Description: This course is designed to provide chiropractors and their teams with the knowledge and skills to effectively advertise their services on social media while ensuring compliance with relevant regulations and guidelines including HIPAA. This 1-hour course will cover essential topics such as understanding advertising regulations and creating compliant ad content.

Participants will gain practical insights and strategies to maximize the impact of their social media advertising efforts while staying within legal and ethical boundaries.

Course Objectives:

• Understanding the rules and regulations.
• Examine social media advertising in healthcare while ensuring compliance with HIPAA guidelines.
• Discuss and review legal considerations for social media in healthcare.

Outline:

• Familiarizing with relevant regulatory bodies and guidelines
• Key legal considerations for social media advertising
• Identifying prohibited claims and misleading statements
• Incorporating testimonials and reviews within regulatory boundaries
• Using visuals and graphics in compliance with copyright and licensing
• Learning from real-life examples of compliant advertising practices

The Ethics of Personal Injury

2 CEs

Educational Objectives

 1. Explain why personal injury should matter to chiropractic offices, along with the roles and common missteps (fouls) of patients, attorneys, medical providers, insurers and others in this practice segment.

2. Going over documentation procedures and strategies that are value drivers for personal injury, as well as those that harm PI cases.

3. Help providers understand the federal No Surprises Act (NSA): its rules, including patient consent, good faith estimates (GFEs), and dispute resolution process; and the consequences of non-compliance.

4. Share best practices for achieving win-win outcomes with patients and attorneys

Expected Outcomes 

• Able to spot and potentially stop missteps (fouls), intentional or otherwise, committed by the various players in personal injury.
• Understanding the importance of documentation in personal injury and the unique aspects presented by this practice segment, and how to improve.
• Education and compliance knowledge about the NSA’s consent and GFE requirements, and regulatory disclosure and documentation mandates, along with the risks of non-compliance.

Course Overview

Personal injury is the only industry segment where chiropractic is the #1 lead medical  specialty – the first medical provider most auto collision patients see.  It also is often the best paying segment of a medical practice because of the ability to be paid at or near full out-of-network rates. Personal injury has several players – patients, attorneys, medical providers, and insurance adjusters – with differing motivations and common missteps that pose issues, risks and problems.  The documentation processes that providers employ in PI not only can protect them, but provide a value driver for the good attorneys as well as protecting them from the difficult attorneys. The latest documentation mandate and exposure is found in the No Surprises Act, federal legislation to prevent surprise medical billings. The NSA is something chiropractic must gain the knowledge and compliance or run the risk of fines, waived bills or reimbursements to patients.

This course will help providers better understand personal injury, the opportunities presented, as well as how documentation is a critical cog and must be approached in a unique manner. Providers will learn how to avoid the pitfalls that can legally and financially damage their medical practice and how to protect their practices. In the end, there is a way to approach documentation and personal injury so that everyone can win, and the provider can take advantage of the personal injury highway.

Course Outline

Hour 1: Why PI and the Players involved, as well as the documentation nuances and missteps for insurers, patients and attorneys.

Hour 2: The documentation and missteps for chiropractors in personal injury, as well as the new documentation mandate of the No Surprises Act. Also how personal injury can be a win-win.

Course Description:

Join a dynamic panel of industry leaders as they provide expert insights into the most pressing issues in insurance, coding, compliance, and documentation. This session, moderated by Rachel Wendt, DC will feature a robust discussion with Kristi Hudson, CPCO, Evan Gwilliam, DC MBA QCC CPC CCPC CPMA CPCO AAPC Fellow, Kathy Weidner, MCS-P, CPCO, CCPC, CCCA, Colleen Auchenbach, DC, MCS-P, CPMA, and Michael Coates, Esq.. Attendees will gain a deeper understanding of how to navigate the complexities of these critical areas to ensure best practices and avoid common pitfalls in their chiropractic practices.

Learning Objectives and Outline:

 This will be a roundtable discussion for 1-hour that will be moderated by Rachel Wendt.

 1. Identify and discuss key updates in insurance, coding, processes and compliance regulations and areas where chiropractors are subject to attack that impact chiropractic practices in an open roundtable discussion.

2. Apply expert recommendations to enhance processes, compliance and coding in everyday practice.

3. This panel will also feature a Q&A session to take questions from the audience on what common issues and challenges they are facing. This panel gives them an opportunity to ask the experts in an open dialogue.

In this riveting presentation, Dr. Evan Gwilliam, certified coder and auditor, and Senior Vice President of Practisync, will show you how to give payers, state boards, attorneys, and anyone else who wants to know exactly what they need when it comes to diagnosis coding and documentation.  There are lots of ICD-10 rules, but they don’t all apply to the codes that chiropractors use.  Learn the important ones.  There is a right and wrong way to document for diagnoses.  Find out all the best tips in this presentation.

Objectives

• Master ICD-10 rules that can make your records better
• Learn the secrets of documenting and coding for the top diagnoses used by chiropractors
• Document diagnoses like a peer reviewer by creating a diagnostic statement

 Course Outline

• Hour 1 – ICD-10 rules, conventions, and guidelines
• Hour 2- Documentation strategies for the top codes used by chiropractors

Program Description:

Hold on to your seat as Dr. Colleen Auchenbach, certified Compliance Officer and Director of Education for KMC University dives into her experience with an Office of Inspector General (OIG) audit. She will share with attendees the story of actual events that she lived through and what she learned that you must know. Compliance is a necessary part of doing business in healthcare. Providers must respect the boundaries of fraud, waste, and abuse. In this presentation, Dr. Colleen will establish what it means to have an effective OIG Compliance program and share what you may experience when you do not take the time to implement one.

Learning Objectives:

At the end of this program attendees will be able to:

• Identify the OIG regulations and oversight that apply to chiropractic and their teams
• Recognize the risk factors that regulators look for in an audit
• Apply the seven elements of a compliance program to your practice
• Develop an action list to begin implementing an OIG Compliance Program for your clinic

The topic of Medicare generates the highest volume of questions that come into help desks throughout the profession. The list of biggest practice headaches shared in surveys always starts with Medicare. Medicare basics are taught again and again, but it is difficult to dive deeper into the complex, often confusing regulations about Medicare. This session will assist providers and team members with the complicated and often convoluted aspects of this high-risk program. Finally, understand the nuances that will allow your Medicare patients to be cared for effectively while staying on the right side of the regulations and rules. This session will cover all the new rules as well as everything you ever wanted to know about the topic.

Learning Objectives

Hour 1

• Demonstrate the needed components to recognize Medical Necessary Care vs. Clinically Appropriate

• Identify CMT coding trends and indicators as they relate to medical necessity
• Properly manage treatment effectiveness for exacerbations and reoccurrences

• Determine Proper Diagnosis and Assessment for Federal Patients
• Acknowledge and audit CMT coding ratios to evaluate the potential risk

Hour 2 

• Identify Dually Eligible Individuals (QMB) and Understand How Medicare Works with Medicaid
• Ascertain the practice’s obligations for QMB patients regardless of Medicaid participation or coverage
• Provide accurate and legal advance notice to dually eligible individuals within the new guidelines

• Recognize the differences between acute, chronic, and maintenance care and how that affects billing and charges

• Duplicate Medicare financial rules and collections guidance into a process within the practice

Description:

Sometimes the fear of what third parties might do can get in the way of taking care of patients. In this presentation, based on the vast experience of chiropractic rock stars Kathy Weidner, Dr. Evan Gwilliam and Dr. Colleen Auchenbach, you will find out how best to manage the most common worries on providers’ minds. We will discuss what auditors and reviewers are looking for so that you are aware of your risk areas. You will learn what makes you an audit target and how to communicate medical necessity more effectively to allow you to focus on your practice.

Objectives:

• Identify most common audit triggers
• Have a formula for documenting medical necessity
• Create goals that support the care provided
• Understand the new HIPAA laws effective January 1, 2025