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Chiropractic News

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We stay on top of relevant and breaking news so that you're up to date on issues that could affect your practice's financial performance.

Coding
Are You Pointing in the Right Direction? Ever Wonder Why They Keep Denying Your Muscle Therapies?
Compliance Basics
When a clinic has reviewed the relationship with their vendor and concludes that the vendor meets the definition of a business associate, as defined by HIPAA, they usually initiate a Business Associate Agreement. What if the vendor responds with a refusal to sign the agreement? What should a clinic do?
Compliance Basics
A risk assessment is just that, assessing risk. The question is risk to what or from what? That is determined by the regulation or authority for which the company is trying to be compliant. MIPS requirements or rules may have some similar security standards as HIPAA but knowing whether or not MIPS Risk Assessment is enough to be HIPAA compliant is an important question.
Compliance Basics
Some clinics feel HIPAA is a one-and-done task. They download a manual, complete a few checklists, and think they are good. Unfortunately, the Department of Health and Human Services (HHS) and the enforcement agency, Office of Civil Rights (OCR), disagree.
Compliance Basics
It is common, in this day and age, to enroll and set up a credit card app that runs credit cards via a website portal, or similar application process. Some common applications are Square, Stripe, and Paypal. Is it okay to upload patient data into these web-based applications without a HIPAA Business Associate Agreement?
Medicare
CMS has released a revised MLN Medicare Billing 837P & Form CMS-1500.
Documentation
The initial visit must always include a proper treatment plan with rationale for each service you will perform during this episode of care. Think of it this way...if the patient asks why you are doing a specific service, how would you answer them?
Compliance Basics
Implementing security safeguards can be a challenge. Understanding all the HIPAA rules can be even more difficult. No matter how difficult, it is the provider's responsibility to make every effort to protect patient data.
Compliance Basics
If you need to destroy protected health information (PHI), the HIPAA rules provide several options, and a shredding service is just one of the options. Before selecting the type of destruction, there are several other necessary steps.
Compliance Basics
Recent HIPAA Privacy updates and the 21st Century Cures Act’s Information Blocking rule have left offices completely confused about what they can and cannot do regarding medical record requests.
Coding
Hot Topics from the KMC University Helpdesk | October 6, 2021 As usually happens, once the annual coding update occurs on October 1, more clarifications and myriad questions continue to circle. Now that our members have been using the codes, we have unraveled several other things that are important based on questions to our Helpdesk. Listen and KMC explains what we’re finding, and finally…which new lower back pain code should you use… if any at all!
KMC University Library
Did you know that KMC University prescribes active episodes of care for offices?
Compliance Basics
With increases in HIPAA safeguards, many practices were misguided in believing they could not have a simple sign-in sheet. There are rules, but there are also permissions. Make sure you know what to ask and use your sign-in sheet compliantly.
Finances
A written policy is imperative to the success and compliance of professional courtesy. Do you know how you would respond to someone on a professional courtesy that has a car accident? What about your staff? Are they on a professional courtesy policy? Learn what it takes to be compliant!
Finances
Maintenance care is priceless for a patient's well-being. We know the value of the care long term for the patient. But what do we charge during maintenance? Maintenance has a cost for the patient; make sure you are charging them compliantly. Take a moment and check your written policies to make sure you have included this topic.
Documentation
There are specific coding requirements for Clinically Appropriate care that must be followed. Don't fall in the trap of billing Medically Necessary codes for Clinically Appropriate care.
Coding
Are you writing a best-selling novel when documenting within the episode of care? Are you capturing the information along the way to show proper progression and therapeutic benefit of the services performed?
Documentation
Re-evaluations are necessary to prove the continued medical necessity of the care. Keep in mind that payers have enhanced claim edits for separate and distinct service modifiers such as -25 and -59. Every time they delay your payment, they are making more money. The key is knowing individual payer policies and learning how to fight the denials effectively.
Coding
We have all lost something at some point in time. Losing function is often overlooked by the patient as “normal.” However, it is not normal, and to create documentation of an initial visit of an episode of care, the doctor must establish what function that patient has lost.
Documentation
We frequently find providers overbilling the 98943 when extraspinal adjustments are part of their philosophy and protocol. Likewise, we find some providers are not billing 98943 when the documentation supports the service. Let's learn when and where to use 98943 when adjusting areas outside of the spine.
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