EPs, CPC practice sites, PQRS group practices, and ACOs that believe they have been incorrectly assessed the 2016 PQRS negative payment adjustment may submit an informal review between September 9, 2015 and November 23, 2015 requesting CMS investigate incentive eligibility and/or payment adjustment determination. All informal review requestors will be contacted via email of a final decision by CMS within 90 days of the original request for an informal review. All decisions will be final and there will be no further review.
3. This will be an ongoing campaign. Please continue to distribute the petition and collect the requested information until instructed otherwise by ACA.
Doing the same thing again and again and expecting a different result? That’s the definition of insanity. Breakthrough Coaching has created a never before seen event, like no other in chiropractic. You’ll find no talking heads or droning power points at this reality-based chiropractic gathering. You will learn how to build a marketing machine that will provide predictability and stability to the income their practice generates. Not only that, when those new patients walk through the door you’ll know how to apply the step-by-step process to convert them into patients who pay cash, stay and refer. We’ll teach you how to hire, manage and motivate your dream team of CAs to help manage your growth and help you take your practice sustainably to the next level. Most importantly, success is what success does…you’ll have the opportunity to get inside the heads of the most successful chiropractors in the profession in a no-holds-barred, open-mike Q&A session. Doctors can earn 9 CEUs where eligible and CAs can attend team building sessions for CAs only. Speakers include Dr. Mark Sanna, Drs. Terry and Alicia Yochum, Dr. Jay Kennedy, Dr. Jeff Lewin, Dr. Morgan Mullican and Wendy Lee, CA. CA Sessions include—Crushing Cancellations: Missed appointments are slowly causing the profit to leak out of your practice. In this hands-on workshop you’ll learn the real-world strategies that the best practices use to virtually eliminate missed appointments and increase patient retention–& Creating a World Class Patient Experience: Patients come to your practice for relief but they stay with you because of the 5-star environment and experience you create for them. Find out what makes patients want to stay, pay and refer in this fun and inspiring session. Join Breakthrough Coaching November 13—15 in Orlando for a reality-based chiropractic event. Without the hype, without the fluff and without the spin you’ll learn the skills that you need to succeed in practice today. Think you can skip attending this event? That’s Insane! You can find out more and register for this event at https://mybreakthrough.leadpages.co/2015-orlando-seminar/ or phone 1-800-723-8426 today.
The Senate passed legislation on Thursday intended to protect small and midsize businesses from increases in health insurance premiums, clearing the bill for President Obama’s expected signature.
While officials from the Centers for Medicare & Medicaid Services could not say definitively on a media call Thursday what the status of the agency’s new ICD-10 Coordination Center and its ombudsman would be in the event of a government shutdown on Oct. 1 , they did maintain that the transition itself will go on as planned.
The Foundation for Chiropractic Progress (F4CP) proudly announces that Athletic TIPS™ (Towards Injury Prevention in Sports), a national, not-for-profit organization that drives expanded awareness and education around the role of multi-disciplinary care in the recognition, management and prevention of sports-related injuries, has launched its website at www.TIPS4Sports.org .
Personal Injury payers are not governed by HIPAA, they do get to elect on an individual basis whether or not to transition to ICD-10 diagnosis as of 10/01/2015 .
The World Health Organization, which developed ICD-10, describes subluxation as, “a lesion or dysfunction in a joint or motion segment in which alignment, movement integrity and or physiological function are altered, although contact between joint surfaces remains intact. It is essentially a functional entity which may influence biomechanical and neural integrity.” With this definition in mind, the General Equivalence Mappings from CMS for ICD-10-CM provide a direct one to one match from the ICD-9 non-allopathic lesions codes (739 series) to ICD-10 as Biomechanical lesions (M99 series).
“Now, more than ever, it’s vital that the chiropractic profession repeat and amplify its message that a conservative care-first approach to pain management makes clinical and economic sense,” said ACA President Anthony Hamm, DC. “Generating more awareness about this critically important issue is key to curbing opioid overuse and abuse, and I’m pleased that so many doctors of chiropractic are answering the call to do just that.”
On Oct. 1 , the ICD-10 release date, four states’ Medicaid programs will not be converting to ICD-10 codes, according to CMS. Everyone else, however, will.
Many doctors have asked me if they need a special license to bill DME units like a TENS unit. The short answer is– YES, you do need a license. Most insurance companies are starting to catch on to this special license and they are denying DME (Durable Medical Equipment) CPT codes. Check your Explanation of Benefits from the different carriers. You will notice that you are not getting reimbursed by many insurance companies.
On April 16 , President Obama signed into law House Resolution 2, known as the Medicare Access and CHIP Reauthorization Act of 2015. This legislation permanently repealed the flawed Sustainable Growth Rate (SGR) formula, the reason for the endless cycle of “doc fixes” that have temporarily staved off 17 drastic Medicare reimbursement cuts since 2003.
On July 1 , the Medicare Conversion Factor goes up by 0.5% which will impact the Medicare allowed amount by some degree. Keep in mind that the CF is only one of the factors used in the calculation of the Medicare allowed – but it should have a positive impact for chiropractic physicians — a slight payment increase for services performed on or after July 1, 2015 .
Since April 2015, three proposed bills have been submitted regarding some facet of the current ICD-10 transition. What are the odds of a bill to simply eliminate ICD-10 passing? Or legislation requiring HHS to conduct “comprehensive, end-to-end testing to assess whether Medicare claims based on the ICD-10 standard is fully functioning? In addition, we have heard chatter that a bill creating a two-year grace period for providers is gaining steam. Sources on Capitol Hill are confirming that, currently, there is no motivation to move any ICD-10 legislation before implementation takes place on October 1st . With less than four months to the ICD-10 deadline, we suggest that you avoid gambling with your clinic’s revenue or betting that Congress will soon step in before October. Take advantage of the precious little time left to ready your clinic for ICD-10 coding.
Great News!! The Foundation for Chiropractic Progress (F4CP) recently shared a press release with the FCA, announcing the publication of its latest position paper entitled: “The Growing Role of Doctors of Chiropractic in Corporate On-Site Clinics.”
