Because compliance covers so many areas of a healthcare provider practice, a more thorough explanation is found in Chapter 3-Compliance in the ChiroCode DeskBook. Generally, healthcare providers need to understand:
For additional information visit ChiroCode.com. Since 1993 Chiropractors have depended on ChiroCode as a reliable source of information for the Chiropractic community. Because of the dependability and education ChiroCode has earned much renown. View current and recent webinars, order the ChiroCode DeskBook, (comprehensive go-to chiropractic reimbursement manual) and much more.
Chiropractic Compliance Articles and Resources Articles
Click the article title to view a summary and link to the full article.
Q/A: I’m Being Audited? Is There a Documentation Template I can use?
April 29th, 2019
By Wyn Staheli, Director of Research | Published April 29th, 2019
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 ...
By Dr. Ray Foxworth, MCS-P, President of ChiroHealthUSA | Published November 28th, 2018 - Last Review/Update January 21st, 2019
You simply need to read the headlines, posts, and tweets, about providers across the healthcare profession being audited, fined, and some even convicted, to see that the costs of non-compliance are real. We tell ourselves, “It won’t happen to me.” The reality is that it easily could. Your license is your livelihood.
Q/A: Does My LMT need an NPI? How do I Bill Her Services?
October 22nd, 2018
By Wyn Staheli, Director of Research | Published October 22nd, 2018 - Last Review/Update December 19th, 2018
Question:
I am setting up an LMT to work as employee under Dr. Clifton, DC. i need to know several things - hoping they are related and can be grouped into this one question.... does she need her own NPI? where does that NPI # go? what box #? if not, ...
Q/A: Can a PT Assistant Perform Physical Therapy Modalities?
June 18th, 2018
By Wyn Staheli, Director of Research | Published June 18th, 2018 - Last Review/Update January 30th, 2019
Whether or not a physical therapy assistant (PTA) may perform physical therapy modalities depends on two factors: state law and payer policies. Read here for more.
By Wyn Staheli, Director of Research | Published April 30th, 2018 - Last Review/Update January 30th, 2019
As chiropractors we feel the new modifier 97 is more appropriate than 96 for our PT codes such as stim and traction. Yet Carefirst is asking for 96 only. Should we use this code on all the PT codes and for all the other insurance companies?
By Wyn Staheli, Director of Research | Published January 16th, 2018
Section 1848(r)(4) of MACRA requires that claims submitted for items and services furnished by a physician or applicable practitioner on or after January 1, 2018, include codes for the following:
care episode groups
patient condition groups
patient relationship categories
Previously, CMS decided to use procedure code modifiers to report patient relationship codes on Medicare ...
By Evan M. Gwilliam DC MBA BS CPC CCPC QCC CPC-I MCS-P CPMA CMHP | Published October 23rd, 2017
The Office of the Inspector General was created to protect the integrity of the U.S. Department of Health and Human Services. They investigate fraud, waste, and abuse in HHS programs and make recommendations to various enforcement agencies. Every few years they investigate chiropractic services. Here is a summary of the reports the ...
By Brandy Brimhall, CPC CPCO CMCO CPMA QCC | Published October 13th, 2017 - Last Review/Update February 5th, 2019
Chiropractors cannot opt-opt of Medicare. Does that only refer to chiropractors that see Medicare patients? Do all Florida chiropractors have to complete Medicare enrollment/credentialing? Bottom line- do ALL chiropractors, no matter where or who, have to complete Medicare enrollment since they cannot Opt-out?
Medicare Improper Payment Report for Chiropractic (2016)
September 1st, 2017
By Wyn Staheli, Director of Research | Published September 1st, 2017 - Last Review/Update October 16th, 2017
The Medicare Improper Payment Report for 2016 has been released by the OIG. Please note that the improper payment rate does not measure fraud. Rather, it estimates the payments that did not meet Medicare coverage, coding, and billing rules. The estimated Medicare FFS payment accuracy rate (claims paid correctly) from ...
By Wyn Staheli, Director of Research | Published February 23rd, 2017
In June 2015, the Office of Inspector General (OIG) issued a Fraud Alert focused on physicians and compensation arrangements. Providers need to ensure that these arrangements do not violate the Anti-Kickback Statute. Healthcare providers found to have committed fraud are subject to possible criminal, civil and administrative sanctions.
In this alert ...
By Wyn Staheli, Director of Research | Published December 12th, 2016
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.
By Wyn Staheli, Director of Research | Published June 21st, 2016
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.
Mastering Medicare: When Opting Out is not an Option
June 15th, 2016
By Dr. Ray Foxworth, Certified Medical Compliance Specialist and President of ChiroHealthUSA | Published June 15th, 2016 - Last Review/Update March 5th, 2019
Unlike MDs and DOs, chiropractors may not opt out of Medicare.
When it comes to Medicare, providers and patients alike feel like beating their heads against the wall. Signing up to be a provider or a patient is confusing, understanding what is covered is confusing and just about the time you think you have it figured out, you receive a notice that suggests you don’t.
The hassles of Medicare certainly validate any sane person questioning whether they should see a Medicare patient, but with the rising number of Medicare patients in the US do you really want to limit your patient base?
By Dr. Ray Foxworth, Certified Medical Compliance Specialist and President of ChiroHealthUSA | Published May 26th, 2016 - Last Review/Update March 5th, 2019
Our team is frequently asked if it is legal for chiropractic offices to offer coupons or Groupons. We’re not allowed, as a profession, to dramatically discount our services, offer free treatments, or provide gifts or free meals for potential patients. Any one of these things can be considered an “inducement.” Practices that improperly induce patients to seek care or services, for example, by providing coupons for care or supplies, may find that they are in violation of the law if they aren’t careful.
So what will that mean to you and your practice? It isn’t pretty.
Your Reasons to Delay Compliance Implementation are GONE!
May 19th, 2016
By Brandy Brimhall | Published May 19th, 2016
ChiroCode has proudly served chiropractic for more than 30 years and continues to work to bring the most necessary, affordable, and user friendly products and services to practices. Increased regulation has hindered practices by creating uncertainty around the nature of guidelines and the expensive penalties that arise from non-compliance with ...
Lack of Business Associate Agreement (BAA) Costs Non-Profit 1.55 Million
April 13th, 2016
By Wyn Staheli, Director of Research | Published April 13th, 2016
Failure to have a properly executed Business Associate Agreements (BAA) costs one organization $1.55 Million. In today's highly technological environment, it is too easy to skip the necessary precautions and easy for electronic devices to get lost or stolen. Are you prepared?
By Instacode Institute | Published April 6th, 2016
It's not just the names and addresses that matter -- It's the compliance. If you can demonstrate that you are hleping yourself to maintain HIPAA compliance by careful documentation and proper procedures, you can go a long way toward avoiding being fined by the HIPAA squads.
Complete & Easy HIPAA Compliance is a clear, simple “Just help me do what I have to do!” workbook that contains all the things the designated security officer must do to instantiate a robust HIPAA compliance program. It comes complete with over 45 forms and letters which can be used to state the office policies, spell out procedures, and ensure that each patient will be protected in their rights under HIPAA policy. It also can help demonstrate that a compliance program is in progress.
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.
Protected Health Information De-Identification Standards
March 16th, 2016
By Instacode Institute | Published March 16th, 2016 - Last Review/Update January 27th, 2017
This article contains detailed information on the OCR guidance regarding the de-identification of Protected Health Information (PHI). Avoid HIPAA violations and learn specifically what de-identification is.
Employee Exclusions Screenings Must be High Priority
February 24th, 2016
By Wyn Staheli | Published February 24th, 2016
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.
By InstaCode Institute | Published February 15th, 2016
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.
Chiropractic Listed as Focal Point in 2015 OIG Work Plan
August 19th, 2015
By Brandy Brimhall | Published August 19th, 2015 - Last Review/Update January 30th, 2017
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 ...
By ChiroCode | Published August 10th, 2015 - Last Review/Update January 27th, 2017
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 ...
Appointments, Reminders, Text Messaging, and HIPAA
August 10th, 2015
By ChiroCode | Published August 10th, 2015 - Last Review/Update January 27th, 2017
As more and more people are using mobile and wireless devices, a new term - mHealth - has emerged. According to a National Institute of Health consensus group, mHealth is “the use of mobile and wireless devices to improve health outcomes, healthcare services and health research.” Historically, the biggest gaps and HIPAA violations have been linked to ...
By Dr. Chris Andersn | Published April 24th, 2015 - Last Review/Update June 9th, 2016
Compliance is an issue that you should look at as an expedition rather than an endpoint. Board complaints can be a terrifying ordeal, especially if you don’t keep up on compliance in your clinic. Board complaints are something that you have to expect to happen but you can turn that ...
By Wyn Staheli, Director of Research | Published February 9th, 2015 - Last Review/Update June 9th, 2016
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 ...
Chiropractic Listed as Focal Point in 2015 OIG Work Plan
January 23rd, 2015
By | Published January 23rd, 2015 - Last Review/Update January 30th, 2017
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 ...
By | Published December 30th, 2014 - Last Review/Update March 9th, 2016
Time-of-Service (TOS) discounts are a common occurrence in chiropractic. What is often assumed is that if insurance isn't involved, there are no rules that apply.
Unfortunately, this is a myth that can become costly to practices and damage provider/patient relationships. So read on to learn the facts about TOS discounting and ...
OIG Reports Success in Efforts to Prevent Fraud, Waste, and Abuse
December 15th, 2014
By | Published December 15th, 2014 - Last Review/Update January 30th, 2017
The HHS OIG Work Plan for the 2015 Fiscal Year has recently been released. In this publication, the OIG addresses the accomplishments made from the previous year's Plan as well as the objectives that will be of interest for the coming new year. Accomplishments for the 2014 Fiscal Year are ...
Establishing a Multi-Disciplinary Practice and Being Legal
November 21st, 2014
By Brandy Brimhall | Published November 21st, 2014 - Last Review/Update January 30th, 2017
Q: How do you add another provider type such as a Nurse Practitioner to your practice to provide additional services to patients and legally bill for those services under their license?
A: Multi-disciplinary practices are under scrutiny at the moment by ZPIC, CMS and State Boards. For your reference, just below, there ...
By Brandy Brimhall | Published November 19th, 2014 - Last Review/Update January 30th, 2017
Recovery Audit Contractors, also known as RAC, is a program that seeks to identify and correct improper payments for services provided to Medicare Parts A & B beneficiaries. This includes both recoupment of overpayments and corrected distribution of underpayments made by CMS.  RAC began in 2005 as a three-year demonstration project consisting ...
Conducting a Gap Analysis for Your Documentation & Billing Systems
November 17th, 2014
By Brandy Brimhall | Published November 17th, 2014 - Last Review/Update January 30th, 2017
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 ...
By Evan M. Gwilliam DC MBA BS CPC CCPC QCC CPC-I MCS-P CPMA CMHP | Published October 24th, 2014 - Last Review/Update January 30th, 2017
Straight from the Office of Civil Rights:
Q: Does the HIPAA Privacy Rule permit health care providers to use e-mail to discuss health issues and treatment with their patients?
A: Yes. The Privacy Rule allows covered health care providers to communicate electronically, such as through e-mail, with their patients, provided they apply ...
By Evan M. Gwilliam DC MBA BS CPC CCPC QCC CPC-I MCS-P CPMA CMHP | Published October 16th, 2014 - Last Review/Update January 23rd, 2017
In October of 2000 in the Federal Register the Office of the Inspector General (who investigates fraud against the federal government on behalf of the Department of Health and Human Services) offered general guidelines for health care facilities to set up a “Compliance Program”. This advice has long been pushed ...
By | Published October 3rd, 2014 - Last Review/Update January 27th, 2017
A “good” lawyer could be a “bad” lawyer when it come to your unique problem(s). Never ask or expect any professional person (doctor or lawyer) to perform beyond their scope of practice or ability. A college law degree and passing the state bar, is only a license which permits them ...
By Chris Woolstenhulme, QCC, CMCS, CPC, CMRS | Published September 26th, 2014 - Last Review/Update January 30th, 2017
MEASURE COMPLIANCE - Meeting the Patient Electronic Access Objective
Starting in 2014, CMS requires that providers participating in both Stage 1 and Stage 2 of the EHR Incentive Programs must meet the Patient Electronic Access objective, which gives patients access to their health information in a timely manner. Providers participating in ...
According to HIPAA, who are my Business Associates?
September 11th, 2014
By Brandy Brimhall | Published September 11th, 2014 - Last Review/Update January 30th, 2017
Providers work with many different groups and many of them have some interaction with Protected Health Information (PHI). In an effort to help us understand who qualifies as Business Associates the Department of Health & Human Services has provided some resources.
But first … what is PHI or individually identifiable health information? ...
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, ...
By Wyn Staheli, Director of Research | Published May 28th, 2014 - Last Review/Update January 25th, 2017
This article contains information from OSHA which outlines the penalty structure for OSHA violations. It includes a list of different types of violations that may be cited and the penalties that may be proposed by the area director. Also listed are additional violations for which citations and proposed penalties may be issued upon conviction.
These are the types of violations that may be cited and the penalties that may be proposed
By | Published February 19th, 2014 - Last Review/Update January 27th, 2017
As more and more people are using mobile and wireless devices, a new buzzword has emerged: mHealth. According to a National Institute of Health consensus group, mHealth is "the use of mobile and wireless devices to improve health outcomes, healthcare services and health research." Historically, the biggest gaps and HIPAA violations ...
By | Published February 12th, 2014 - Last Review/Update January 27th, 2017
The following information is from the Centers for Medicare & Medicaid Services (CMS) regarding the Electronic Health Records (EHR) payment reduction hardship exemption.
By | Published September 30th, 2013 - Last Review/Update January 27th, 2017
September 23rd, 2013 was the deadline for HIPAA Omnibus Final Rule compliance. It seems to have just snuck up on everybody. ChiroCode has spoken with some clincis who say that they don't need to worry about it because ”they are just a small practice.” Please, do not wait any longer to ...
By | Published September 24th, 2013 - Last Review/Update January 27th, 2017
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
Chiropractic Compliance Articles and Resources Webinars
Click the webinar title to view a summary and link to the webinar video.
March 5th, 2019: Evaluation and Management Coding
January 14th, 2019
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
Chiropractic Manipulative Treatment and Medicare - Part 2
December 11th, 2018
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.
Chiropractic Manipulative Treatment (CMT) Coding and Documentation (Part 1)
October 16th, 2018
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.
The #1 most overlooked injury in PI, and it is found in over 90% of all cases
November 27th, 2018
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
...
Documenting Treatment Plan and Goals That Actually WORK - November 20th, 2018
October 29th, 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.
Chiropractic Practice For Sale - When, Where, Why & How Much?
August 1st, 2018
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!
In this webinar, Dr. Marty Kotlar (certified coding and compliance expert) will discuss how to create an OIG/Medicare compliance plan. He will explain how to create policies, how to perform a "self-test" on your SOAP notes, search the Medicare exclusions list, Stark, anti-kickback and how to handle compliance concerns.
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.
Healthcare Compliance- Fraud/Waste/Abuse…Avoiding the Pitfalls
May 17th, 2018
Presented by Howard Levinson, DC
June 12, 2018 Tuesday @ 10:15 AM PT, 11:15 AM MT, 12:15 PM CT, 1:15 PM ET Dr. Levinson will discuss what constitutes healthcare fraud, waste and abuse and some of the strategies the insurance industry uses to identify outlier providers. Examples of healthcare providers who ...
The Most Expensive Documentation Mistakes Chiropractors Make
April 18th, 2018
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.
Coding and Documenting Physical Therapy Treatment Modalities
May 17th, 2018
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 ...
Join the posture expert, Dr. Steven Weiniger, to learn how observing posture engages people for StrongPosture® habits… such as getting adjusted! Posture literally sets the baseline for all locomotor function, and current research confirms the importance of improving vertical alignment to functionally improve pain as well as longevity.
DCs across the globe use the free PostureZone app and StrongPosture® rehab protocols to literally help people stand taller. Learn the framework to communicate bio-mechanics to patients, the public and other professionals. First for patient compliance, then results, and then for retention and referrals!
What Every Spine Care Expert Needs to Know NOW- The X Factor
February 9th, 2018
How Spine Care Experts Utilize & Get Paid for X-rays. How to select what x-ray views to bill for in certain diagnostic cases. New rules for x-ray reimbursement for 2018. HIPAA requirements for digital x-ray back up, EHR integration, and transmission. What findings are needed to justify medical necessity for spine x-rays? How to maximize your x-ray imaging department productivity. Discover the ROI of digital over plain film and in-house vs referring out. Biomechanical line drawings and measurements in your ROF - the key to better patient compliance.
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.
Documentation Mistakes that Can De-value your Personal Injury Case
October 11th, 2017
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.
Proving Medical Necessity and Functional Improvement
October 11th, 2017
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.
The Phased Transition: How to Slow Down Without Killing Your Profits or Potential Chiropractic Practice Sale
October 10th, 2017
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.
Which is the Most Profitable E/M Code for PI: 99203 or 99204?
September 6th, 2017
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.
The New Local Coverage Determinations and What They Mean to You
August 8th, 2017
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.
In-Network or Out-of-Network....Which is Best for You?
July 19th, 2017
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.
How to Launch Your Associate Into Instant Success and Profit
July 6th, 2017
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.
How to Document Subsequent Visits for Medicare and Everyone Else REALLY REALLY FAST Without Driving Yourself Crazy in the Process
June 27th, 2017
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.
Keys to a Successful Chiropractic Practice Sale or Transition
June 14th, 2017
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
Contusion Confusion - PI's Great Overlooked and Misused Finding
June 5th, 2017
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.
How to Convert Your Medicare Patients to Cash to Avoid the Penalties of MACRA
May 11th, 2017
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
Nutritionist Represents Healthy Eating and Exercise Plan
March 29th, 2017
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- "Be A Posture ACE" Communications and Marketing Campaign
March 15th, 2017
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.
Strategies for better managing and taking control of your financial future
December 5th, 2016
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.
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Chapter 5.2 - Part 2 Modality Coding (97014, 97012)
December 9th, 2016
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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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)
December 9th, 2016
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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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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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
December 9th, 2016
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 4.3 - Evaluations 3: Diagnosis and Treatment plans
December 9th, 2016
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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The Latest Comparative Billing Report and What it Means to You
October 20th, 2016
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.
Proper Use of Modifiers for Maximum Reimbursement and Reducing Audits
November 2nd, 2016
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.
Posture and Mood: How you Stand, Sit and Move Affects How you See the World?
July 7th, 2016
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
The Future of Reimbursement: Medicare's Quality Payment Program
October 17th, 2016
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.
Ransomware. Are You a Target? What You Need to Know to Protect Your Patients and Your Practice
September 23rd, 2016
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
Time is Running Out for Your Annual Security Risk Analysis!
September 20th, 2016
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
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.
When, Where, Why & How to Go Out Of Network With Insurance Payers
September 14th, 2016
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!
New ICD-10 Codes for Chiropractors and the Beginning of ICD-10 Audits
August 24th, 2016
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.
Don’t Leave Money on the Table-Maximize Collections!
August 23rd, 2016
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
Top 5 Reasons Your Clinic Should Consider Outsourcing it’s Billing and Collections Process
August 26th, 2016
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.
How to Satisfy Medical Necessity for a Daily Encounter
July 19th, 2016
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 ...
Documenting a Thorough New Patient First Visit Quickly
March 16th, 2016
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.
Proactive Steps to prepare for a Meaningful Use Audit
April 1st, 2016
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.
Non-Traditional Exit Strategies: How to Leave Chiropractic WITHOUT Giving Your Business Away
April 26th, 2016
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.
Alert!! THOUSAND$ at Risk for Chiropractors in 2016
February 22nd, 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.
DeskBook 101: Evaluation and Management Self Audit
March 11th, 2016
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.
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.
Preparing Your Practice for New Reimbursement Models
January 14th, 2016
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.
Crucial Changes Needed in Your Billing and Collections Process in 2016
January 5th, 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.)
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.
Calculators
Documentation
Education & Training