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Record Keeping Know-How Course
Record keeping is an integral part of professional practice and is a tool to support the care process. Failure to record information accurately in health records can have serious consequences for...
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OIG Compliance Course
In June 2005, the Office of Inspector General (OIG) reported that 67% of all chiropractic claims are fraudulent. As a result, the OIG has significantly increased its audits of chiropractic claims and...
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Cervical Manipulation & Stroke Course
Stroke following cervical manipulation is the single most serious complication encountered in the practice of chiropractic. Typically, the chiropractor has never seen a vertebral artery injury before...
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HIPAA Security Rule Chiropractic Education Course
HIPAA Federal regulations require that all providers and health plans that transmit patient information electronically must be in compliance with HIPAA regulations. Dr. Fucinari will deliver to health...
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Medicare Guidelines Course
In 1965, the Social Security Act established both Medicare and Medicaid. In 2001, HCFA was renamed the Centers for Medicare & Medicaid Services (CMS). Medicare encompasses a growing sector of our...
View ArticleCERT Reviews Spell Trouble
CERT Reviews Spell Trouble Every eight seconds, a Baby Boomer steps into eligibility in the Medicare program as a patient. Since 2006, Medicare expenditures rose from $408 billion for 43.2 million...
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How to Close the Doors Properly: Notify Your Carriers!
Are you retiring, selling your practice, or just closing up shop? Then keep in mind that you must notify CMS and other carriers. Recently, a doctor found out THE HARD WAY that you must notify the...
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ICD-10 Coding Update
Quarter 3, 2018 Coding Clinic addressed the coding of lumbar spondylolisthesis with radiculopathy. There is no available combination code which identifies both conditions so it is necessary to code...
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Senate Introduces Bill to Expand Chiropractic Access to Military Retirees,...
A bill introduced today in the U.S. Senate and supported by the American Chiropractic Association (ACA) would expand access to chiropractic services to military retirees as well as members of the...
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Legislation Championed by ACA to Expand Medicare Coverage of Services
As I have been talking about in my classes: Legislation championed by ACA to expand Medicare coverage of services has been introduced in the U.S. House of Representatives. The bill, H.R. 7157,...
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Illinois Chiropractic Society Works with American Medical Association
(December 3, 2018 – Springfield, IL) – The Illinois Chiropractic Society (ICS) has been working with the American Medical Association (AMA) in 2018 to clarify problematic language published in 2007 in...
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2019 Medical Compliance Updates
The following are updates so far for 2019. Medicare and other carriers have posted their new fee schedule for 2019. Keep in mind that the new Medicare Part B deductible for 2019 is $185. Sequestration...
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Can a Chiropractor Refuse to Treat Medicare Patients?
As a consultant, teacher and Medicare Carrier Advisory Member, I am often asked if a chiropractor can refuse to treat a Medicare patient. This poses not only a legal question but an ethical question as...
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Florida Supreme Court Rules in Favor of Providers in PIP Deductible Case
Just before the close of 2018, and in an unusual unanimous decision by the Florida Supreme Court, the long issue of contention in how a PIP insurer should apply the deductible to medical bills was...
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CMS Clarifies Qualified Medicare Beneficiary (QMB) Billing Requirements
Recently, the Centers for Medicare and Medicaid Services (CMS) once again clarified the Qualified Medicare Beneficiary (QMB) billing requirements. Even if you are not a provider for Medicaid or covered...
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Audits and Procrastination Do Not Mix
An audit by any entity is never pleasant. Some audits are just spot checks by a provider. Other audits can spell trouble. Recently, a client of mine contacted me “just to make sure” that the requested...
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Update Your HIPAA Program Compliance Before April 5th
Update Your HIPAA Program Compliance Before April 5th for the Implementation of the 21st Century Cures Act The 21st Century Cures Act, with an implementation date of April 5, 2021, sets forth rules on...
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All Healthcare Providers Are Affected by the 21st Century Cures Act
All healthcare providers are affected by the 21st Century Cures Act, which goes into effect April 5, 2021. Whether you use an electronic health information technology or paper documentation, you are...
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MACs Resume Medical Review on a Post-payment Basis
In August 2020, Medicare Administrative Contractors (MACs) resumed post-payment reviews of items and services with dates of service before March 2020. Audits were placed on hold, due to the COVID...
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Wrongful billing results in $2.6M settlement and 10-year exclusion from...
HOUSTON JUNE 8, 2021 – A 46-year-old chiropractor and her medical group have agreed to pay in order to resolve allegations of fraudulent billing, announced Acting U.S. Attorney Jennifer B. Lowery. In...
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