Chiropractic Auditing Articles & Resources

Effective March 14, 2016, the CMS Final Rule clarifying the standards for handling overpayments for both Medicare and Medicaid takes effect. Failure to report and subsequently return an overpayment within 60 days after the overpayment was “identified” is a violation of the False Claims Act.

When a claim has been determined to be paid more than the allowed amount, it is considered an overpayment. The action to be taken depends on how the overpayment is discovered. This article covers voluntary overpayment refund procedures as well as a Voluntary Overpayment Form.

One of the hardest parts when reviewing a medical record for coding or auditing is the determination of what conditions were addressed. Any condition that is taking into account or affects patient care, treatment or management should be documented and ultimately coded. However, the documentation still needs to support that ...

Occasionally providers are faced with the need to assess the option of making a voluntary disclosure to the government. Here are steps that every provider should consider before disclosing information to the government.

Many healthcare organizations are not aware of how critically important it is to screen their employees against ALL state and federal exclusions databases. This article has important information for organization to ensure compliance.

CMS is developing a new Unified Program Integrity Contractor (UPIC) program to consolidate Medicare and Medicaid reviews. This consolidation of the Medicaid Integrity Contractors (MICs) and the Medicare Zone Program Integrity Contractors (ZPICs) could relieve some of the overlap and burdens under the current systems.

With the recent release of the 2015 OIG Work Plan, many providers and facilities are reviewing the content to learn which areas of interest pertaining to their specialty will be points of interest for federal auditing programs for the 2015 Fiscal Year.  The information contained in this Work Plan addresses the ...

Four Tactics or tips to help you fight back when you are audited or have your claims reviewed. They are effective and easy to use.

The following are some of the acronyms you would need to know when communicating with auditors: National Correct Coding Initiative (NCCI) Edits: Use of codes that should not occur on the same day, effectively treating the same area twice. Medically Unlikely Edits (MUE): Exceeding the anticipated units of service (time spent) for a given HCPCS or CPT code. Office of the ...

How secure is your computer? Do you have a password on your computer? Do you have the automatic log offs turned on? Is your computer encrypted? Are your off-site storage files encrypted? This document is designed to give some basic information about making your office a little more secure. It is not ...

What is a Gap Analysis? A Gap Analysis is a process by which a practice conducts a baseline assessment of the company's coding, billing, operations, and business practices. The objective of a Gap Analysis is to ensure that the practice is in full compliance with applicable legal and ethical requirements.  This ...

Each year the Office of Inspector General (OIG) issues an updated work plan which outlines the objectives and enforcement priorities for each new year.  For Medical providers, including Chiropractic, this information is necessary to review and be familiar with so we may evaluate our own practice systems to ensure compliance ...

Compliance specialists are responsible for monitoring health and human services program operations for compliance with federal and state regulations and standards in order to promote health and safety, assure that public services are delivered properly, or prevent fraud. Areas assessed may include service delivery, eligibility determination and payment, medical reimbursement, ...

Be aware of the possible monetary results and enforcement actions imposed for fraud. This is the annual report of the Department of Justice Health Care Fraud and Abuse Control Program for FY 2012

Creating effective care plans and using them properly is the solution to most clinic's documentation issues. Once you make it clear to auditors and reviewers what the game plan is, and you show that you follow it throughout care, communication issues will be eliminated and you will be able to manage the case better. In this presentation, Dr. Gwilliam, Clinical Director for PayDC Software, and former Vice President of ChiroCode, will review fundamental concepts of care plans, as outlined in Chapter 4.4 of the DeskBook, and show how it is done in one chiropractic EHR. You will leave the webinar with a clear path to improve your care plans so that you can be confident that third parties understand your records.

Proper Coding and Billing for Drugs, Biologicals and Injections

The new year is coming. Are you ready? Do you know which codes have changed? Do you know which issues are the focus of payers and auditors? Have you conducted annual reviews to make sure nothing is falling through the cracks? Join Dr. Gwilliam of PayDC Software, as he helps you prepare for 2018.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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

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.

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.

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.

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.

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

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.

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.

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

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.

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

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.

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.

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.

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.

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.

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

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.

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!

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.

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.

...

How to Check NCCI Edits Using FindACode

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.

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.

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. ...

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. ...

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. ...

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. ...

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. ...

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. ...

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. ...

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

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

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

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. ...

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

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. ...

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 ...

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

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.

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.

Evaluation and Management Self Audit for Beginners, Part 4: Medical Decision Making

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

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

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

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

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

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.

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

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

Evaluation and Management Self Audit for Beginners, Part 3: Examination

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.

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!

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

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.

Evaluation and Management Self Audit for Beginners, Part 2: History

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.

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

Evaluation and Management Self Audit for Beginners, Part 1: Fundamentals

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 ...

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.

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.

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.

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

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.

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

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 ...

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.

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.

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.

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 ...

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.

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

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.

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.

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.

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.

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.

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.

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.

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

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 ...

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.

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!

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!

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

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.

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.)

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.

ICD-10-CM Training - Session 08

ICD-10-CM Training - Session 07

ICD-10-CM Training - Session 06

ICD-10-CM Training - Session 05

ICD-10-CM Training - Session 36

ICD-10-CM Training - Session 35

ICD-10-CM Training - Session 34

ICD-10-CM Training - Session 33

ICD-10-CM Training - Session 04

ICD-10-CM Training - Session 32

ICD-10-CM Training - Session 31

ICD-10-CM Training - Session 03

ICD-10-CM Training - Session 02

ICD-10-CM Training - Session 30

ICD-10-CM Training - Session 29

ICD-10-CM Training - Session 28

ICD-10-CM Training - Session 27

ICD-10-CM Training - Session 01

ICD-10-CM Training - Session 26

ICD-10-CM Training - Session 25

ICD-10-CM Training - Session 24

ICD-10-CM Training - Session 23

ICD-10-CM Training - Session 22

ICD-10-CM Training - Session 21

ICD-10-CM Training - Session 20

ICD-10-CM Training - Session 19

ICD-10-CM Training - Session 18

ICD-10-CM Training - Session 17

ICD-10-CM Training - Session 16

ICD-10-CM Training - Session 15

ICD-10-CM Training - Session 14

ICD-10-CM Training - Session 13

ICD-10-CM Training - Session 12

ICD-10-CM Training - Session 11

ICD-10-CM Training - Session 10

ICD-10-CM Training - Session 09