Guidebook: ICD-10 & CPT sent via USPS |
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Guidebook on the Best Chiropractic ICD-10 & CPT Codes to Improve Reimbursement |
- Long-term treatment codes to optimize reimbursement
- How to link, match & pair CPT codes & ICD-10 codes
- Cheat sheets for personal injury, extremity adjusting, headaches and co-morbidities
- 97012, 97110, 97112, 97124, 97140, 97530 documentation language to prove medical necessity
- Ortho, neuro & chiropractic exam findings to justify the ICD-10 codes you choose
- Qualified health care professionals vs.clinical staff members
- Learn the difference between sprain & strain, radiculopathy & radiculitis, initial & subsequent encounters, cervicobrachial syndrome & cervical radiculitis, spasm & contracture, myalgia & myofascitis, intractable & not intractable
- Customize your own cheat sheets
- Dramatically reduce denials
- NO more "winging it"
- Insurance CAs will absolutely love this book
- Modifiers, HCPCS, HIPAA, Supervision Rules, plus much more!
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Customizable Forms, Letters, Logs, and Templates sent digitally via instant download |
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Chiropractic, Physical Therapy, Acupuncture, Medicare & HIPAA Forms, Logs & Templates |
Forms Categories:
- NEW PATIENT
- FINANCIAL & ADMINISTRATION
- EXAMS & TREATMENT PLANS
- TELEHEALTH
- LETTERS OF MEDICAL NECESSITY
- APPEALS
- PHYSICAL THERAPY
- ACUPUNCTURE
- MEDICARE
- SOAP NOTES
- HIPAA FORMS
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SAMPLE FORMS LIST:
- New Patient Health History Questionnaire
- Patient Update Questionnaire
- Review of Systems
- Lien/Letter of Protection
- Patient Financial Policy
- No Surprise Law & GFE
- Good Faith Estimate Form
- Financial Hardship Form
- Insurance Non-Covered Services Form
- Consent to Treat Minor
- Insurance Payment Goes to Patient Letter
- Attorney Records Request Letter
- Chiropractic Treatment Plan
- ASH Re-Exam (MNR-Tier 3)
- Personal Injury Initial Report
- Personal Injury Final Report
- Radiology Report
- SOAP Note #1 (98940, 98943, 97014)
- SOAP Note #2 (98941, 97110, 97140-59)
- SOAP Note #3 (98941, 97110, 97012)
- SOAP Note #4 (98940, 97110, 97112-XS)
- SOAP Note #5 (98941, 97530, 97112-59)
- SOAP Note #6 (98940, 97110, 97140-XS)
- SOAP Note #7 (Personal Injury)
- SOAP Note #8 (Massage)
- SOAP Note #9 (Wellness No Symptoms)
- SOAP Note #10 (Wellness With Symptoms) LOMN for ADLs
- LOMN for Laser Therapy
- LOMN for Kinesio-Taping
- LOMN for Spinal Decompression Therapy
- LOMN for Vibration Therapy
- LOMN for Back Braces
- LOMN for TENS
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- LOMN & Pre-Auth for Additional Chiropractic
- FIGHT BACK LETTER #1: Re-examination & CMT on Same Day
- FIGHT BACK LETTER #2: CMT (9894X) & Manual Therapy (97140) on Same Day
- FIGHT BACK LETTER #3: Spinal CMT & Massage on Same Region
- Treatment Summary Following Request for Records
- Sample Medicare Initial & Subsequent Chiropractic Visits
- Medicare Notice for Non-Payable Services
- ABN for Non-Covered Services
- ABN for Chiropractic Maintenance Care
- ABN for Non-Par Providers
- Advantage Plan Patient Acknowledgement Form
- HIPAA Notice (Notice of Privacy Practices)
- Authorization to Release Information
- Patient Testimonial Consent & Release Form
- Patient Complaint/Incident Report Form
- Employee Acknowledgement Form
- Employee Training Log
- Employee Exclusion & Background Check Form
- Physical Therapy Order/Referral
- Physical Therapy Plan of Care
- Physical Therapy SOAP Note
- Physical Therapy Re-evaluation
- Acupuncture Treatment Plan
- Acupuncture SOAP Note
- Acupuncture Re-examination
- PLUS MANY MORE
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Training Videos & Workbooks sent digitally via instant download |
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- How to prove medical necessity in your SOAP notes
- Set the tone with compliant exams and re-exams
- Detailed descriptions for codes 97110, 97112, 97140 and 97530
- Outcome assessments made simple
- Sample SOAP notes provided
- Plus much more!
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Chiropractic Treatment Plans |
- The 6 components of a chiropractic treatment plan
- History and examination key findings
- Time and medical decision making documentation factors
- The clinical rationale for choosing ICD-10 codes
- Simple and easy to implement patient goal setting
- The most common chiropractic procedures and modalities
- Plus much more!
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Therapeutic Procedures & Modalities |
- The AMA guidelines on chiropractic services
- Provider supervision levels
- Supervised modalities vs. constant attendance modalities
- Therapeutic procedures and clinical rationale
- Timed codes vs. untimed codes
- How to understand the Correct Coding Initiative (CCI) edits
- Documentation requirements for timed procedures
- Plus much more!
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Medicare Coding, Compliance, Documentation |
- What's the difference between Medicare Part A, B, C, D?
- Do you have to accept assignment on supplemental or secondary plans?
- Should you ever bill S8990 to Medicare?
- Are ABNs required on every visit?
- Should you bill 98940 even if you adjust multiple regions?
- Does Medicare Part C pay for 99203 & 97110?
- Do you have to do re-exams on Medicare patients?
- How long is an ABN good for?
- Par vs. Non-par
- Plus much more!
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- The most recent ICD-10 changes
- The most common chiropractic ICD-10 codes
- Disc disorders vs. disc displacements
- Sprains, strains & laterality
- Subluxation & radiculopathy ICD-10 codes
- Initial & subsequent encounters
- Complicating factors & co-morbidity ICD-10s
- Medicare & ICD-10
- ICD-10 clinical examples
- Plus much more!
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Personal Injury Coding, Compliance & Documentation |
- History and examination of an injured patient
- Diagnosis & clinical decision making
- Initial visit documentation key components
- The most common chiropractic ICD-10 codes
- Disc disorders vs. disc displacements
- SOAP note key components
- Common modifiers, procedures & modalities
- Outcome assessment measurements to justify medical necessity
- Clinical examples & plan of care documentation
- Plus much more!
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DC-MD-PT-NP-ACU Integration |
- Corporate Structure & Set-up Options
- Employee vs. Independent Contractor
- Partnership % vs. Rental
- The Pros & Cons of Integration
- Supervision Levels - Medicare has strict rules on this - who is supervising who?
- How to hire key staff members
- Qualified HC professionals vs. clinical staff
- Nurse Practitioners, PTs, PTAs
- In-network vs Out-of-network
- Credentialing & Contracting
- Patient Flow - who should see the patient first?
- E/M guides for 99203 & 99213
- Trigger Point & Knee Joint injections
- Rehab, modalities, laser
- Time-based codes
- Plus much more!
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- Are sign-In sheets okay?
- Are security risk assessments (SRAs) required?
- Is it HIPAA compliant to email patients?
- Where do you store your BAAs?
- You just lost patient data...now what?
- The most important HIPAA forms to use
- Plus much more!
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- Why is BC/BS denying claims based on incorrect modifier use?
- Proper modifiers according to the AMA, HIPAA, Medicare & Anthem
- Modifiers XS, 59, GP, 25, AT, GA, GY, 97, KX
- BC/BS reimbursement policies
- 97110, 97140, 97112, 97124, 97530
- Learn how to use the CCI edits to your advantage
- When reporting multiple modifiers, does the list order matter?
- Fight-back letters for the most common denials
- How to write a first level of appeal letter
- Plus much more!
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How to Manage Managed Care, ASH, Optum, In vs Out-of-Network |
- How to get more visits "approved"
- Learn how to fill out the medical necessity review forms
- No need to submit SOAP notes
- Pros & Cons of In-network & Out-of-network
- How to transition ASH patients to CASH patients
- How to get paid for more than 5 visits
- Short & long term ICD-10 codes
- Co-morbidities & complicating factors
- Care plans that increase approved care
- Plus much more!
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Cash Plans, Pre-Pays, Prompt-Pays Discounts, Direct Primary Care & How to Do Compliant Financial ROF |
- How to handle finances on the very first visit
- How to handle huge deductibles
- 1st visit financial ROF
- In-network vs. out-of-network
- What is a TRUE all-cash practice?
- TOS, HSAs, HRAs, FSAs & DMPOs
- Prompt pay discounts & how to avoid dual fees
- How to discount your fees & financial hardships
- Direct Primary Care - is it available in your state?
- Sample financial policies provided
- Plus much more!
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The Medicare ABN Form & Wellness vs. Medically Necessary Care |
- How to use the ABN form to your advantage
- Should an ABN be used on the initial visit?
- Is an ABN required for non-covered services?
- Modifiers AT, GA, GY, & GZ
- Can you collect your normal fee for wellness care?
- What is medical necessity?
- Wellness code S8990
- Active treatment vs. chronic care
- Pain codes vs. subluxation codes
- Is performance-enhancing care covered?
- Financial arrangements for maintenance care
- Co-pays, deductibles, free exams, patient discounts
- Medicare Part B vs. Part C
- Plus much more!
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Back Braces, Knee Braces, Home Traction & How to Become an Authorized DME Medicare Supplier |
- Medical necessity for lumbar braces, knee braces, home traction
- DME billing and coding medical policies
- The DME prescribing and ordering process
- Learn the most appropriate DME modifiers
- Understand how to do an insurance verification for DME
- How to charge "cash" for DME
- The competitive bidding process
- How to become a certified orthotic fitter
- Off-the-shelf vs. custom-fit lumbar braces
- DC vs. MD-DC ownership
- Medicare DME coverage articles
- Stark & Anti-kickback
- Sample DME letters of medical necessity
- Plus much more!
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How to Appeal Denials, Fight-Back, Scrub EOBs, The 1500 Form & ICD-10 Pointing |
- How to appeal the most common denials
- How can it be “not medically necessary”…it’s only the 1stvisit?
- Modifier XS, 59, GP, 25 updates
- Denials due to missing or invalid modifiers
- CCI edit denials for bundled / mutually exclusive/incidental services
- 97140 & 99213 bundling with 98941
- How to prove medical necessity
- Deductibles, co-pays, co-insurance
- 1500 form boxes 14, 15, 24J, 25, 31
- How to point box 21 to 24E
- How to bill secondary insurance plans
- Medically necessary care vs. maintenance/wellness care
- How to prevent the most common denials
- Sample forms and "fight-back" letters
- Sample ABN forms and financial policy forms
- Plus much more!
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Documentation & Coding For The Health of Your Practice |
- Chiropractic evaluation and management
- Examination key documentation points
- Clinical decision-making
- Chiropractic manipulation/adjustment coding
- Supervised modalities
- Constant attendance modalities
- Supervision levels
- Therapeutic exercises
- Neuromuscular reeducation
- Manual therapy
- Therapeutic activities
- Modifiers
- Time-based services
- The ICD-10 guidelines
- Subluxation diagnoses
- Initial, subsequent and sequelae encounters
- ICD-10s for radiculopathy and disc disorders
- The 1500 form and diagnosis pointing
- HIPAA and chiropractic
- The privacy and security rules
- Email communication with patients
- How to address a HIPAA breach
- Business associates & BAAs
- Security risk analysis
- Medicare chiropractic guidelines
- Medicare initial visit documentation
- P.A.R.T. examination
- Medicare subsequent visit documentation requirements
- The Medicare ABN form
- Medicare Part B, Part C, advantage plans, supplemental plans
- Participating vs. non-participating
- OIG and chiropractic
- Stark and Anti-kickback
- Chiropractic treatment plans
- Individualized treatment goals
- Objective measures to evaluate treatment effectiveness
- Chiropractic S.O.A.P. notes
- Re-examinations
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CA Boot Camps sent digitally via instant download |
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CA Boot Camp Basic - Module 1 Part 1 & 2 |
MODULE 1: Front Desk & Patient Relations: New Patient Onboarding, Intake Forms, Financial Policies, Insurance Verification, Co-pays, Deductibles. Get Paid at the Time of Service, How to Handle the Most Common OTC Patient Objections & Questions, Optimize your Software with Simple Reports, Action Steps to Fix the Most Common Holes in the Front Desk & Patient Relations Department. |
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CA Boot Camp Basic - Module 2 Part 1 & 2 |
MODULE 2: Billing & Collections: How to Complete 1500 Forms Perfectly the First Time, How to Streamline your Billing & Collections Systems, How to Link Billing with Documentation, Avoid Putting your Claims at Risk, Conducting Appeals, What Auditors Look for. Revenue Cycle Management, Controlling your Accounts Receivables, 60-90 days, 90-120 days, 120+ outstanding, the Most Common AR Challenges, In-House Billing vs. Billing Companies, the Language of CPT & ICD-10 Coding, Time Management, Efficiency, Organization. |
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CA Boot Camp Basic - Module 3 Part 1 & 2 |
MODULE 3: Therapy & Back Office: Basic Spinal Anatomy, the Most Common Chiropractic Terms, How to Obtain a Good History, Patient Confidentiality, HIPAA, Patient Documentation & How to Write Good Quality SOAP Notes. The Physiology of Modalities & Rehab, How to Apply Mechanical Traction (97012), Electrical Stimulation (97014/G0283/97032), Ultrasound (97035), Laser Therapy, the Most Common Therapeutic Procedures & How to Avoid Patient Red-Flags. |
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CA Boot Camp Basic - Module 4 Part 1 & 2 |
MODULE 4: Office Manager & Compliance Officer: Introduction to the BIG 3 (HIPAA, OSHA, OIG), Why Compliance Matters, the Most Common Office Policies, Compliance Saves Time & Money. How to Get Started, It Doesn’t Have to be Overwhelming, the Biggest Billing Mistakes & Coding Errors, How to be an Effective & Respected Office Manager & Have the Ability to Supervise a Large Staff. |
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