Medicare

Chiropractic Billing & Medicare

If you struggle with when to bill Medicare and when the patient is responsible for treatment, this Rapid Solution can help you sort it all out.

What is a QMB?

This tutorial discusses an important compliance related topic that impacts all clinics that accept and treat Medicare beneficiaries.

Documentation & Coding

Maintenance Coding

When treatment is no longer considered medically necessary but still needs to be reported to payers, determine if it is most appropriate to use a maintenance diagnosis code, procedure code, or append a modifier.

The Re-Evaluation Conundrum

Re-evaluations, when used properly, strengthen your patient care compliance and increase your ability to prove medical necessity for care.

Medical Necessity vs. Clinical Appropriateness

The best way to advocate for the benefits your patients are entitled to is to understand the definitions of medical necessity and clinical appropriateness and to learn how to document these services correctly.

MRP What it Means

It is important to know the policy and play by the rules of the plan in accordance to your contract with the payer to ensure proper claim payment.

Documentation and Coding for Dry Needling

Medical necessity requires that the patient’s history and exam findings indicate the patient is suffering from some type of injury or condition that has resulted in myofascial trigger points, reduced range of motion, decreased strength, and/or pain.

Practice Finances

Coding Edits & Chiropractic Billing

Is your reimbursement process a victim of code edit changes from a payer? This quick tutorial will help a provider to be reimbursed for what they do.

Why Insurance Verification?

Many offices view insurance verification as a time-waster, but in actuality, it can save an office from many problems down the road.

No Surprises Act- Good Faith Estimate

Do you have self-pay patients in your clinic? Are you offering a Good Faith Estimate? If you answered No, to the last question, check out the overview and helpful resources in this quick tutorial.

What is a Contracted Discount?

This Rapid Solution outlines the most significant things to be aware of when considering if a contracted fee is right for your practice.

Compliance

What is OIG Compliance?

This lesson will bring a basic understanding of what it means to have an effective OIG Compliance program and why it is so important to take the time to install one.

Can You Spot PHI?

It is important that you and your staff truly understand what Protected Health Information (PHI) is so that you can implement safeguards and protections and avoid a HIPAA violation.

Do I Need a BAA?

Many contacts could be considered a Business Associate by HIPAA. Find out what this might mean for your clinic.

The Required Annual Risk Assessment

A HIPAA Security Risk Assessment is not optional, despite the fact that an estimated 8 of 10 practices haven't conducted one for their HIPAA program, or haven't kept up with the annual updates.

Business Essentials

Fee-for-Time Compensation (Locum Tenens)

In order to be compliant, you should know the ins and outs of what is referred to as Fee-for-Time Compensation (aka Locum Tenens). This Rapid Solution covers the basics and provides important coding information.

Cash Profit Centers

This Rapid Solution provides a quick overview of some of the more common profit centers used in many practices. Review to see how you might benefit from some of these options.

The Secrets to Better Time Management

This Rapid Solution outlines the most important steps of task identification, layout of a schedule, and the inner workings of the day-to-day responsibilities of chiropractic team members.

Documentation and Coding for Dry Needling

Medical necessity requires that the patient’s history and exam findings indicate the patient is suffering from some type of injury or condition that has resulted in myofascial trigger points, reduced range of motion, decreased strength, and/or pain.

The New Patient Phone Call

They say you only get one chance to make a first impression. This Rapid Solution outlines the high points of this important call and demonstrates use of the NP Phone Call Form.