The Advanced Chiropractic Billing and Coding Seminar
The Advanced Chiropractic Billing and Coding Seminar is the most comprehensive seminar available to you and designed to update you and your office with the new information for 2020 but also take what you already know about chiropractic billing and coding and explore a much deeper understanding of the subject matter and proper utilization of skills.
Packed with all the most recent updates and previews of what will be taking place in 2020 and beyond. This 8-hour day will be the best investment you will ever make into your practice’s reimbursement potential. This seminar is the business end of your practice and the seminar that directly relates to your financial success.
The chiropractic profession’s leader in coding and billing for over 40 years and the resource used by malpractice and health insurance carriers on issues relating to coding, billing, and documentation. Get the knowledge that the carriers have received.
- 2020 ICD10 Updates relevant to chiropractic claims with a 500+ quick reference list for chiropractic claims
- Diagnoses requirements for chiropractic reimbursement for Aetna, Blue Cross, Blue Shield, CIGNA, Medicare and United Health Care- Know each carrier required codes for reimbursement of a chiropractic claim
- Refine your coding skills – How to use other, other specified and unspecified diagnosis to demonstrate higher specificity
- CPT updates. New codes for virtual and on-line E&M services, “dry needling”, laser, and language for manual therapy 97140
- Relative Value Units for commonly used CPT in the chiropractic office
- Active care coding for the modern chiropractic practice and the protocols to assure claims payment. Learn the new standards of care expected but also paid.
- CPT updates and CCI edits and the effect on chiropractic claims
- AMA vs the CMS 8-minute rule for timed services and how it may affect some of your claims
- VA Choice and PC3 updates for chiropractic care and Standard Episode of Care- Triwest and Optum Health are now the carriers for VA depending on your region.
- Updated Fee Schedules – Medicare, VA Choice, Workers’ Compensation, et al
- Useful and easy to use “validated outcome assessment tools” for the spine and more
- HCPCS Updates for DME
- Templates and tools for proper documentation. Stop guessing and know what is the requirement
- Integrating cash and prompt pay discounts, legally – know the rules of your state
- Prepaid plans what to do to be legal and compliant
- How to integrate insurance to enhance a cash-only practice
- How to manage hardships
Audits and Documentation
- Documentation protocols and examples for services performed by DC’s
- New requirements for signatures and patients name
- HJR is the source for malpractice carriers to defend you in an audit and learn from our experience in defending audits of what must be present to meet the standards required.
- Audits are not just Medicare but all carriers are scrutinizing documentation – Our information assures you have the tools and knowledge for compliance including CMT, E&M, prolonged services, phone & virtual visits, physical medicine, and more
- The new paradigm of medical necessity – Does your notes and diagnosis equivocate the level of services provided and does the care plan follow standardized protocols
- Many plans now are seeking preauthorization or using utilization review, will your treatment plan pass? Learn what they require
- Evidence-based care and active care plans – Why and how to integrate
- Do not fear and audit as this seminar assures you have the knowledge and tools for compliance and create a protocol for clear, concise and accurate reporting.
- Electronic Health Records- positive and negative aspects of electronic health records and whether they are or are not mandatory.
- 2020 fees, deductible, and your state diagnosis requirements. Know when Medicare fees do and do not apply to a Medicare patient.
- Medicare Local Coverage Determination (LCD) specific to your locality (Medicare is easy but only when you understand their specific nuance and requirements)
- Get the correct information on Medicare enrollment and the options when a patient does not have to use their Medicare benefits
- Medicare documentation tools to create easy compliance (examples and forms for you to use)
- Medicare modifiers for chiropractic claims (AT, GY, GP, & GA ) and how to properly use the ABN
- How to assure care is medically necessary and avoid denials and audits
- Get the information you need about electronic health records bonuses and reductions
- 2020 fee schedules (note California fees are now based on your Medicare region)
- Protocols and allowances for chiropractic providers
- How to request care and understand the requirements for authorization
- How to respond to denials and disputes
- Rules for CMT, physical medicine, E&M et al and properly documenting the level of service
- Timed services and use of the AMA versus the CMS timed services rule and what carriers have adopted
- How to setup and code an active care, evidenced-based care plan
- Learn and understand to use modifiers properly 25, 59, GP et al
- Timed vs untimed services and what is required to satisfy minimum necessary rules
- State rules in reference to an incident to services and what is allowed for the chiropractic assistant to perform
- PI trauma diagnosis quick code list
- How to manage and evaluate a PI claim to ensure reimbursement
- Med Pay & Excess Med Pay and the role of managed care
- Common errors in justifying PI claims
- What to do about lien claims and attorney requests for reduction?
- How to make the attorney and ally and advocate for chiropractic
Board of Chiropractic Examiners Impacts of Executive Order N-39-20On March 30, 2020
Governor Newsom issued Executive Order N–39–20, authorizing the Director of the Department of Consumer Affairs (DCA) to waive any of the professional licensing requirements relating to healing arts licensees in Division 2 of the Business and Professions Code, and any accompanying regulations.This includes, but is not limited to, the examination, education, experience, and training requirements necessary to obtain and maintain licensure, and requirements governing the practice and permissible activities for licensees.
The BOARD OF CHIROPRACTIC EXAMINERS (BCE)is working closely with the Department of Consumer Affairs to determine which licensing requirement waivers would allow individuals to continue assisting with the COVID–19 pandemic and allow licensees regulated by BCEto maintain and renew a license and remain employed.
Current waivers in place are:
•Examination and continuing education requirements for current healthcare licensees.
•Reactivation requirements for inactive, retired, or canceled licensees.
A full list of waivers will be placed on the DCA website as they are approved.
The BCE encourages licensed Doctors of Chiropractic to be part of the workforce to support the medical surge during this time of need. The state is in need for help at quarantine sites, testing sites, and medical surge facilities and needs assistance with pre–hospital triage and pharmacy services.
Interested medical and health care professionals are encouraged to visithealthcorps.ca.gov for more information and to register for the California Health Corps.
The BCE thanks licensed DCs for doing their part during the COVID–19 health emergency.