Billing & Coding w/ E. Calkins, CA (Jul 14, 4hrs)

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The latest on billing & coding for the chiropractic office for DCs or CAs. 4 hrs Category A Billing (mandatory). 8am-12pm
PRICE

Speakers

Emma Calkins
Emma Calkins
Emma Calkins, CA

Start

July 14, 2018 - 8:00 am

End

July 14, 2018 - 12:00 pm

Address

LifeWest Campus: 25001 Industrial Blvd, Hayward, CA 94545   View map

Purchase up to 12 hours of July 14 seminars at discounted prices!

Use the “choose your seat” menu above the green “join this event” button to select your seminars for registration.

Overview

This course will ensure your practice is getting paid for your services. Bring yourself and your staff for information on how to navigate insurance company contracts, medical policies, claims, processing and of course ICD-10 diagnosis coding.

4 hours mandatory CE credit PENDING

State CE Available/Approval #
California 2 hours APPROVED
CA-A-17-11-14427
(Category A mandatory hours)
Colorado No application required*
Connecticut No application required*
Delaware No application required*
District of Columbia No application required**
Georgia No application required*
Idaho No application required*
Illinois No application required*
(60 minute hours)
Indiana No application required*
(60 minute hours)
Iowa No application required*
Maryland No application required*
Michigan No application required*
Montana No application required*
Nebraska No application required*
New Mexico No application required*
Ohio No application required*
Oregon No application required*
Rhode Island No application required*
South Carolina No application required*
(60 minute hours)
Utah No application required*
Vermont No application required*
Virginia No application required*
Washington No application required*
Wyoming No application required*

*Some State boards do not require an application when a program is sponsored by a college accredited by the Council on Chiropractic Education (CCE), which is an accreditor of Life Chiropractic College West.

Life Chiropractic College West cannot guarantee that any session of this offering will be accepted by these licensing board(s). Life West urges licensees to familiarize themselves with the laws governing continuing education in the jurisdictions where they hold licensure.

DISCLAIMER FOR THE STATE OF MISSOURI: Approval of this course is not acknowledgment or ruling by the Board that the methods taught in this course are recognized and approved by the Board as the appropriate practice of chiropractic as defined in Section 331.010, RSMo.


Hour Topic
1
  • Introduction
  • Insurance Network Participation – Pros and cons of being a network Chiropractic Healthcare Provider for insurance companies versus cash practice.
  • Credentialing/Contracting – Validation/Re-validation process with Medicare. Credentialing and contracting with private insurance carriers. How to find out your fee schedules with each company.
  • Electronic Medical Records – How use of EMR assists in choice of ICD-10 diagnosis codes, and streamlines process for Medical Necessity Reviews. Provide brief overview of most used Chiropractic EMR programs, and low cost EMR programs that also meet Medicare’s Meaningful Use requirements.
2
  • NEW Changes that occurred to ICD-10 October, 1, 2016.
  • “Unspecified” Codes – and why to never use them.
  • “Acute Injury” Codes – What they are, how they may trigger questions, and how to treat them in your practice without scrutiny.
  • Medical Policies – Being aware of each carrier’s medical policies and what they deem medically necessary should guide diagnosis, not create.
  • How to show through diagnosis coding your adjunctive therapies are separately payable from your manipulation codes.
  • Resources – General Equivalence Mappings (GEM’s) coding sites, Chiropractic specific code books that all practices can use.
3
  • Top CPT codes used in Chiropractic
  • Reporting PT and Modality Codes – PT codes are timed How to consolidate your treatments into less line items, maximizing reimbursement potential
  • Multiple Therapy Reductions – Insurance carriers’ rationale/explanation of fee schedule reduction for multiple therapies reported for one date of service.
  • Medicare Specific Coding –Where and how to access region specific Local Coverage Determinations for Medicare to ensure you are reporting “medically necessary” treatment. ABN use in Chiropractic office.
  • PQRS – Physician Quality Reporting System. Top 2 measures Chiropractors can report on and how to report the measures. Stops a 2% reduction on Medicare Fee Schedule.
  • Modifiers – Modifier -59 replacements, ABN and Medicare specific modifiers.
  • Authorization/Medical Necessity Reviews – Navigating the American Specialty Health Plans processes. What records they will require and base their decisions on. How to communicate the process to your patients (maintenance versus injury care).
  • Workers’ Compensation and “MedPay” cases. What is required on your claim forms.
4
  • Insurance Verifications – Importance of verifying patient benefit prior to treatment. Examples of Chiropractic Insurance Verification form and why certain questions are necessary/helpful for the Chiropractic office.
  • Avenues to Verify – Various online tools to verify chiropractic benefits, including with Medicare.
  • Follow Up Phone Verification – Specific questions necessary to ask representatives of the patient’s insurance carrier for Chiropractic coverage.
  • Patient Portion – How to determine a patient’s out of pocket prior to the insurance carrier’s processing of the claim I order to collect at time of visit. How to handle overpayment or underpayment that at times may result.
  • Electronic Billing tips – “Replacement” and “Void” claims and when to use them.

MORE DETAIL

Phone

(510) 780-4508

Email

conted@lifewest.edu

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