespan and give great energy? Tune into this webinar that addresses the elephant in the room with EVERY patient. How to improve daily eating and exercise habits that research shows will do the most for your health than ANYTHING ELSE YOU CAN DO. This webinar will introduce an easy to follow healthy eating and exercise plan overseen and administrated by professional trainers and nutritionists for YOU and your patients. At the end of the webinar, you will receive the ability to get a personalized eating and exercise plan from a professional trainer and nutritionist. You will get coached every step of the way every day helping you achieve your health goals. After you achieve greater health, you can recommend this program to your patients to improve their recovery and longevity while at the same time increasing your revenue dramatically. You will hear from Douglas Grant who has trained 1,000’s of professional athletes, doctors and every day people over the last 20 years. He is a nutritionist to many NBA teams and his team currently creates nutrition, exercise and supplement programs for people all over the globe.

Watch the video on ChiroCode.com →

ChiroCode Hot Topics

2017 is a year of changes in some areas as well as a year for improvement and catch-up in others. This ChiroCode webinar is going to discuss some of these changes, what it means to your practice as well as need-to-know details and strategies to help you improve upon and catch-up in those other areas. Bring your questions to this webinar session as well as our presenters will address as many of your questions as possible!

Watch the video on ChiroCode.com →

May is Posture Month- "Be A Posture ACE" Communications and Marketing Campaign

May is Posture Month, and this year’s “Be a Posture ACE” campaign is your strategy to get patients engaged and promote your practice! Join Dr. Steven Weiniger, the posture expert, and learn how the annual public health effort from PostureMonth.org is an opportunity to help people understand bio-mechanical problems through a postural lens, and help themselves stand taller and move better… as well as appreciate the benefits of your care. ACE stands for creating posture Awareness; taking Control of your body; and optimizing your posture Environment- ACE. ACE is for patients and the public, as well as fellow health care providers. It’s a way for DCs to engage patients and their community towards better posture awareness and habits, and position themselves to other professionals as the posture specialist. You’ll learn to ~~Raise Posture Awareness ~~Communicate posture with words and a picture (Free PostureZone® app is really helpful, but not required) ~~Marketing Strategy- in office and online Learn from Dr. Steven Weiniger, author of Stand Taller~Live Longer and creator of the StrongPosture® Protocols, PostureZone® app and CPEP® Posture Exercise Professional certification to observe, communicate and promote posture. New for 2017: Dr. Weiniger will provide free PostureMonth.org listings for DCs offering the public free posture pictures this May. Use any technology from desktop software to your cameraphone, or even a polaroid camera and crayons. Our mission is building social posture awareness, and we invite you to join us. Also, get the PostureMonth.org 2017 health and practice toolkit with timeline and access to free flyers and social media strategy and tools.

Watch the video on ChiroCode.com →

Audit Your Evaluation Visits

In this webinar, get a sneak peak at how ChiroCode audits a typical evaluation encounter. Do you document functional loss? Are you using outcome assessment tools appropriately? Does your treatment plan include measurable goals? Do you document complicating factors? Answer all these questions and more in this action-packed half hour with Dr. Gwilliam.

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Chapter 5.3 - Evaluation and Management for Chiropractic

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How to Check NCCI Edits Using FindACode

How to Check NCCI Edits Using FindACode

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Strategies for better managing and taking control of your financial future

Often times today in business and even with our personal finances, most people find themselves having to find ways to work more or work harder in effort to maintain or improve their lifestyle and/or having to give up or delay obtaining those things that are important to us. This webinar special is bringing to you invaluable information and tools that will not only enable you to take control of your own personal and business finances, show you how your money can grow more quickly and work better for you, be an instrument in debt reduction, and more.

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Progression of Care...Payor Expectations

One audit trap that is sure to reveal lack of evidence for Medical Necessity could be found in your current coding and billing systems, and of course, your patient documentation. This common billing practice in chiropractic frequently results in claim denials and requests for refund of payment. When expecting third party payment, support of Medical Necessity must be in the manner defined by 3rd party payors and not only according to provider rationale.

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Chapter 5.2 - Part 1 Modalities & Therapeutic Procedure Coding: Overview

Let Dr. Gwilliam, ChiroCode's Vice President, walk you through Chapter 5.2 on all the common procedure codes used in chiropractic.  This is part 2 of 7. ...

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Chapter 5.2 - Part 2 Modality Coding (97014, 97012)

Let Dr. Gwilliam, ChiroCode's Vice President, walk you through Chapter 5.2 on all the common procedure codes used in chiropractic.  This is part 3 of 7. ...

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Chapter 5.2 - Part 3 Modality Coding ( 97035, 97010, 97032, 97039)

Let Dr. Gwilliam, ChiroCode's Vice President, walk you through Chapter 5.2 on all the common procedure codes used in chiropractic.  This is part 4 of 7. ...

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Chapter 5.2 - Part 4 Therapeutic Procedure Coding (97140)

Let Dr. Gwilliam, ChiroCode's Vice President, walk you through Chapter 5.2 on all the common procedure codes used in chiropractic.  This is part 5 of 7. ...

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Chapter 5.2 - Part 5 Therapeutic Procedure Coding (97110, 97124, 97112)

Let Dr. Gwilliam, ChiroCode's Vice President, walk you through Chapter 5.2 on all the common procedure codes used in chiropractic.  This is part 6 of 7. ...

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Chapter 5.2 - Part 6 Therapeutic Procedure Coding (97530, 97510, 97139)

Let Dr. Gwilliam, ChiroCode's Vice President, walk you through Chapter 5.2 on all the common procedure codes used in chiropractic.  This is part 7 of 7. ...

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Chapter 5.2 - Chiropractic Manipulative Therapy Coding and Documentation

Let Dr. Gwilliam, ChiroCode's Vice President, walk you through Chapter 5.2 on all the common procedure codes used in chiropractic.  This is part 1 of 7. ...

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Chapter 4.2 - Part 2 Record Keeping

Let Dr. Gwilliam, ChiroCode's Vice President, walk you through Chapter 4.2 on record keeping principles in chiropractic. ...

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Chapter 4.3 - Evaluations 1: History and Exam

Let Dr. Gwilliam, ChiroCode's Vice President, walk you through Chapter 4.3 on documenting for evaluations.  This is part 1 of 3. ...

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Chapter 4.3 - Evaluations 2 Subluxations

Let Dr. Gwilliam, ChiroCode's Vice President, walk you through Chapter 4.3 on documenting for subluxations.  This is part 2 of 3. ...

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Chapter 4.3 - Evaluations 3: Diagnosis and Treatment plans

Let Dr. Gwilliam, ChiroCode's Vice President, walk you through the rest of Chapter 4.3 on documenting for evaluations and re-evaluations.  This is part 3 of 3. ...

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Chapter 4.4 - Subsequent Treatment Visits

Let Dr. Gwilliam, ChiroCode's Vice President, walk you through Chapter 4.4 on documenting daily or subsequent visits. ...

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Chapter 4.5 - Treatment Plan Goals

Let Dr. Gwilliam, ChiroCode's Vice President, walk you through Chapter 4.5 on creating care plans that can't be denied.  This is part 1 of 2. ...

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Chapter 4.5 - Evidence-based Care Plans

Let Dr. Gwilliam, ChiroCode's Vice President, walk you through Chapter 4.5 on creating care plans that can't be denied.  This is part 2 of 2 ...

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The Latest Comparative Billing Report and What it Means to You

Medicare recently sent out Comparative Billing Reports to 8500 chiropractors. These reports give these chiropractors information on how their billing patterns compare to their peers both state-wide and nation-wide. In this webinar Dr. Short will explain: - What was measured in this Comparative Billing Report - What your numbers should look like - What action to take if you received a Comparative Billing Report

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Confessions of an IME Doctor

Dr. Friedman has been practicing for 28 years and performs record reviews and IMEs for attorneys and insurance companies for personal injury, workers comp and malpractice cases. In this webinar, Dr. Friedman will explain that the typical Independent Medical Exam looks like and why it really is normal on 90-95% of the cases we see, but why the conclusions are the problem. Dr. Friedman will discuss why he cuts off 99% of the chiropractic cases he reviews after only 4 weeks of care, and how you can beat that. He'll show you what he looks for in your records and how to properly document in the least amount of time and with the least amount of effort.

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Proper Use of Modifiers for Maximum Reimbursement and Reducing Audits

Modifiers are two-digit codes appended to procedure codes and/or HCPCS codes to provide additional information about the billed procedure. In some cases, addition of a modifier may directly affect payment and incorrect use can result in audits and potential recoupment. In this webinar, certified coder and auditor David Klein will review the “do’s” and “don’ts” of proper modifier usage to help maximize reimbursement and reduce the likelihood of an audit.

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Chapter 4.1 - Part 1 Record Keeping

Let Dr. Gwilliam, ChiroCode's Vice President, walk you through Chapter 4.1 on documentation used in chiropractic. ...

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Posture and Mood: How you Stand, Sit and Move Affects How you See the World?

When people are unhappy or have a bad attitude, their posture shows it. There’s good reasons why body language expresses our mood and attitude. Posture is the external manifestation of our physicality, and can literally be the window to mood. From pain to pessimism, posture affects (and is affected by) your outlook on life. Learn how accumulating research is demonstrating how links between body and mind are a two way street, and the consequences of excessive sitting on mind and body . Palpating function by touch and visually reading subtle posture cues can provide valuable insight into bio-mechanic function, health and attitude. Which is why DCs can be the posture specialists for people suffering the burgeoning health effects of sitting, texting and modern technology on their bodies and minds. Learn about: - The sensori-motor mood connection - Studies correlating posture habits with mood and disease - Strategies for the posture specialist

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ICD-10 Coding for Chiropractic: Part 1 Fundamentals

Presented by Evan M. Gwilliam, DC MBA BS CPC CCPC NCICS CPC-I QCC MCS-P CPMA CMQP  ...

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ICD-10 Coding for Chiropractic: Part 3 Guidelines

Presented by Evan M. Gwilliam, DC MBA BS CPC CCPC NCICS CPC-I QCC MCS-P CPMA CMQP  ...

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ICD-10 Coding for Chiropractic: Part 2 Conventions

Presented by Evan M. Gwilliam, DC MBA BS CPC CCPC NCICS CPC-I QCC MCS-P CPMA CMQP  ...

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The Future of Reimbursement: Medicare's Quality Payment Program

You may have heard rumblings about MACRA, MIPS, MU, PQRS, VBM, and some other acronyms from CMS (Medicare.) Don't get overwhelmed, Dr. Gwilliam will take you through the basics and let you know what you need to do in 2017 to avoid a payment adjustment (penalty), and maybe even qualify for incentives (up to 5%! woohoo!) Even if you don't treat Medicare beneficiaries, this model could be the future of payment for healthcare. This is a webinar that you won't want to miss.

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Ransomware. Are You a Target? What You Need to Know to Protect Your Patients and Your Practice

Recently, there have been a number of reports of doctors being held hostage by ransomware. Ransomware is malicious software that hackers use to prevent you from accessing your critical data, and then demanding ransom to regain access to it. Themos Pentakalos, Chief Operating Officer for ChiroTouch will discuss: -What are the major security threats to chiropractors -Why healthcare providers like chiropractors make perfect targets for ransomware attacks -How to devise a plan to protect your practice and your patient data from ransomware and other security threats

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Time is Running Out for Your Annual Security Risk Analysis!

The Security Risk Assessment is not only required for HIPAA Security but is also a required element to Meaningful Use attestation. Practices that have not completed the annual Security Risk Assessment per these guidelines are frequently assessed with hefty financial penalties. In this webinar, you will learn: What the Security Risk Analysis is and why it's necessary How NOT doing the Security Risk Analysis can impact your cash flow How your practice can perform the Security Risk Analysis efficiently, effectively, and in a time manageable fashion What your practice can learn from your annual Security Risk Analysis

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Q & A with the Experts

Presented by Evan Gwilliam DC MBA BS CPC NCICS CCPC CCCPC CPC-I MCS-P CPMA & Brandy Brimhall CPC CMCO CPCO CCCPC October 11, 2016 Tuesday @ 10:15 AM PST, 11:15 AM MST, 12:15 PM CST, 1:15 PM EST In this special webinar, Dr. Gwilliam, VP of ChiroCode, and Brandy Brimhall, Director of Education for ChiroCode, will have no presentation prepared for you. Bring you most pressing questions and get free, unfettered access to two of the most highly credentialed coders/auditors in chiropractic. This is your chance to pick their brains and figure out how to get paid properly for the work you do.

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When, Where, Why & How to Go Out Of Network With Insurance Payers

Presented by Tom Necela DC, CPC, CPMA, CCP-P October 4, 2016 Tuesday @ 10:15 AM PT, 11:15 AM MT, 12:15 PM CT, 1:15 PM ET Although most chiropractors are 80%+ insurance based, not all payers are created equal. For some, there is little reward to be an in-network provider (and maybe a lot of risk and hassles). If you've been considering getting out of network, don't miss this webinar where Dr. Tom Necela of The Strategic Chiropractor will discuss specific strategies for why, when, where and how!

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ICD-10-CM Updates for the Auditor, a NAMAS webinar

ICD-10-CM Updates for the Auditor, a NAMAS webinar

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New ICD-10 Codes for Chiropractors and the Beginning of ICD-10 Audits

Presented by Evan Gwilliam DC MBA BS CPC NCICS CCPC CCCPC CPC-I MCS-P CPMA September 27, 2016 Tuesday @ 10:15 AM PT, 11:15 AM MT, 12:15 PM CT, 1:15 ET The ICD-10 documentation grace period ends on October 1st 2016. Are your records good enough? Do you know what the new codes are the chiropractors need to use? Have you got rid of the codes that have been deleted for 2017? Find out about all this and more in this webinar.

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Don’t Leave Money on the Table-Maximize Collections!

We'll review the key indicators to measure your Billing operation and if it is delivering maximized collections. We'll then breakdown the keys to managing successful Biller(s). You'll leave this webinar with practical tools you can implement immediately regardless of the size or type of your practice. This webinar is for the Chiropractor, not the Billing staff.

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Building your Practice during Spinal Health Month

Spine Month (October) is your chance to amplify the value of chiropractic! It’s easy to engage people with simple tools you have on hand that show why getting adjusted and spinal health are crucial to overall health and wellbeing. Whether your focus is people with back, neck and NMS pain, or you focus primarily on keeping people healthy, active and pain free, Spinal Health month is a golden opportunity to draw interest to your practice. Register today to learn how to assess and demonstrate spinal function with a posture picture and get the essential concepts and protocols for ongoing care of spinal health. ~ Build your practice during Spinal Health Month ~ Concepts that lead to referrals and new patients ~ Demos to improve compliance and referrals

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Top 5 Reasons Your Clinic Should Consider Outsourcing it’s Billing and Collections Process

Presented by Jeff Smith September 6, 2016 Tuesday @ 10:15 AM PT, 11:15 AM MT, 12:15 PM CT, 1:15 ET In his presentation “Top 5 Reasons Your Clinic Should Consider Outsourcing it’s Billing and Collections Process,” Jeff Smith, Director of Revenue Cycle Management Services at CoreSolution Billing will identify five areas of ...

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The Consequences of Complacency

Presented by Ron Short DC, MCS-P, CPC August30, 2016 Tuesday @ 10:15 AM PT, 11:15 AM MT, 12:15 PM CT, 1:15 PM ET In this special webinar presentation Dr. Ron Short is hosting Dr. Rick Kuhlman as he tells his story of how he was investigated, fined, and jailed for healthcare fraud. This presentation is not intended to scare you but rather to demonstrate that some business procedures that were common to the profession in the past have very different consequences today. Join us and learn what Dr. Kuhlman was doing and what happened as a result of his actions.

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How Do Insurers Value an Injury Claim?

What does it have to do with a DC anyway? Who decides the value of DC care? Impairment vs. disability, how do I choose? ADL losses, which are the most important? Emotional damages, do DC’s have any input? Over the last 30 years, little has changed in attorney management of PI cases, but insurers have been upping their game every day since then! Can the same be said about DC care in PI cases? This lag in updating case management strategies has led to a 65% loss in claim value since 1985, yet premiums and cost of care have steadily increased! Are you ready to up your game? Tom Grant Jr., DC of Grant Professional Strategies will be presenting a webinar on “How Do Insurers Value an Injury Claim?”, a glimpse into a portion of liability insurers training and directives, including action steps you can take gain an insider's advantage to improve your patient's loss recovery through strategic doctoring.

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Watch a Chart Audit

In this webinar, Dr. Gwilliam, a certified professional medical auditor will show you how he audits a record. You will see what elements are important and which deficiencies are red flags.

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How to Satisfy Medical Necessity for a Daily Encounter

Meeting Medical Necessity through our daily documentation is a source of confusion and frustration for many DCs. We will help you navigate the ever-evolving world of documentation guidelines and you'll walk away with an understanding of what medical necessity is, regardless of the payer. During this presentation, we will cover: · Key Components Needed to Satisfy Medical Necessity · Tools You Can Utilize to document response to care and justify the need for continued care · Common Mistakes DCs Make in Establishing Medical Necessity

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No Treatment Plan? Prepare to Pay!

If you are using canned treatment plans, or no treatment plans at all, be prepared to pay every visit back in it's entirety. Treatment plans, as well as the associated treatment goals are one of the most important parts of an initial chiropractic visit. In this webinar, join Dr. Alan Bergquist, CEO of Chiropractic Compliance Solutions, LLC, as he explains the details required in an effective treatment plan.

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Medicare Coding and Billing

Presented by Ron Short DC, MCS-P, CPC Tuesday @ 10:15 AM PT, 11:15 AM MT, 12:15 PM CT, 1:15 PM ET Last October 1 saw the implementation of ICD-10. This coming October 1 will see the end of the grace period where Medicare will start denying claims for improper codes. In this webinar Dr. Ron Short will cover some of the specifics that you will need to consider with the ICD-10 coding and billing the claims to Medicare. In this webinar you will learn: • What Medicare expects to see in your coding • Why accuracy in your coding is more important than ever • What comes next for Medicare reviews and audits

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Ending the Medicare Maintenance Mystery

Presented by Tom Necela DC, CPC, CPMA, CCP-P Tuesday @ 10:15 AM PT, 11:15 AM MT, 12:15 PM CT, 1:15 PM ET In this webinar, Tom Necela, DC, CPC, CPMA, CCP-P will show you TWO simple steps to put a stop to the mystery, the anxiety and the confusion over ...

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Documenting a Thorough New Patient First Visit Quickly

Presented by Gregg Friedman DC July 5, 2016 Tuesday @ 10:15 PM PT, 11:15 PM MT, 12:15 PM CT, 1:15 PM ET Dr. Friedman will discuss the importance of starting the documentation process with the new patient correctly and how to get the most thorough information in the least amount of time.

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Insurance Participation: How it really works

Presented by Brandy Brimhall CPC CMCO CPCO CCCPC March 1, 2016 Tuesday @ 10:15 AM CT, 11:15 AM MT, 12:15 PM CT and 1:15 PM ET What you need to know about insurance participation, the enrollment process, what to look for in payor contracts and policies, and more. Many practices make mistakes because they didn't know what to look for or what questions to ask when considering enrolling as a participating provider with a particular payor. Save your practice time and money by learning these details before beginning the enrollment process.

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Proving Medical Necessity for Chiropractic

Presented by Gregg Friedman DC June 14, 2016 Tuesday @ 10:15 PM PST, 11:15 PM MST, 12:15 PM CST, 1:15 PM EST Dr. Friedman will discuss the 3 parts of the patient examination and why only ONE part is actually for medical necessity. This ONE thing is critical for determining if more chiropractic treatment is justified or not and if treatment has been effective or not.

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DeskBook 101: PQRS

Presented by Evan Gwilliam DC MBA BS CPC NCICS CCPC CCCPC CPC-I MCS-P CPMA June 7, 2016 Tuesday @ 10:15 AM PST, 11:15 AM MST, 12:15 PM CST, 1:15 EST Now that the year is almost half over, it is a good time to remember that PQRS needs to be reported on ...

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CMS Training Video

Presented by Ron Short DC, MCS-P, CPC May 31, 2016 Tuesday @ 10:15 AM PT, 11:15 AM MT, 12:15 PM CT, 1:15 PM ET Section 514 of the Medicare Access and CHIP Reauthorization Act of 2015 (MARCA) required CMS “develop educational and training programs to improve the ability of chiropractors to provide documentation … in a manner that demonstrates that such services are … reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member.” On December 23, CMS uploaded a 20 minute video to the CMS YouTube channel as a response to this requirement.

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DeskBook 101: Documentation Made Simple

Presented by Evan Gwilliam DC MBA BS CPC NCICS CCPC CCCPC CPC-I MCS-P CPMA May 10, 2016 Tuesday @ 10:15 AM PST, 11:15 AM MST, 12:15 PM CST, 1:15 EST Documentation can be used against you, or it can be you best defense when someone tries to deny your claims or you get audited. Chapter 4 of the ChiroCode DeskBook covers all the basics, and some of the advanced stuff too. In this training, learn what makes solid documentation for Assessment Visits, and what is necessary for Treat

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Audits – How can you Protect Your Practice?

Presented by David Klein, CPC, CPMA, CHC May 17, 2016 Tuesday @ 10:15 AM PT, 11:15 AM MT, 12:15 PM CT, 1:15 PM ET For several years the chiropractic profession has been inundated with warnings, rumors, and other anecdotes about audits - some true, and others, not so much. This webinar cuts through the rhetoric and presents the basics: what are audits and how are they conducted; what should a practice do if subjected to an audit; and how you can prepare before an audit occurs.

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Proactive Steps to prepare for a Meaningful Use Audit

Presented by Dorel Radivoj, D.C. CPC May 10, 2016 Tuesday @ 10:15 PM PST, 11:15 PM MST, 12:15 PM CST, 1:15 PM EST During this presentation, Dr Radivoj will provide insight into the meaningful use audit process, point out potential problem areas and outline the documentation requirements to address an audit.

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Non-Traditional Exit Strategies: How to Leave Chiropractic WITHOUT Giving Your Business Away

Presented by Tom Necela DC, CPC, CPMA, CCP-P Dr. Tom Necela of The Strategic Chiropractor will discuss how to avoid the mistakes that most chiropractors are making when transitioning out of their practice and reveal "non-traditional" strategies to help you maximize the value of your exit strategy and chiropractic practice sale or transition.

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Alert!! THOUSAND$ at Risk for Chiropractors in 2016

Presented by Alan D. Bergquist, D.C., MCS-P, CCPC and Jeff Smith Tuesday @ 10:15 AM PT, 11:15 AM MT, 12:15 PM CT, 1:15 PM ET Join this group of compliance professionals to learn about compliance hot topics, common Q/A, need-to-know details for compliance implementation and evaluation and much more. Also, this webinar will present to you advanced compliance training tools that will save you time, money and be easy to time manage as you navigate and implement compliance. There is so much to cover in this webinar session, doctors and CA's will not want to miss out.

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DeskBook 101: Evaluation and Management Self Audit

Presented by Evan Gwilliam DC MBA BS CPC NCICS CCPC CCCPC CPC-I MCS-P CPMA April 19, 2016 Tuesday @ 10:15 AM PST, 11:15 AM MST, 12:15 PM CST, 1:15 EST Chapter 5.3 of the 2016 ChiroCode DeskBook is all new, with tables and examples to help you become an expert on E/M coding for chiropractic. E/M codes are a top target by auditors because many providers use them incorrectly, or trust their EHR system templates to do the work for them. In this webinar, find out how to audit your own E/M codes so you don't have to fear the auditors.

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Billing Practices that Attract Attention

Presented by Brandy BrimhallCPCCMCOCPCOCCCPC April 12, 2016 Tuesday @ 10:15 AM CT, 11:15 AM MT, 12:15 PM CT and 1:15 PM ET Claim forms are revealing! Find out what payors look for when reviewing claims for payment. There are many billing practices that can put providers at risk for an audit. Learn what these things are now so you can find and fix your own mistakes before the payors do.

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Meaningful Use Q/A

Presented by Chantal Bryant, Meaningful Use Expert for ChiroTouch and SmartCloud and Jennifer Hay, Meaningful Use Specialist for ChiroTouch and SmartCloud March 22nd Tuesday @ 10:15 AM PST, 11:15 AM MST, 12:15 PM CST, 1:15 EST The presenters will cover need to know information on Meaningful Use and then will be taking MU related questions directly from listeners. Meaningful Use is a comprehensive and often confusing topic. These presenter spend their time "in the trenches" of Meaningful Use and attestation. They will be able to offer clarity to listeners. Attendees are invited to bring their Meaningful Use questions to this webinar to be answered directly by Meaningful Use expert.

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Q&A with ChiroCode's Experts

Presented by Dr. Evan Gwilliam, ChiroCode's VP, and Brandy Brimhall, ChiroCode's Director of Education

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Let's discuss patient collections!

March 1, 2016 - Let's discuss patient collections! Presented by Brandy Brimhall CPC CMCO CPCO CCCPC Tuesday @ 10:15 AM CT, 11:15 AM MT, help evaluate and optimize your patient collections. This includes, over the counter ...

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DeskBook 101: Creating care plans

Chapter 4.5 of the 2016 DeskBook is all about creating care plans that are evidence based and logical. They allow the doctor to take care of patients based on their clinical skill, but also show medical necessity to outsiders. Bring your DeskBook to follow along as you learn how to use this chapter.

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Preparing Your Practice for New Reimbursement Models

Presented by Steven Kraus DC, DIBCN, FIACN, FASA, FICC February 18, 2016 Thursday @ 10:00 AM PT, 11:00 AM MT, 12:00 PM CT, 1:00 PM ET Requirements for DC’s In order to participate in the new payment methods. Fee for Service is Going Away!

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New Patient Tsunami!

Presented by Noel Lloyd, DC Tuesday @ 10:15 AM PST, 11:15 AM MST, 12:15 PM CST, 1:15 EST Get all the new patients you need! Not enough new patients is the number one challenge that holds most chiropractic practices down. Get new patients right and you’ll succeed. Get new patients wrong and your struggle. Dr. Noel Lloyd will take you step by step through how to create your own new patient Tsunami!

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DeskBook 101: ICD-10 for Chiropractic

ChiroCode worked hard to update and revise and enhance our ICD-10 book. It has been expanded, but also refined. In this webinar find out how to use your 2016 ICD-1

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DeskBook 101: Common Procedure Codes

In this webinar, Dr. Gwilliam will review chapter 4.2 Common Procedure Codes. More than half the chapter is brand new for 2016 and it is crammed full of coding and documentation tips for the codes you use most. Figure out all the little tricks you need to keep your claims clean and survive an audit. Bring your copy of your DeskBook to follow along.

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Crucial Changes Needed in Your Billing and Collections Process in 2016

Presented by Alan D. Bergquist, D.C., MCS-P, CCPC and Jeff Smith Tuesday @ 10:15 AM PT, 11:15 AM MT, 12:15 PM CT, 1:15 PM ET As more financial responsibility for healthcare is shifted from insurance to the patient themselves it is important, and even imperative that your office procedures adapt to those changes as well to ensure that your office continues to thrive financially as well as continue to improve patient satisfaction (which will begin affecting your reimbursement in 2017.)

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Physician Quality Reporting System (PQRS) 2016

Presented by Ron Short DC, MCS-P, CPC Tuesday @ 10:15 AM PT, 11:15 AM MT, 12:15 PM CT, 1:15 PM ET The Physician Quality Reporting System will affect you and your practice more than ever before. Failure to report PQRS measures this year will result in a 2% cut in your Medicare payments in 2018. It will also result in you being assigned the lowest level Value Based Modifier which could result in an additional cut.

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ICD-10-CM Training - Session 08

ICD-10-CM Training - Session 08

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ICD-10-CM Training - Session 07

ICD-10-CM Training - Session 07

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ICD-10-CM Training - Session 06

ICD-10-CM Training - Session 06

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ICD-10-CM Training - Session 05

ICD-10-CM Training - Session 05

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ICD-10-CM Training - Session 36

ICD-10-CM Training - Session 36

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ICD-10-CM Training - Session 35

ICD-10-CM Training - Session 35

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ICD-10-CM Training - Session 34

ICD-10-CM Training - Session 34

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ICD-10-CM Training - Session 33

ICD-10-CM Training - Session 33

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ICD-10-CM Training - Session 04

ICD-10-CM Training - Session 04

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ICD-10-CM Training - Session 32

ICD-10-CM Training - Session 32

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ICD-10-CM Training - Session 31

ICD-10-CM Training - Session 31

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ICD-10-CM Training - Session 03

ICD-10-CM Training - Session 03

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ICD-10-CM Training - Session 02

ICD-10-CM Training - Session 02

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ICD-10-CM Training - Session 30

ICD-10-CM Training - Session 30

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ICD-10-CM Training - Session 29

ICD-10-CM Training - Session 29

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ICD-10-CM Training - Session 28

ICD-10-CM Training - Session 28

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ICD-10-CM Training - Session 27

ICD-10-CM Training - Session 27

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ICD-10-CM Training - Session 01

ICD-10-CM Training - Session 01

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ICD-10-CM Training - Session 26

ICD-10-CM Training - Session 26

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ICD-10-CM Training - Session 25

ICD-10-CM Training - Session 25

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ICD-10-CM Training - Session 24

ICD-10-CM Training - Session 24

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ICD-10-CM Training - Session 23

ICD-10-CM Training - Session 23

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ICD-10-CM Training - Session 22

ICD-10-CM Training - Session 22

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ICD-10-CM Training - Session 21

ICD-10-CM Training - Session 21

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ICD-10-CM Training - Session 20

ICD-10-CM Training - Session 20

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ICD-10-CM Training - Session 19

ICD-10-CM Training - Session 19

Watch the video on ChiroCode.com →

ICD-10-CM Training - Session 18

ICD-10-CM Training - Session 18

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ICD-10-CM Training - Session 17

ICD-10-CM Training - Session 17

Watch the video on ChiroCode.com →

ICD-10-CM Training - Session 16

ICD-10-CM Training - Session 16

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ICD-10-CM Training - Session 15

ICD-10-CM Training - Session 15

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ICD-10-CM Training - Session 14

ICD-10-CM Training - Session 14

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ICD-10-CM Training - Session 13

ICD-10-CM Training - Session 13

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ICD-10-CM Training - Session 12

ICD-10-CM Training - Session 12

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ICD-10-CM Training - Session 11

ICD-10-CM Training - Session 11

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ICD-10-CM Training - Session 10

ICD-10-CM Training - Session 10

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ICD-10-CM Training - Session 09

ICD-10-CM Training - Session 09

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1995 E/M Guidelines1997 E/M Guidelines2019 Chiropractic ICD-10-CM Cheat Sheet2019 CPT E/M and Prolonged Services Code and Guideline Changes2020 ChiroCode Deskbook2020 Chiropractic Diagnosis & Documentation Cards2020 Chiropractic ICD-10-CM Coding BookABC Code InformationACA & Choosing Wisely®- "Five Things Clinicians and Patients Should Question”ACA PolicyAccountable Care Organizations (ACO) - by CMSAdvance Beneficiary Notice of Noncoverage (ABN) by MedLearnAdvanced Beneficiary Notice of Noncoverage (ABN) Form Instructions ToolAlcohol Use Disorders Identification Test Guidelines for Use in Primary CareAmerican College of Radiology Practice Parameter for Communication of Diagnostic Imaging FindingsAnnual and Lifetime Limits; PPACA UpdatesAnnual Wellness Visit (AWV) by CMSAnswers to new practitioners’ questions about running a business - by the American Chiropractic Association (ACA)Are You a Covered Entity? - by CMSArticles SearchAudit information by the ACAAuditing Topics PageAvoiding Medicare and Medicaid Fraud and Abuse; A Roadmap for PhysiciansBehavioral Health Provider TypesBilateral Surgeries: Claim SubmissionBilling Nutrition Counseling in a Chiropractic SettingBilling with a GP ModifierBilling with a GP ModifierBreach Notification Rule by HHSCan I Perform 2 Untimed Codes at the Same Time?Certified Chiropractic Clinical Assistant Certification ProgramChanges to the 59 Modifier for Therapeutic Procedure CodesChiroCode Complete & Easy ICD-10 Coding for ChiropracticChiroCode Online Fee CalculatorChiroCode's Basic Medicare Fee CalculatorChiroCode's Evaluation & Management Audit ToolChiropractic Diagnosis & Documentation CardsCivil Monetary Penalties Law - by OIGClaims Topic PageClinical Review Judgment Change Request 6954 by CMSCMS - NCCI Edits Policy DownloadCMS 1500 Claim FormsCMS Complying with Medicare Signature Requirements Fact SheetCMS Innovation home pageCMS Medicare Fee for Service Recovery Audit ProgramCMS Preventive Services Educational ToolCMS Recovery Audit Program - Center for Medicare & Medicaid ServicesCMS Report: "CMS Should Use Targted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic ServicesCommonly Used Medicare Modifiers - GA, GX, GY, GZComparative Billing Report websiteComplete & Easy HIPAA ComplianceComplete & Easy HIPAA Compliance 4th EditionCompliance Guidance - by the OIGCompliance Topics PageContinued Use of Modifier 59 after Jan 1, 2015CR 5550 Clarification - Signature Requirements by CMSCyber Security ChecklistDesignation of Authorized Representative Form - by ACADetailed Information on the New Safety Data Sheets (SDS)Digital Copier Data Security: A Guide for BusinessesDiscount Plan or Health Insurance? by FTCDisposal of Protected Health InformationDocumentation Topics PageDocumentation Topics Page - ChiropracticDurable Medical Equipment (DME) Medicare Administrative Contractor (MAC) JurisdictionsDurable Medical Equipment Center (DME) - by CMSE/M Audit Card for ChiropracticE/M Training Video for ChiropracticeHealth Initiative websiteEHR Topics PageERISA FAQ Page - by the Dept of LaborERISA Topics PageExpedited appeals information under PPACA by Healthcare.govFact Sheet for Chiropractic Services - by the VAFair HealthFAQ on the use of the AT and GA modifiers togetherFECA - Additional Info & Enrollment CenterFederal Employee Program - by the ACAFederal Employees Compensation (DFEC)Federal Employees Health Benefits (FEHB) ProgramFederal Exclusions Database for Healthcare WorkersFederal Opioid Treatment StandardsFederal Sentencing Guidelines ManualFederation of Chiropractic Licensing Boards - State Specific RegulationsFee AnalysisFees Topics PageFunctional Rating IndexFurther Details on the Revalidation of Provider Enrollment Information by CMSGlobal Surgery Fact Sheet by CMSGrandfathered Health Insurance Plans by Healthcare.govGrandfathered PlansHCC Risk Calculator by Find-A-CodeHCPCS Code Change Request ApplicationHCUP PartnersHealth Care Fraud and Abuse Control Program Reports by OIGHealth Plans & Benefits: ERISA by Dept of LaborHealthcare Reform Topics PageHHS Compliance LinksHHS Notifications: Online FormHHS, Justice Department warn hospitals on EHR-related payment fraudHHS/CMS Letter Regarding Cloning RecordsHIPAA Notice of Privacy Practice Pamphlet for PatientsHIPAA regulations and sign-in sheets - by HHSHIPAA Topics PageHIPAA: Health Insurance Portability and Accountability Act by AMAHome Health (HH) Patient-Driven Groupings Model (PDGM)How to use the Medicare National Correct Coding Initiative (NCCI) Tools by MLNhttps://med.noridianmedicare.com/web/jeb/specialties/chiropracticICD-10-CM Toolkit - Step-by-Step Guide - by the ACAImpairment Rating GuidesInappropriate Medicare Payments for Chiropractic Services Report - by the OIGIncreased Therapy Denials Create Administrative BurdenInitial Preventive Physical Examination (IPPE)InstaGuide - Complete 1500 Claim Form Filing Instructions - by InstaCode InstituteInteractive Directory of VA OfficesIs Chiropractic Covered for TRICARE?Is your Office Listed on the PECOS Listing?Legal Action Center Resource CenterLimiting Charge Information by CMSLink to CMS Form - Request For Medicare Hearing by an Administrative Law JudgeLink to CMS Form - Request for Review of Administrative Law Judge (ALJ) Medicare Decision/DismissalLink to CMS Form - Third Level of Appeal: Hearing by an Administrative Law Judge FormsLink to CMS Form - Transfer of Appeal RightsLocal Coverage Determination (LCD): Chiropractic Services (L34009)Map of States & Jurisdictions - by the National Association of Insurance CommissionersMarketing to Medicare Beneficiaries - by MedicareMeasure-Applicability Validation (MAV) CourseMedicare Advantage Plans: Cost Sharing LimitsMedicare and Medicaid Programs; Modifications to the Medicare and Medicaid Electronic Health Record (EHR) Incentive Program for 2014 and Other Changes to the EHR Incentive Program; and Health InformatMedicare Appeals - by CMSMedicare Appeals ChangesMedicare as Secondary PayerMedicare Benefit Policy Manual, Chapter 15 (also known as Medicare Carriers Manual)Medicare Claims Processing Manual - Chapter 25Medicare Claims Processing Manual, Chapter 12Medicare Claims Processing Manual, Chapter 29 - Appeals of Claims DecisionsMedicare Electronic Claims Exemption - by CMSMedicare Learning Network - Chiropractic ServicesMedicare Manual - Chapter 5 – Items and Services Having Special DME Review ConsiderationsMedicare Medical Savings Account (MSA) Plans - by CMSMedicare Part B Clinical Laboratory Fee ScheduleMedicare Prospective Payment System — General InformationMedicare Provider-Supplier Enrollment - by CMSMedicare Reconsideration RequestMedicare Recovery Audit by HHS Office of the Inspector GeneralMedicare Redetermination RequestMedicare Secondary Payer fact sheet by CMSMedicare Topics PageMedicare: To Participate or Not to Participate?Misinformation about Chiropractic Services - by Medicare Learning NetworkModifier 59 MLN Matters #MM8863MSDS Forms; Safety Data SheetsMultiple Employer Welfare Arrangements (MEWA)Musculoskeletal System Definitions for codes 20005-29999National Board of Chiropractic ExaminersNational Supplier Clearinghouse home pageNCCI EditsNCCI Edits Validator Tool by Find-A-CodeNCCI Instructions for Modifier 59New Doctor Toolkit - by the American Chiropractic AssociationNoridian Chiropractic ResourcesNoridian Evaluation and Management (E/M) PoliciesNoridian: Allowed Amount ReductionsNPI RegistryNPRM Quality Payment Program Fact SheetOCR Fact Sheet: Ransomware and HIPAAOfficial DOL text regarding internal claims and appeals under PPACAOfficial HIPAA Guidelines for Media SanitationOIG Compliance Program for Individual and Small Group Physician Practices - Federal RegisterOIG Issues Renewed Focus on Chiropractic ServicesOIG Roadmap for New PhysiciansOIG Self-Disclosure Protocol - by HHSOIG Work PlanOpting out of Medicare and/or Electing to Order and Refer Services - MedLearn articleOSHA Compliance Topics PageOSHA Computer Workstations Purchasing ToolOSHA Small Business Resources - includes trainingOSHA State Plan Interactive WebsiteOSHA's Computer Workstations eToolPA Physician Assistant Resources NoridianParticipating vs. Non-Participating (Medicare Part B Claims)Personal Injury Lien informationPersonal Injury Topics PagePQRS FAQs - by the American Chiropractic AssociationPress release: New CMS rule allows flexibility in certified EHR technology for 2014Preventive Services Covered by the Affordable Care ActProcedure Coding Topics PagePrompt Pay Discounts - OIG Advisory Opinion 08-03Properly Appealing CCI Edit Denials - by ACAProvider Payment Dispute Resolution for Non-Contracted Providers - by CMSPSAVE Pilot ProgramQ/A: How Do I Respond to a Patient's Request to Not Submit the Claim to Their Insurance?Quality Measures for MIPS by CMSQuality Payment ProgramQuality Payment Program Fact Sheet by CMSQuality Reporting Topics PageQuick Reference Chart by CMS: G-codes and Modifiers for Therapy Functional ReportingReminder to Stop Billing Duplicate Claims by Medicare Learning NetworkScreening, Brief Intervention, and Referral to Treatment (SBIRT) ServicesScrub-A-Claim by Find-A-Code.comSecurity Risk Analysis Tip Sheet: Protect Patient Health Information by CMSSecurity Risk Assessment by HealthIT.govSelf-funded plans and PPACA: Is this the new normal? by BenefitsProSliding Fee Schedule information - by the Health Resources and Services Administration (HRSA)Small Practices are Affected by MIPS Increased ThresholdsSonomaSpecial Advisory Opinion 12-21 , Offering Gifts and Other Inducements (2013)- by the Office of the Inspector General (OIG)Subjective/Objective Findings Necessitating CareSummary of the HIPAA Privacy Rule by HHSSummary of the HIPAA Security Rule by HHSSupplies Topics PageTaxonomy Code ListTelehealth/Telemedicine Topics PageTemporary Worker Injury and Illness Recordkeeping Requirements by OSHAThe CMS eHealth InitiativeThe One-Minute Spinal Outcome MeasureThe Range of Motion ConundrumTop 10 Chiropractic Fee Questions: How Much Can I Charge?Translated Resources for Covered EntitiesTraumatic Subluxation Coding ControversyTri-West Information for Chiropractic CareTriWest to Administer VA Patient-Centered community Care ProgramU.S. Department of Justice WebsiteUB-04 FL 17 – Patient Discharge Status CodesUB-04 FLs 39-41 - Value Codes and AmountsUB04/CMS1450 Claim Form, Codes & InformationUncommon Codes for Chiropractic OfficesUnique Health Identifier for Individuals White Paper by HHSUnited States Department of Labor; Occupational Safety and Health AdministrationVA Community Care Network InformationVA Patient-Centered Community Care (PC3) FAQ SheetVeteran's Patient-Centered Community Care Program Chiropractic Reference CardVeterans AdministrationWill the New Low Level Laser Therapy Code Solve Your Billing Issues?Your Guide to Who Pays First - by CMSYour Mobile Device and Health Information Privacy and Security - by HHS



For additional information visit ChiroCode.com. Since 1993 Chiropractors have depended on ChiroCode as a reliable source of information for the Chiropractic community. View current and recent webinars, order the ChiroCode DeskBook, (comprehensive go-to chiropractic reimbursement manual) and much more. Because of the dependability and education, ChiroCode has earned much renown.

Chiropractic Resources

  • Deskbook (Reimbursement Guide)
  • ICD-10-CM Specialty Specific Code Book
  • Provider Documentation Guides
  • ICD-10-CM Comprehensive Code Books
  • Cheat Sheets and Diagnostic Coding Cards
  • and more...


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