Chiropractic Auditing Articles & Resources
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Select the title to see a summary and a link to the full article. some articles require a subscription to view.
When Is a Shared Visit Not a Shared Visit?
by David M. Glaser, Esq.
UnitedHealthcare Updates Manipulation Policy
by Wyn Staheli, Director of Content - innoviHealth
by Stephanie Allard, CPC CEMA RHIT
Medicare Auditors Caught Double-Dipping
by Edward Roche, PhD JD
by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT
Are NCCI Edits and Modifiers Just for Medicare?
by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS
CMS Temporarily Suspends Contract-Level RADV Audits
by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT
by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT
by NAMAS
Extrapolation Policies Apply to RAD-V Audits
by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT
A United Approach
by NAMAS
What Medical Necessity Tools Does Find-A-Code Offer?
by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT
by Wyn Staheli, Director of Content - innoviHealth
Let's Talk High Risk E/M Services
by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT
by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT
Prepayment Review Battle Plan
by Wyn Staheli, Director of Content - innoviHealth
The Impact of Medical Necessity on High Level E/M Services
by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT
Understanding NCCI Edits
by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT
Coding Medicare Initial Preventive Physical Exams (IPPE)
by Aubrie Rowley
Clinical Staff vs. Healthcare Professional
by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS
There are 4 related documentation, coding and billing tips.
Select the title to see a summary and a link to the full webinar information. some webinars require a subscription to view.
Use the Right Modifiers for Chiropractic Billing
by Evan M. Gwilliam, DC MBA CPC CCPC CPC-I QCC MCS-P CPMA CMHP AAPC Fellow
Do you really know when to use the 59 modifier? What about the AT? There are relatively few modifiers to consider when it comes to chiropractic billing and coding, but some payers have their own rules and it can be tricky to know when to use one modifier and not another. In this exciting webinar, Dr. Evan Gwilliam, a certified coder, will clear up all the questions you have about the modifiers you need to consider.Medical Necessity: it’s far easier to prove than you think, and far more important than you realize.
by Tom Grant DC, Med-Legal Consultant, Pragma Intel Director of Education
Besides coding errors, it’s the 2nd most common tool used by health insurers and 3rd party payers to deny care and deny liability. How do you decide what to use as a tool to prove your care is viable and needed? Expensive equipment and elaborate testing procedures are not what you need. It’s as simple to prove as opening a can of beans, unless you don’t have a can opener. I’ll share with you my insider tips and experience as a medical expert on over 3000 successful PI case settlements and give the can opener that you and your patients need you to use to prove medical necessity, and why you’ll need it in treating what I feel is the next great opportunity for Chiropractic: V_______ care.Medicare and the ABN for Chiropractic
by Evan M. Gwilliam, DC MBA CPC CCPC CPC-I QCC MCS-P CPMA CMHP AAPC Fellow
Medicare can be intimidating, but fortunately, the rules can be made simple and actually reduce anxiety when applied properly. All you need to know about ABNs and Medicare modifiers will all be covered in this presentation so that you can feel confident you know you are doing things right.by Evan M. Gwilliam, DC MBA CPC CCPC CPC-I QCC MCS-P CPMA CMHP AAPC Fellow
Anyone who sees patients who have services that are not covered by insurance needs to know about the No Surprises Act. In this quick webinar, Dr. Gwilliam will show you how to properly notify patients of their options and create a Good Faith Estimate, as required by this law. Expect this…Medicare Audit, Do-it-yourself
by Evan M. Gwilliam, DC MBA CPC CCPC CPC-I QCC MCS-P CPMA CMHP AAPC Fellow
Don't wait for Medicare to look over your records and try to find deficiencies. Dr. Gwilliam, a Certified Professional Medical Auditor, will show you how to find your own deficiencies, and fix them before they become a compliance or financial concern. This isn't just for Medicare either. If you can…Chiropractic Documentation: The Subjective Element
by Ron Short, DC MCS-P CPC
The Subjective element of S.O.A.P. is where we document what the patient tells us. But what is the best way to gather this information? In this webinar Dr. Ron Short will review the guidelines for the subjective element and explain the best way to gather information from the patient.&…by Ron Short, DC MCS-P CPC
We have all heard of the S.O.A.P. format for our documentation. But what does each element mean and what additional information do we need in our documentation? In this webinar Dr. Ron Short will review the S.O.A.P. documentation format and discuss what additional information you need document. In…by Evan M. Gwilliam, DC MBA CPC CCPC CPC-I QCC MCS-P CPMA CMHP AAPC Fellow
The most commonly used procedure in chiropractic is the chiropractic adjustment, also known as chiropractic manipulative treatment or CMT. There are nuances to the CPT and ICD-10 codes and Medicare guidelines that must be mastered by any chiropractor hoping to find success when creating their…Chiropractic Treatment Paradigm 2021
by Ron Short, DC MCS-P CPC
Chiropractic care is different from medical care. We know that but how do we explain it. Reviewers deny claims that are medically necessary because they don’t know what they are looking at when they review our claims. Dr. Ron Short will explain how to approach these reviewers in this…by Brandy Brimhall, CPC CMCO CPCO CCCPC CPMA QCC
August 18, 2020 Join this webinar for a birds-eye review of crucial components of your practice revenue cycle system. Inefficient or unattended revenue cycle systems result in a tremendous loss of time and money for practices. So often, that additional cash flow that practices are seeking, are…Evaluation and Management Coding and Auditing
by Find-A-Code™
Are you responsible for selecting or reviewing Evaluation and Management service levels? Do you wonder how well you know the rules and how to apply them? Join Aimee in this webinar to review and then applly the rules of E/M coding. She will also do a live demonstration of the new Find-A-Code E/M Calculator Tool to assess the level of E/M service for two office visits, one new (99201-99205) and the other established (99212-99215).How to Check NCCI Edits Using FindACode
by Find-A-Code™
How to Check NCCI Edits Using FindACodeICD-10-CM Updates for the Auditor, a NAMAS webinar
by Find-A-Code™
ICD-10-CM Updates for the Auditor, a NAMAS webinarLinks and resources by topic.
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