Documentation, Compliance, and ICD-10 Coding w/ M. Fucinari, DC (March 3-4, 12hrs)

Just when you thought you were prepared, the rules changed again! 2 hours mandatory ethics & law, 4 hours history taking, and 6 hours billing & coding. Sat 8-5, Sun 8-12
PRICE

Speakers

Mario Fucinari, DC
Mario Fucinari, DC, Certified Medical Compliance Specialist & full-time chiropractor

Start

March 3, 2018 - 8:00 am

End

March 4, 2018 - 12:00 pm

Address

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

Whether you are doctor, staff, biller or consultant, this class is for you!

FucinariYou have taken all the classes, but the rules have changed again! Late last year, CMS changed the chiropractic documentation rules and regulations for Medicare. See how these changes are being implemented in all carriers of insurance reimbursement. These significant changes will impact the chiropractic office and the way you practice! The latest requirements covering Ethics and Law, History Taking, Documentation and Proper and Ethical Billing and Coding expectations will be covered. Dr. Mario Fucinari, is uniquely qualified as one of the few instructors still in full-time practice! Dr. Fucinari is a member of the Carrier Advisory Committee for Medicare, a Certified Professional Compliance Officer (CPCO), Certified Medical Compliance Specialist (MCS-P), and a Certified Chiropractic Sports Physician (CCSP®). He is a Diplomate of the Academy of Integrative Pain Management (APMP).

Dr. Mario Fucinari has been presenting Continuing Education Classes for over twenty-five years and is a nationwide speaker on Medicare, Clinical Documentation, ICD-10 Coding, Compliance and HIPAA. In his back-to-the-basics approach, Mario whittles a difficult subject to an understandable and interesting comprehension of the requirements. This class is designed for everybody; doctors, staff and billers will gain useful information!

Relicensure areas covered include:

  • Ethics and Law (2 hours)
  • History Taking (4 hours)
  • Proper and Ethical Billing and Coding expectations (6 hours)

Schedule

Saturday, 8:00am – 5:00pm
Sunday, 8:00am – 12:00pm

Improve compliance and satisfy CE requirements

Dr. Mario Fucinari is uniquely qualified as one of the few instructors still in full-time practice!  Dr. Fucinari is a member of the Carrier Advisory Committee for Medicare, a Certified Professional Compliance Officer (CPCO), Certified Medical Compliance Specialist (MCS-P), and a Certified Chiropractic Sports Physician (CCSP®).  He will show you step-by-step procedures to implement the new policies and coding changes into your office

Dr. Mario Fucinari has been presenting Continuing Education Classes for over twenty years and is a nationwide speaker on Medicare, Clinical Documentation, ICD-10 Coding, Compliance and HIPAA. In his back-to-the-basics approach, Mario whittles a difficult subject to an understandable and interesting comprehension of the requirements.

Documentation, compliance and ICD-10

These are just a few of the changes that have recently occurred:

  • ABN form utilization changes
  • Payment system overhaul in Medicare began January 1, 2017
  • Claim form diagnosis pointer has changed for 2017
  • PQRS is dead, but has risen as another form
  • Audits are always present, but Strategic Health Solutions and Altegra audits for Medicare are resulting in HUGE recoupments.  One recent case resulted in a recoupment of Chiropractic funds of $685,000.  Find out why.
  • BCBS X-Subset audits are ongoing
  • Medicare Treatment Plan requirements have changed

Will you know how to respond if you are called to do an audit?

Attendees of the full 12 hour seminar will qualify for a 5% discount in NCMIC policy rates upon renewal.

Supported in part by:

NCMIC Logo

12 hours unless otherwise indicated

California practitioners:

  • 2 mandatory category A ethics & law California CE credits
  • 10 mandatory category A billing & coding and history taking California CE credits
State CE Available/Approval #
California PENDING
12 hours
2 hours Category A Ethics & Law
6 hours Category A Billing & Coding
4 hours Category A History & Exam
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*
Massachusetts No application required*
Michigan No application required*
Montana No application required*
Nebraska No application required*
Nevada PENDING 10 hours (no ethics & law)
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 licensing boards do not require an application when a program is sponsored by an institution accredited by the Council on Chiropractic Education. Life Chiropractic College West cannot warrant 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.

SATURDAY
Time Category Outline
8:00 – 9:00 Ethics & Law
  • Scope of Practice of Chiropractic in California §302
  • Scope of Practice of Chiropractic in Medicare
  • Board’s Investigative Authority §306.3
  • Medicare Methods of Investigation
  • Doctor of Chiropractic Title §310.2
  • Advertisements §311
  • The Anti-Kickback Statute Waiving Deductibles and Co-Payments
9:00 – 10:00 Ethics & Law
  • Medicare Regulations for Gifts and Inducements
  • Free of Discounted Services §319
  • Responsibility for Conduct on Premises §316
  • Professional Boundaries §317
  • Requirements for Compliance in the Patient Protection and Affordable Care Act
  • HIPAA Regulations for Protected Health Information Updated Regulations & Forms
  • Required Risk Analysis for HIPAA
10:00 – 11:00 History Taking & Physical Exam
  • Cert Reviews and the OIG Report
  • OIG Work Plan for FY 2018
  • OIG Report on Tactics to Curb Chiropractic Utilization
  • Medicare Signature Guidelines
  • Informed Consent Guidelines
11:00 – 12:00 History Taking & Physical Exam
  • Consultation Documentation
  • Complicating Factors and the Relation to Care
  • Subjective Note
  • Objective Note and Evaluation and Management (E/M)
  • Medicare P.A.R.T. Assessment of the Subluxation
 12:00 – 1:00 Lunch, on your own
1:00 – 2:00 History Taking & Physical Exam
  • Importance of Outcome Assessment Tests (OATs)
  • OATs and the Treatment Plan
  • The Re-evaluation – When, Why, and What?
  • NEW Radiology Guidelines
  • Medical Necessity – How to Show It
  • Documenting the Subluxation
  • Medical Necessity and Maintenance Definitions in Medicare
2:00 – 3:00 History Taking & Physical Exam
  • Medicare Advanced Payment Updates
  • Physiotherapy Guidelines
  • Rehabilitation Documentation
  • Writing the Treatment Goals and Objectives
  • The NEW Medicare Treatment Plan Guidelines
3:00 – 4:00 Proper and Ethical Billing & Coding
  • Increased Specificity in ICD-10 Coding
  • ICD-10 Coding Rules for 2018
  • Manipulation Coding Guidelines
  • Medicare Diagnosis Coding
  • Medicare Deductible and Fee Schedule for 2018
4:00 – 5:00 Proper and Ethical Billing & Coding
  • The CMS – 1500 Claim Form Analyzed
  • ICD-10 Chapter Coding Guidelines
  • Characteristics of ICD-10-CM
  • ICD-10 Code Structure
SUNDAY
Time Category Outline
8:00 – 9:00 Proper and Ethical Billing & Coding
  • The Hierarchy and Sequencing of Diagnosis Codes
  • Combination Codes
  • How to Properly Use A, D or S Codes
  • The Diagnosis (primary, secondary and complicating factors)
  • Clinical Examples of ICD-10 Coding in the Office
9:00 – 10:00 Proper and Ethical Billing & Coding
  • Chapter 13: Rules for Diseases of the Musculoskeletal System and Connective Tissue: Specific Coding Guidelines
  • Specificity in Coding
  • Chapter 15: Pregnancy, Childbirth, and the Puerperium Specific Coding Guidelines
  • Chapter 19: Rules for Injury, Poisoning, and Certain Other Consequences of External Causes: Specific Coding Guidelines
10:00 – 11:00 Proper and Ethical Billing & Coding
  • NEW Requirements for Injury Coding
  • Extremity Coding
  • Coding of Spinal Conditions for 2018
11:00 -12:00 Proper and Ethical Billing & Coding
  • Chapter 20: External Causes of Morbidity: Specific Coding Guidelines
  • Examples of Coding Clinical Cases
  • Questions and Answers

MORE DETAIL

Phone

(510) 780-4508

Email

conted@lifewest.edu

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