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CHIROHEALTHUSA
The Network that works for Doctors AND Patients. It’s a Win-Win! THE BENEFITS OF CHIROPRACTIC MAINTENANCE CARE Aches and pains in the body are a reality. Most of us will face them at some point in our lives. Fortunately, routine chiropractic care hasbeen found
PLEASE LOG IN
*User Name: * Password: Password: Reset my password THE LINK BETWEEN CHIROPRACTIC CARE AND SLEEP This discount medical plan is NOT insurance, a health insurance policy, Medicare prescription drug plan or qualified health plan under the Affordable Care Act. THREE CODING & COMPLIANCE TIPS FOR 2021 Dr. Marty Kotlar is the President of Target Coding. Over the last 12 years, he has helped hundreds of chiropractors, acupuncturists, physical therapists and massage therapists with compliance as it relates to billing, coding, documentation, Medicare & HIPAA.CHIROPRACTIC NEWS
by Brent Hearn • Keeping up with the latest research on nutrition, and what constitutes a healthy diet, can be extremely frustrating. Throw in a few truckloads of marketing money for fad diets and well-meaning hype about the next new (or old)CHIROHEALTHUSA
The Network that works for Doctors AND Patients. It’s a Win-Win! THE BENEFITS OF CHIROPRACTIC MAINTENANCE CARE Aches and pains in the body are a reality. Most of us will face them at some point in our lives. Fortunately, routine chiropractic care hasbeen found
PLEASE LOG IN
*User Name: * Password: Password: Reset my password THE LINK BETWEEN CHIROPRACTIC CARE AND SLEEP This discount medical plan is NOT insurance, a health insurance policy, Medicare prescription drug plan or qualified health plan under the Affordable Care Act. THREE CODING & COMPLIANCE TIPS FOR 2021 Dr. Marty Kotlar is the President of Target Coding. Over the last 12 years, he has helped hundreds of chiropractors, acupuncturists, physical therapists and massage therapists with compliance as it relates to billing, coding, documentation, Medicare & HIPAA.CHIROPRACTIC NEWS
by Brent Hearn • Keeping up with the latest research on nutrition, and what constitutes a healthy diet, can be extremely frustrating. Throw in a few truckloads of marketing money for fad diets and well-meaning hype about the next new (or old) NEW DOCUMENTATION GUIDELINES FOR EXAMINATIONS Question: I heard there are new documentation guidelines for examinations.How is this going to affect my documentation, coding and patient flow? Answer: As part of its “Patients Over Paperwork” initiative, CMS sought input from providers and other healthcare organizations on how to reduce the documentation burden associated with Evaluation & Management (E/M) services. THREE CODING & COMPLIANCE TIPS FOR 2021 Dr. Marty Kotlar is the President of Target Coding. Over the last 12 years, he has helped hundreds of chiropractors, acupuncturists, physical therapists and massage therapists with compliance as it relates to billing, coding, documentation, Medicare & HIPAA. OVERHEAD CALCULATION Know Your Numbers. As your clinic grows, everything becomes more complex. More patients come in, more employees are hired, and processes that seemed to happen automatically in the beginning, don’t seem to be happening at all anymore. MARKETING SUCCESS IN THE “NEW NORMAL” As you know, there’s no better way on the planet to grow a business than using the internet right now. Because every living person is on the internet buying stuff, that’s great. WHEN SHOULD RE-EXAMINATIONS BE PERFORMED? Question: Dr Kotlar, “I’m not sure when a re-examination should be performed. I’ve heard that re-exams should be done every 30 days. On some patients, I do not do re-exams at all. Some health plans deny my re-exams because they only pay for one exam per year and Medicare doesn’t pay for re-exams. BILLING & CODING FOR WELLNESS SERVICES Question: Dr Kotlar, “Do insurance companies pay for wellness services?” Answer: Yes, some carriers pay for wellness exams, preventive medicine services and maintenance care. Here are a few examples: 1. Preventive Medicine Exam – New Patient: Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, THE COMING CONSOLIDATION IN CHIROPRACTIC Dr. Chris Tomshack is the CEO of HealthSource Chiropractic, the world’s largest chiropractic franchise, with over 400 locations in 47 states, and author of WHAT YOUR CHIROPRACTOR WISHES YOU KNEW Don’t you love a fresh start! Push the reboot button, sweep the past to where it belongs and step forward with new resolve. It’s exciting just imagining where this could lead us. PATIENT ELECTION TO SELF PAY & REVOCATION The conversation with the patient goes like this: Staff: Mrs. Jones, we verified your insurance benefits and you have a $5000 deductible. In most cases similar to yours, it’s not uncommon for care to run $90 to $100 per visit, and that is what you would be expected to pay until your deductible is met. JUNE 2021 – ALIGN THE SPINE CHIROPRACTIC, PEWAUKEE, WI Ben Rodrigues, DC. Dr. Ben Rodrigues is one of the best chiropractors in the Pewaukee area. Ben, along with his older sister Valerie Czekalski (our Office Manager), grew up in Pewaukee with chiropractic care as an essential part of their active and healthy lifestyle.CHIROHEALTHUSA
Upcoming Chiropractic Webinars. ︎ See More Webinars. The Role Your Sleeping Position Makes On The Health Of Your Spine. Presented by. Peter Martone. Tue 6/08/2021. 2:15 pm ET. Cost: FREE. THREE CODING & COMPLIANCE TIPS FOR 2021 The most common codes affected will be 99202, 99203, 99212, and 99213. The changes will remove the burden of tallying up key components and instead allow providers to choose E/M levels based on either decision-making or time. CPT code 99201 will be deleted on 01/01/2021. The time ranges are as follows: 99202: 15-29 minutes. 99203: 30-44minutes.
THE BENEFITS OF CHIROPRACTIC MAINTENANCE CARE This maintenance care is the most important phase of care because it allows for long-term spine-correcting benefits. A maintenance care visit will consist of wellness-based services such as a regular spinal adjustment, stretching, strength exercises, and massage. During these visits, your chiropractor will help strengthen and treat your muscles BILLING & CODING FOR WELLNESS SERVICES Dr. Kotlar is Certified in CPT Coding, Certified in Healthcare Compliance and has been helping chiropractors nationwide with billing, compliance, coding and documentation for over 10 years. Target Coding can be reached at 1-800-270-7044, website – www.TargetCoding.com, email – info@targetcoding.com.PLEASE LOG IN
*User Name: * Password: Password: Reset my password THE LINK BETWEEN CHIROPRACTIC CARE AND SLEEP A chiropractor can get your back pain under control and also improve the quality of your sleep. You can eventually wake up feeling rested from some of the best sleep of your life. Here’s how it’s done. A chiropractor can alleviate the discomfort that’s causing restless sleep. Some patients get into bed already feeling the effects of a THE COMING CONSOLIDATION IN CHIROPRACTIC The Coming Consolidation in Chiropractic. Jun 7, 2017 | Consultants. Dr. Chris Tomshack, DC, Founder and CEO of HealthSource Chiropractic. Make no mistake, the future of chiropractic looks quite different from what you likely expect. In fact, massive changes are already being made and the rate of change is only going to accelerate, leading to a WHEN SHOULD RE-EXAMINATIONS BE PERFORMED? Re-examinations are appropriate to help refocus care and determine if the current plan of care is appropriate or needs modification and billed with codes 99211 – 99215. Re-examinations should be performed in the following situations: When the patient’s condition or capacity to function substantively improves such that an update to the DO NOT BILL FOR ROFS (REPORTS OF FINDINGS) If you answer these questions on a routine basis (5-15 minutes), then we do not recommend billing (99212, 99213) for a “routine” report of findings. However, if the ROF is going to segue into a “counseling and coordination of care” session, then you may be able to get reimbursed for your time. THE 10 MOST COMMON EHR DOCUMENTATION ERRORS The 10 Most Common EHR Documentation Errors. Jun 1, 2016 | Consultants. Mario P. Fucinari DC, CCSP, CPCO, MCS-P, MCS-I. Medicare recently released three clarifications on documentation requirements. Documentation is not only critical for proper reimbursement, but is also necessary for risk management and continuity of care.CHIROHEALTHUSA
Upcoming Chiropractic Webinars. ︎ See More Webinars. The Role Your Sleeping Position Makes On The Health Of Your Spine. Presented by. Peter Martone. Tue 6/08/2021. 2:15 pm ET. Cost: FREE. THREE CODING & COMPLIANCE TIPS FOR 2021 The most common codes affected will be 99202, 99203, 99212, and 99213. The changes will remove the burden of tallying up key components and instead allow providers to choose E/M levels based on either decision-making or time. CPT code 99201 will be deleted on 01/01/2021. The time ranges are as follows: 99202: 15-29 minutes. 99203: 30-44minutes.
THE BENEFITS OF CHIROPRACTIC MAINTENANCE CARE This maintenance care is the most important phase of care because it allows for long-term spine-correcting benefits. A maintenance care visit will consist of wellness-based services such as a regular spinal adjustment, stretching, strength exercises, and massage. During these visits, your chiropractor will help strengthen and treat your muscles BILLING & CODING FOR WELLNESS SERVICES Dr. Kotlar is Certified in CPT Coding, Certified in Healthcare Compliance and has been helping chiropractors nationwide with billing, compliance, coding and documentation for over 10 years. Target Coding can be reached at 1-800-270-7044, website – www.TargetCoding.com, email – info@targetcoding.com.PLEASE LOG IN
*User Name: * Password: Password: Reset my password THE LINK BETWEEN CHIROPRACTIC CARE AND SLEEP A chiropractor can get your back pain under control and also improve the quality of your sleep. You can eventually wake up feeling rested from some of the best sleep of your life. Here’s how it’s done. A chiropractor can alleviate the discomfort that’s causing restless sleep. Some patients get into bed already feeling the effects of a THE COMING CONSOLIDATION IN CHIROPRACTIC The Coming Consolidation in Chiropractic. Jun 7, 2017 | Consultants. Dr. Chris Tomshack, DC, Founder and CEO of HealthSource Chiropractic. Make no mistake, the future of chiropractic looks quite different from what you likely expect. In fact, massive changes are already being made and the rate of change is only going to accelerate, leading to a WHEN SHOULD RE-EXAMINATIONS BE PERFORMED? Re-examinations are appropriate to help refocus care and determine if the current plan of care is appropriate or needs modification and billed with codes 99211 – 99215. Re-examinations should be performed in the following situations: When the patient’s condition or capacity to function substantively improves such that an update to the DO NOT BILL FOR ROFS (REPORTS OF FINDINGS) If you answer these questions on a routine basis (5-15 minutes), then we do not recommend billing (99212, 99213) for a “routine” report of findings. However, if the ROF is going to segue into a “counseling and coordination of care” session, then you may be able to get reimbursed for your time. THE 10 MOST COMMON EHR DOCUMENTATION ERRORS The 10 Most Common EHR Documentation Errors. Jun 1, 2016 | Consultants. Mario P. Fucinari DC, CCSP, CPCO, MCS-P, MCS-I. Medicare recently released three clarifications on documentation requirements. Documentation is not only critical for proper reimbursement, but is also necessary for risk management and continuity of care. ABOUT US | CHIROHEALTHUSA ChiroHealthUSA is a provider-owned network working in conjunction with a Discount Medical Plan Organization. We provide a simple solution when it comes to offering legal network-based discounts for cash, underinsured and “out of network” patients. SEARCH FOR A PROVIDER 250 Katherine Drive, Flowood, MS 39232 Phone: (888) 719-9990 Fax: (888) 685-2220 info@chirohealthusa.com Office Hours: Monday - Friday 8:00 AM - 4:30 PM CSTCHIROHEALTHUSA PLUS
The Discount Medical Plan Organization is Alliance HealthCard of Florida, Inc., 2711 North Haskell Avenue, Ste 800 Dallas, TX 75204-2999. You may call 1-800-220-7752 for more information or visit chirohealthusaplus.com for a list of providers. The Plan will make available before purchase and upon request, a list of programproviders and the
THREE CODING & COMPLIANCE TIPS FOR 2021 The most common codes affected will be 99202, 99203, 99212, and 99213. The changes will remove the burden of tallying up key components and instead allow providers to choose E/M levels based on either decision-making or time. CPT code 99201 will be deleted on 01/01/2021. The time ranges are as follows: 99202: 15-29 minutes. 99203: 30-44minutes.
NEW DOCUMENTATION GUIDELINES FOR EXAMINATIONS The new guideline allows the entire documentation history to be done by the patient or patient’s family member or staff member. The provider must review the information and update or supplement, as necessary. The documentation also must clearly note that the review was performed. Change #2: When reporting services for established E/Mvisits
MARKETING SUCCESS IN THE “NEW NORMAL” As you know, there’s no better way on the planet to grow a business than using the internet right now. Because every living person is on the internet buying stuff, that’s great.SPONSORED SPEAKERS
Below you’ll find bios, CV’s, and course descriptions. Book one of our speakers for your event today! Contact Kristi Hudson at 1-888-719-9990 ext. 302, or send an e-mail to kristi@chirohealthusa.com. PATIENT ELECTION TO SELF PAY & REVOCATION Patient Election to Self Pay & Revocation. It’s not uncommon to see patients with deductibles in the $3-$10,000 range these days. If you are a network provider, you know that your provider agreements require you to file claims with the insurance carrier. We want to be a good corporate citizen and encourage you to honor those agreements.A DATE WITH BOX 14
Box 14 of the claim form asks for the date of onset, injury or date of the last menstrual period (LMP). The LMP is used only for obstetrics. In the claim form box 14 also contains a space for a qualifier (Qual). Depending on the carrier, the box 14 will usually require the qualifier “431”, which indicates that it is the date of onset orinjury.
THE 10 MOST COMMON EHR DOCUMENTATION ERRORS The 10 Most Common EHR Documentation Errors. Jun 1, 2016 | Consultants. Mario P. Fucinari DC, CCSP, CPCO, MCS-P, MCS-I. Medicare recently released three clarifications on documentation requirements. Documentation is not only critical for proper reimbursement, but is also necessary for risk management and continuity of care.CHIROHEALTHUSA
Upcoming Chiropractic Webinars. ︎ See More Webinars. The Role Your Sleeping Position Makes On The Health Of Your Spine. Presented by. Peter Martone. Tue 6/08/2021. 2:15 pm ET. Cost: FREE. SEARCH FOR A PROVIDER 250 Katherine Drive, Flowood, MS 39232 Phone: (888) 719-9990 Fax: (888) 685-2220 info@chirohealthusa.com Office Hours: Monday - Friday 8:00 AM - 4:30 PM CSTPLEASE LOG IN
*User Name: * Password: Password: Reset my passwordDISCOUNT CHALLENGE
OFFICIAL CONTEST RULES. ︎ Once you’ve answered a challenge question correctly, you will receive one prize entry for that question. ︎ You can receive a maximum of 10 entries meaning you have answered all 10 questions correctly. ︎ You may take the challenge as many times as you like until you answer all 10 questions correctly. PATIENT ELECTION TO SELF PAY & REVOCATION Patient Election to Self Pay & Revocation. It’s not uncommon to see patients with deductibles in the $3-$10,000 range these days. If you are a network provider, you know that your provider agreements require you to file claims with the insurance carrier. We want to be a good corporate citizen and encourage you to honor those agreements. THE LINK BETWEEN CHIROPRACTIC CARE AND SLEEP A chiropractor can get your back pain under control and also improve the quality of your sleep. You can eventually wake up feeling rested from some of the best sleep of your life. Here’s how it’s done. A chiropractor can alleviate the discomfort that’s causing restless sleep. Some patients get into bed already feeling the effects of aSPONSORED SPEAKERS
Below you’ll find bios, CV’s, and course descriptions. Book one of our speakers for your event today! Contact Kristi Hudson at 1-888-719-9990 ext. 302, or send an e-mail to kristi@chirohealthusa.com. WHEN SHOULD RE-EXAMINATIONS BE PERFORMED? Re-examinations are appropriate to help refocus care and determine if the current plan of care is appropriate or needs modification and billed with codes 99211 – 99215. Re-examinations should be performed in the following situations: When the patient’s condition or capacity to function substantively improves such that an update to the DO NOT BILL FOR ROFS (REPORTS OF FINDINGS) If you answer these questions on a routine basis (5-15 minutes), then we do not recommend billing (99212, 99213) for a “routine” report of findings. However, if the ROF is going to segue into a “counseling and coordination of care” session, then you may be able to get reimbursed for your time. CMS CLARIFIES QUALIFIED MEDICARE BENEFICIARY (QMB) BILLING Recently, the Centers for Medicare and Medicaid Services (CMS) once again clarified the Qualified Medicare Beneficiary (QMB) billing requirements. Even if you are not a provider for Medicaid or covered services under Medicare are not covered by Medicaid in your state, you must still adhere to the billing requirements.CHIROHEALTHUSA
Upcoming Chiropractic Webinars. ︎ See More Webinars. The Role Your Sleeping Position Makes On The Health Of Your Spine. Presented by. Peter Martone. Tue 6/08/2021. 2:15 pm ET. Cost: FREE. SEARCH FOR A PROVIDER 250 Katherine Drive, Flowood, MS 39232 Phone: (888) 719-9990 Fax: (888) 685-2220 info@chirohealthusa.com Office Hours: Monday - Friday 8:00 AM - 4:30 PM CSTPLEASE LOG IN
*User Name: * Password: Password: Reset my passwordDISCOUNT CHALLENGE
OFFICIAL CONTEST RULES. ︎ Once you’ve answered a challenge question correctly, you will receive one prize entry for that question. ︎ You can receive a maximum of 10 entries meaning you have answered all 10 questions correctly. ︎ You may take the challenge as many times as you like until you answer all 10 questions correctly. PATIENT ELECTION TO SELF PAY & REVOCATION Patient Election to Self Pay & Revocation. It’s not uncommon to see patients with deductibles in the $3-$10,000 range these days. If you are a network provider, you know that your provider agreements require you to file claims with the insurance carrier. We want to be a good corporate citizen and encourage you to honor those agreements. THE LINK BETWEEN CHIROPRACTIC CARE AND SLEEP A chiropractor can get your back pain under control and also improve the quality of your sleep. You can eventually wake up feeling rested from some of the best sleep of your life. Here’s how it’s done. A chiropractor can alleviate the discomfort that’s causing restless sleep. Some patients get into bed already feeling the effects of aSPONSORED SPEAKERS
Below you’ll find bios, CV’s, and course descriptions. Book one of our speakers for your event today! Contact Kristi Hudson at 1-888-719-9990 ext. 302, or send an e-mail to kristi@chirohealthusa.com. WHEN SHOULD RE-EXAMINATIONS BE PERFORMED? Re-examinations are appropriate to help refocus care and determine if the current plan of care is appropriate or needs modification and billed with codes 99211 – 99215. Re-examinations should be performed in the following situations: When the patient’s condition or capacity to function substantively improves such that an update to the DO NOT BILL FOR ROFS (REPORTS OF FINDINGS) If you answer these questions on a routine basis (5-15 minutes), then we do not recommend billing (99212, 99213) for a “routine” report of findings. However, if the ROF is going to segue into a “counseling and coordination of care” session, then you may be able to get reimbursed for your time. CMS CLARIFIES QUALIFIED MEDICARE BENEFICIARY (QMB) BILLING Recently, the Centers for Medicare and Medicaid Services (CMS) once again clarified the Qualified Medicare Beneficiary (QMB) billing requirements. Even if you are not a provider for Medicaid or covered services under Medicare are not covered by Medicaid in your state, you must still adhere to the billing requirements. PATIENTS | CHIROHEALTHUSA The ChiroHealthUSA PLUS program provides discounts on many types of medical expenses. The program can be used by patients and members of their immediate families. While this program is not insurance, it may be used to cover expenses not covered by a major medical health insurance policy. This program is not available in Alaska, California RESOURCES | CHIROHEALTHUSA Resources for CHUSA Providers. Introducing CHUSA Tracks, ChiroHealthUSA’s new virtual help and training center. CHUSA Tracks will be your destination for content and videos created to help your team make the journey to better compliance and practice growth using ChiroHealthUSA. A CHUSA Tracks tab has been added to your onlineenrollment area
ABOUT US | CHIROHEALTHUSA ChiroHealthUSA is a provider-owned network working in conjunction with a Discount Medical Plan Organization. We provide a simple solution when it comes to offering legal network-based discounts for cash, underinsured and “out of network” patients. SEARCH FOR A PROVIDER 250 Katherine Drive, Flowood, MS 39232 Phone: (888) 719-9990 Fax: (888) 685-2220 info@chirohealthusa.com Office Hours: Monday - Friday 8:00 AM - 4:30 PM CSTPATIENT PIPELINE
At Patient Pipeline, we have features that ensure better leads and more conversions for our clients. We focus on the unique attributes of your company so that we can provide you with 20/20 marketing vision. EATING WELL FOR A FULLER LIFE Keeping up with the latest research on nutrition, and what constitutes a healthy diet, can be extremely frustrating. Throw in a few truckloads of marketing money for fad diets and well-meaning hype about the next new (or old) superfood, and all the conflicting information can be overwhelming. NEW DOCUMENTATION GUIDELINES FOR EXAMINATIONS The new guideline allows the entire documentation history to be done by the patient or patient’s family member or staff member. The provider must review the information and update or supplement, as necessary. The documentation also must clearly note that the review was performed. Change #2: When reporting services for established E/Mvisits
A FOCUS ON WOMEN AND CHRONIC PELVIC PAIN Chronic Pelvic Pain affects an increasing number of women in our population. This condition is nondiscriminatory and can be associated with other comorbidities or a direct pain generator. BILLING & CODING FOR WELLNESS SERVICES Dr. Kotlar is Certified in CPT Coding, Certified in Healthcare Compliance and has been helping chiropractors nationwide with billing, compliance, coding and documentation for over 10 years. Target Coding can be reached at 1-800-270-7044, website – www.TargetCoding.com, email – info@targetcoding.com. WHEN SHOULD RE-EXAMINATIONS BE PERFORMED? Question: Dr Kotlar, “I’m not sure when a re-examination should be performed. I’ve heard that re-exams should be done every 30 days. On some patients, I do not do re-exams at all. Some health plans deny my re-exams because they only pay for one exam per year and Medicare doesn’t pay for re-exams.CHIROHEALTHUSA
Upcoming Chiropractic Webinars. ︎ See More Webinars. The Role Your Sleeping Position Makes On The Health Of Your Spine. Presented by. Peter Martone. Tue 6/08/2021. 2:15 pm ET. Cost: FREE. SEARCH FOR A PROVIDER 250 Katherine Drive, Flowood, MS 39232 Phone: (888) 719-9990 Fax: (888) 685-2220 info@chirohealthusa.com Office Hours: Monday - Friday 8:00 AM - 4:30 PM CSTPLEASE LOG IN
*User Name: * Password: Password: Reset my passwordDISCOUNT CHALLENGE
OFFICIAL CONTEST RULES. ︎ Once you’ve answered a challenge question correctly, you will receive one prize entry for that question. ︎ You can receive a maximum of 10 entries meaning you have answered all 10 questions correctly. ︎ You may take the challenge as many times as you like until you answer all 10 questions correctly. PATIENT ELECTION TO SELF PAY & REVOCATION Patient Election to Self Pay & Revocation. It’s not uncommon to see patients with deductibles in the $3-$10,000 range these days. If you are a network provider, you know that your provider agreements require you to file claims with the insurance carrier. We want to be a good corporate citizen and encourage you to honor those agreements. THE LINK BETWEEN CHIROPRACTIC CARE AND SLEEP A chiropractor can get your back pain under control and also improve the quality of your sleep. You can eventually wake up feeling rested from some of the best sleep of your life. Here’s how it’s done. A chiropractor can alleviate the discomfort that’s causing restless sleep. Some patients get into bed already feeling the effects of aSPONSORED SPEAKERS
Below you’ll find bios, CV’s, and course descriptions. Book one of our speakers for your event today! Contact Kristi Hudson at 1-888-719-9990 ext. 302, or send an e-mail to kristi@chirohealthusa.com. WHEN SHOULD RE-EXAMINATIONS BE PERFORMED? Re-examinations are appropriate to help refocus care and determine if the current plan of care is appropriate or needs modification and billed with codes 99211 – 99215. Re-examinations should be performed in the following situations: When the patient’s condition or capacity to function substantively improves such that an update to the DO NOT BILL FOR ROFS (REPORTS OF FINDINGS) If you answer these questions on a routine basis (5-15 minutes), then we do not recommend billing (99212, 99213) for a “routine” report of findings. However, if the ROF is going to segue into a “counseling and coordination of care” session, then you may be able to get reimbursed for your time. CMS CLARIFIES QUALIFIED MEDICARE BENEFICIARY (QMB) BILLING Recently, the Centers for Medicare and Medicaid Services (CMS) once again clarified the Qualified Medicare Beneficiary (QMB) billing requirements. Even if you are not a provider for Medicaid or covered services under Medicare are not covered by Medicaid in your state, you must still adhere to the billing requirements.CHIROHEALTHUSA
Upcoming Chiropractic Webinars. ︎ See More Webinars. The Role Your Sleeping Position Makes On The Health Of Your Spine. Presented by. Peter Martone. Tue 6/08/2021. 2:15 pm ET. Cost: FREE. SEARCH FOR A PROVIDER 250 Katherine Drive, Flowood, MS 39232 Phone: (888) 719-9990 Fax: (888) 685-2220 info@chirohealthusa.com Office Hours: Monday - Friday 8:00 AM - 4:30 PM CSTPLEASE LOG IN
*User Name: * Password: Password: Reset my passwordDISCOUNT CHALLENGE
OFFICIAL CONTEST RULES. ︎ Once you’ve answered a challenge question correctly, you will receive one prize entry for that question. ︎ You can receive a maximum of 10 entries meaning you have answered all 10 questions correctly. ︎ You may take the challenge as many times as you like until you answer all 10 questions correctly. PATIENT ELECTION TO SELF PAY & REVOCATION Patient Election to Self Pay & Revocation. It’s not uncommon to see patients with deductibles in the $3-$10,000 range these days. If you are a network provider, you know that your provider agreements require you to file claims with the insurance carrier. We want to be a good corporate citizen and encourage you to honor those agreements. THE LINK BETWEEN CHIROPRACTIC CARE AND SLEEP A chiropractor can get your back pain under control and also improve the quality of your sleep. You can eventually wake up feeling rested from some of the best sleep of your life. Here’s how it’s done. A chiropractor can alleviate the discomfort that’s causing restless sleep. Some patients get into bed already feeling the effects of aSPONSORED SPEAKERS
Below you’ll find bios, CV’s, and course descriptions. Book one of our speakers for your event today! Contact Kristi Hudson at 1-888-719-9990 ext. 302, or send an e-mail to kristi@chirohealthusa.com. WHEN SHOULD RE-EXAMINATIONS BE PERFORMED? Re-examinations are appropriate to help refocus care and determine if the current plan of care is appropriate or needs modification and billed with codes 99211 – 99215. Re-examinations should be performed in the following situations: When the patient’s condition or capacity to function substantively improves such that an update to the DO NOT BILL FOR ROFS (REPORTS OF FINDINGS) If you answer these questions on a routine basis (5-15 minutes), then we do not recommend billing (99212, 99213) for a “routine” report of findings. However, if the ROF is going to segue into a “counseling and coordination of care” session, then you may be able to get reimbursed for your time. CMS CLARIFIES QUALIFIED MEDICARE BENEFICIARY (QMB) BILLING Recently, the Centers for Medicare and Medicaid Services (CMS) once again clarified the Qualified Medicare Beneficiary (QMB) billing requirements. Even if you are not a provider for Medicaid or covered services under Medicare are not covered by Medicaid in your state, you must still adhere to the billing requirements. PATIENTS | CHIROHEALTHUSA The ChiroHealthUSA PLUS program provides discounts on many types of medical expenses. The program can be used by patients and members of their immediate families. While this program is not insurance, it may be used to cover expenses not covered by a major medical health insurance policy. This program is not available in Alaska, California RESOURCES | CHIROHEALTHUSA Resources for CHUSA Providers. Introducing CHUSA Tracks, ChiroHealthUSA’s new virtual help and training center. CHUSA Tracks will be your destination for content and videos created to help your team make the journey to better compliance and practice growth using ChiroHealthUSA. A CHUSA Tracks tab has been added to your onlineenrollment area
ABOUT US | CHIROHEALTHUSA ChiroHealthUSA is a provider-owned network working in conjunction with a Discount Medical Plan Organization. We provide a simple solution when it comes to offering legal network-based discounts for cash, underinsured and “out of network” patients. SEARCH FOR A PROVIDER 250 Katherine Drive, Flowood, MS 39232 Phone: (888) 719-9990 Fax: (888) 685-2220 info@chirohealthusa.com Office Hours: Monday - Friday 8:00 AM - 4:30 PM CSTPATIENT PIPELINE
At Patient Pipeline, we have features that ensure better leads and more conversions for our clients. We focus on the unique attributes of your company so that we can provide you with 20/20 marketing vision. EATING WELL FOR A FULLER LIFE Keeping up with the latest research on nutrition, and what constitutes a healthy diet, can be extremely frustrating. Throw in a few truckloads of marketing money for fad diets and well-meaning hype about the next new (or old) superfood, and all the conflicting information can be overwhelming. NEW DOCUMENTATION GUIDELINES FOR EXAMINATIONS The new guideline allows the entire documentation history to be done by the patient or patient’s family member or staff member. The provider must review the information and update or supplement, as necessary. The documentation also must clearly note that the review was performed. Change #2: When reporting services for established E/Mvisits
A FOCUS ON WOMEN AND CHRONIC PELVIC PAIN Chronic Pelvic Pain affects an increasing number of women in our population. This condition is nondiscriminatory and can be associated with other comorbidities or a direct pain generator. BILLING & CODING FOR WELLNESS SERVICES Dr. Kotlar is Certified in CPT Coding, Certified in Healthcare Compliance and has been helping chiropractors nationwide with billing, compliance, coding and documentation for over 10 years. Target Coding can be reached at 1-800-270-7044, website – www.TargetCoding.com, email – info@targetcoding.com. WHEN SHOULD RE-EXAMINATIONS BE PERFORMED? Question: Dr Kotlar, “I’m not sure when a re-examination should be performed. I’ve heard that re-exams should be done every 30 days. On some patients, I do not do re-exams at all. Some health plans deny my re-exams because they only pay for one exam per year and Medicare doesn’t pay for re-exams.CHIROHEALTHUSA
Upcoming Chiropractic Webinars. ︎ See More Webinars. The Role Your Sleeping Position Makes On The Health Of Your Spine. Presented by. Peter Martone. Tue 6/08/2021. 2:15 pm ET. Cost: FREE. SEARCH FOR A PROVIDER 250 Katherine Drive, Flowood, MS 39232 Phone: (888) 719-9990 Fax: (888) 685-2220 info@chirohealthusa.com Office Hours: Monday - Friday 8:00 AM - 4:30 PM CSTPLEASE LOG IN
*User Name: * Password: Password: Reset my passwordDISCOUNT CHALLENGE
OFFICIAL CONTEST RULES. ︎ Once you’ve answered a challenge question correctly, you will receive one prize entry for that question. ︎ You can receive a maximum of 10 entries meaning you have answered all 10 questions correctly. ︎ You may take the challenge as many times as you like until you answer all 10 questions correctly. PATIENT ELECTION TO SELF PAY & REVOCATION Patient Election to Self Pay & Revocation. It’s not uncommon to see patients with deductibles in the $3-$10,000 range these days. If you are a network provider, you know that your provider agreements require you to file claims with the insurance carrier. We want to be a good corporate citizen and encourage you to honor those agreements. THE LINK BETWEEN CHIROPRACTIC CARE AND SLEEP A chiropractor can get your back pain under control and also improve the quality of your sleep. You can eventually wake up feeling rested from some of the best sleep of your life. Here’s how it’s done. A chiropractor can alleviate the discomfort that’s causing restless sleep. Some patients get into bed already feeling the effects of aSPONSORED SPEAKERS
Below you’ll find bios, CV’s, and course descriptions. Book one of our speakers for your event today! Contact Kristi Hudson at 1-888-719-9990 ext. 302, or send an e-mail to kristi@chirohealthusa.com. WHEN SHOULD RE-EXAMINATIONS BE PERFORMED? Re-examinations are appropriate to help refocus care and determine if the current plan of care is appropriate or needs modification and billed with codes 99211 – 99215. Re-examinations should be performed in the following situations: When the patient’s condition or capacity to function substantively improves such that an update to the DO NOT BILL FOR ROFS (REPORTS OF FINDINGS) If you answer these questions on a routine basis (5-15 minutes), then we do not recommend billing (99212, 99213) for a “routine” report of findings. However, if the ROF is going to segue into a “counseling and coordination of care” session, then you may be able to get reimbursed for your time. CMS CLARIFIES QUALIFIED MEDICARE BENEFICIARY (QMB) BILLING Recently, the Centers for Medicare and Medicaid Services (CMS) once again clarified the Qualified Medicare Beneficiary (QMB) billing requirements. Even if you are not a provider for Medicaid or covered services under Medicare are not covered by Medicaid in your state, you must still adhere to the billing requirements.CHIROHEALTHUSA
The Network that works for Doctors AND Patients. It’s a Win-Win! SEARCH FOR A PROVIDER 250 Katherine Drive, Flowood, MS 39232 Phone: (888) 719-9990 Fax: (888) 685-2220 info@chirohealthusa.com Office Hours: Monday - Friday 8:00 AM - 4:30 PM CSTDISCOUNT CHALLENGE
Entries for The Discount Challenge ended 12/31/2020. Thank you to everyone who participated. Follow us on social media to see who won!PLEASE LOG IN
*User Name: * Password: Password: Reset my password PATIENT ELECTION TO SELF PAY & REVOCATION The conversation with the patient goes like this: Staff: Mrs. Jones, we verified your insurance benefits and you have a $5000 deductible. In most cases similar to yours, it’s not uncommon for care to run $90 to $100 per visit, and that is what you would be expected to pay until your deductible is met.SPONSORED SPEAKERS
From Doctors to CA’s, Medicare to Marketing, we’ve got you covered! As part of ChiroHealthUSA’s continued educational outreach mission to give back to the profession, we’ve assembled an all-star roster of the brightest minds in Chiropractic to help Doctors and Staff become more compliant and profitable. THE LINK BETWEEN CHIROPRACTIC CARE AND SLEEP This discount medical plan is NOT insurance, a health insurance policy, Medicare prescription drug plan or qualified health plan under the Affordable Care Act. DO NOT BILL FOR ROFS (REPORTS OF FINDINGS) Dr. Marty Kotlar is the President of Target Coding. Over the last 12 years, he has helped hundreds of chiropractors, acupuncturists, physical therapists and massage therapists with compliance as it relates to billing, coding, documentation, Medicare & HIPAA. WHEN SHOULD RE-EXAMINATIONS BE PERFORMED? Question: Dr Kotlar, “I’m not sure when a re-examination should be performed. I’ve heard that re-exams should be done every 30 days. On some patients, I do not do re-exams at all. Some health plans deny my re-exams because they only pay for one exam per year and Medicare doesn’t pay for re-exams. CMS CLARIFIES QUALIFIED MEDICARE BENEFICIARY (QMB) BILLING Mario Fucinari DC, CCSP, MCS-P, CPCO is a Certified Professional Compliance Officer, Certified Medical Compliance Specialist and a member of the Medicare Carrier Advisory Committee. PATIENTS | CHIROHEALTHUSA The ChiroHealthUSA PLUS program provides discounts on many types of medical expenses. The program can be used by patients and members of their immediate families. While this program is not insurance, it may be used to cover expenses not covered by a major medical health insurance policy. This program is not available in Alaska, California RESOURCES | CHIROHEALTHUSA Resources for CHUSA Providers. Introducing CHUSA Tracks, ChiroHealthUSA’s new virtual help and training center. CHUSA Tracks will be your destination for content and videos created to help your team make the journey to better compliance and practice growth using ChiroHealthUSA. A CHUSA Tracks tab has been added to your onlineenrollment area
ABOUT US | CHIROHEALTHUSA ChiroHealthUSA is a provider-owned network working in conjunction with a Discount Medical Plan Organization. We provide a simple solution when it comes to offering legal network-based discounts for cash, underinsured and “out of network” patients. SEARCH FOR A PROVIDER 250 Katherine Drive, Flowood, MS 39232 Phone: (888) 719-9990 Fax: (888) 685-2220 info@chirohealthusa.com Office Hours: Monday - Friday 8:00 AM - 4:30 PM CSTPATIENT PIPELINE
At Patient Pipeline, we have features that ensure better leads and more conversions for our clients. We focus on the unique attributes of your company so that we can provide you with 20/20 marketing vision. EATING WELL FOR A FULLER LIFE Keeping up with the latest research on nutrition, and what constitutes a healthy diet, can be extremely frustrating. Throw in a few truckloads of marketing money for fad diets and well-meaning hype about the next new (or old) superfood, and all the conflicting information can be overwhelming. THREE CODING & COMPLIANCE TIPS FOR 2021 The most common codes affected will be 99202, 99203, 99212, and 99213. The changes will remove the burden of tallying up key components and instead allow providers to choose E/M levels based on either decision-making or time. CPT code 99201 will be deleted on 01/01/2021. The time ranges are as follows: 99202: 15-29 minutes. 99203: 30-44minutes.
NEW DOCUMENTATION GUIDELINES FOR EXAMINATIONS The new guideline allows the entire documentation history to be done by the patient or patient’s family member or staff member. The provider must review the information and update or supplement, as necessary. The documentation also must clearly note that the review was performed. Change #2: When reporting services for established E/Mvisits
BILLING & CODING FOR WELLNESS SERVICES Dr. Kotlar is Certified in CPT Coding, Certified in Healthcare Compliance and has been helping chiropractors nationwide with billing, compliance, coding and documentation for over 10 years. Target Coding can be reached at 1-800-270-7044, website – www.TargetCoding.com, email – info@targetcoding.com. WHEN SHOULD RE-EXAMINATIONS BE PERFORMED? Question: Dr Kotlar, “I’m not sure when a re-examination should be performed. I’ve heard that re-exams should be done every 30 days. On some patients, I do not do re-exams at all. Some health plans deny my re-exams because they only pay for one exam per year and Medicare doesn’t pay for re-exams. Skip to main content Enable accessibility forvisually impaired
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THE NETWORK THAT WORKS FOR DOCTORS AND PATIENTSIT’S A WIN-WIN.
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ChiroHealthUSA by the Numbers Providers in the Network5,403
… and Growing
Patient Families Covered956,650
… and Growing
Donated to Chiropractic$2,340,838
… and Growing
Upcoming Chiropractic Webinars ▶︎ See More Webinars THE ROLE YOUR SLEEPING POSITION MAKES ON THE HEALTH OF YOUR SPINEPresented by
Peter Martone
Tue 6/08/2021
2:15 pm ET
Cost: FREE
HOW TO APPEAL DENIALS & SCRUB EOBSPresented by
Dr. Marty Kotlar
Tue 6/15/2021
2:15 pm ET
Cost: FREE
DISCLOSURES
* Most States
* California Residents THIS DISCOUNT MEDICAL PLAN IS NOT INSURANCE, A HEALTH INSURANCE POLICY, MEDICARE PRESCRIPTION DRUG PLAN OR QUALIFIED HEALTH PLAN UNDER THE AFFORDABLE CARE ACT. THIS PLAN (THE PLAN) PROVIDES DISCOUNTS ONLY ON CHIROPRACTIC SERVICES OFFERED BY PROVIDERS WHO HAVE AGREED TO PARTICIPATE IN THE PLAN. THE RANGE OF DISCOUNTS FOR MEDICAL OR ANCILLARY SERVICES OFFERED UNDER THE PLAN WILL VARY DEPENDING ON THE TYPE OF PROVIDER AND PRODUCTS OR SERVICES. THE PLAN DOES NOT MAKE AND IS PROHIBITED FROM MAKING MEMBERS’ PAYMENTS TO PROVIDERS FOR PRODUCTS OR SERVICES RECEIVED UNDER THE PLAN. THE MEMBER IS REQUIRED AND OBLIGATED TO PAY FOR ALL DISCOUNTED CHIROPRACTIC SERVICES AND EQUIPMENT RECEIVED UNDER THE PLAN, BUT WILL RECEIVE A DISCOUNT ON CERTAIN IDENTIFIED CHIROPRACTIC SERVICES FROM PROVIDERS IN THE PLAN. THE DISCOUNT MEDICAL PLAN ORGANIZATION/DISCOUNT PLAN ORGANIZATION IS ALLIANCE HEALTHCARD OF FLORIDA, INC., 5005 LBJ FREEWAY, SUITE 1500, DALLAS, TX 75244-6186. YOU MAY CALL 1-888-719-9990 FOR MORE INFORMATION or click herefor a list of
providers. The Plan will make available before purchase and upon request, a list of program providers and the providers’ city, state and specialty, located in the member’s service area. The fees for The Plan are specified in the membership agreement. The Plan includes a 30-day cancellation provision. Note to MA consumers: The plan is not insurance coverage and does not meet the minimum creditable coverage requirements under M.G.L. c. 111M and 956 CMR 5.00. Not available for sale in the state of Washington. THIS DISCOUNT MEDICAL PLAN IS NOT INSURANCE, A HEALTH INSURANCE POLICY, MEDICARE PRESCRIPTION DRUG PLAN OR QUALIFIED HEALTH PLAN UNDER THE AFFORDABLE CARE ACT. THIS PLAN (THE PLAN) PROVIDES DISCOUNTS ONLY ON CHIROPRACTIC SERVICES OFFERED BY PROVIDERS WHO HAVE AGREED TO PARTICIPATE IN THE PLAN. THE RANGE OF DISCOUNTS FOR MEDICAL OR ANCILLARY SERVICES OFFERED UNDER THE PLAN WILL VARY DEPENDING ON THE TYPE OF PROVIDER AND PRODUCTS OR SERVICES. THE PLAN DOES NOT MAKE AND IS PROHIBITED FROM MAKING MEMBERS’ PAYMENTS TO PROVIDERS FOR PRODUCTS OR SERVICES RECEIVED UNDER THE PLAN. THE MEMBER IS REQUIRED AND OBLIGATED TO PAY FOR ALL DISCOUNTED CHIROPRACTIC SERVICES AND EQUIPMENT RECEIVED UNDER THE PLAN, BUT WILL RECEIVE A DISCOUNT ON CERTAIN IDENTIFIED CHIROPRACTIC SERVICES FROM PROVIDERS IN THE PLAN. THE DISCOUNT MEDICAL PLAN ORGANIZATION/DISCOUNT PLAN ORGANIZATION IS ACCESS PLANS USA, INC., 5005 LBJ FREEWAY, SUITE 1500, DALLAS, TX 75244-6186. YOU MAY CALL 1-888-719-9990 FOR MORE INFORMATION or clickhere for a list of
providers. The Plan will make available before purchase and upon request, a list of program providers and the providers’ city, state and specialty, located in the member’s service area. The fees for The Plan are specified in the membership agreement. The Plan includes a 30-day cancellation provision. Note to MA consumers: The plan is not insurance coverage and does not meet the minimum creditable coverage requirements under M.G.L. c. 111M and 956 CMR 5.00. Not available for sale in the state of Washington. 250 Katherine Drive, Flowood, MS 39232 ● Phone: (888) 719-9990 ● Fax: (888) 685-2220 ● info@chirohealthusa.com Office Hours: Monday - Friday 8:00 AM - 4:30 PM CST* About
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HOW IT WORKS
▶︎ Once you’ve answered a challenge question correctly, you will receive one prize entry for that question. ▶︎ You can receive a maximum of 10 entries meaning you have answered all 10 questions correctly. ▶︎ You may take the challenge as many times as you like until you answer all 10 questions correctly. ▶︎ For full official rules and prize disclosures, CLICK HERE.
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WHY $11,181?
Why is the Discount Challenge prize amount $11,181? Because that is the average “per-occurrence” fine for Medicare inducements. That’s not $11,181 per patient, that’s not per provider, that’s PER VISIT. Stinks, doesn’t it? To us, the prize amount is worth the investment if we can help our profession better understand properdiscounting.
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