OptumHealth Providers Only - Chiropractic Doctor

Risk 131 - 133
4.0

Hour 1
  • Utilize proper compliant documentation
  • Evaluate federal guidelines regarding discounting and/or hardship
  • Apply guidelines to ensure accuracy for both active and maintenance treatment

Hour 2

  • Analyze charges and documentation on a daily or per visit basis to ensure accuracy and compliance
  • Compile accurate and comprehensive responses to documentation or record requests
  • Recognize and avoid confusing HIPAA privacy issues that can cost you time and money
  • Identify key areas that lack written policies causing increased risk in the practice
  • Evaluate your current written procedures and appraise the need for additional content

Hour 3

  • Identify various types of billing irregularities and impact on healthcare expenditures.
  • Distinguish upcoding from bundling within the context of irregular billing schemes.
  • Demonstrate how and when exceeding a state’s scope of practice becomes “the unauthorized practice of medicine.”
  • Explain the restrictions states’ scopes of practice place on healthcare providers’ authority to treat and diagnose patients.
  • Discuss how invoicing unrendered medical services impacts third-party payers.
  • Interpret chiropractic boards’ positions on testimonial advertising and how best to comply.

Hour 4

  • Identify what constitute a false claim under the False Claims Act.
  • Discriminate a kickback from a self-referral.
  • Trace how anti-kickback legislation arose and examine its prohibitions.
  • Explain the enactment of Stark legislation arising on the heels of anti-kickback bans.
  • Assess providing nutritional counsel within the context of “the practice of medicine.”
  • Evaluate identity theft and its impact on patients, providers and the cost of healthcare.
  • Discriminate between illegal copayment waivers from proper hardship waivers.
  • Discuss court cases instancing successful prosecution of healthcare fraud.

Course Group includes all Risk Courses numbered 131 thru 133

multiple

Adobe PDF Download
Android Compatible
AudioVisual Course
Iphone/Ipad Compatible

$48.00 USD

Nutrition 145 - 146
4.0

Hour 1 - 3
  • Discuss the role of diet in causing and preventing various diseases, particularly chronic diseases.
  • Describe methods used to assess nutrition status.
  • Explain how dietary recommendations are formulated.
  • Incorporate nutritional information into clinical practice and advise patients about eating for optimum health as well as using dietary change as a therapeutic intervention
  • Evaluate the benefits and risks of nutritional recommendations for specific health conditions through an analysis of the existing scientific and clinical evidence

Hour 4

  • Investigate the importance of nutrient deficiencies
  • Review the role of essential nutrients in human health
  • Analyze the interaction between nutrients and various illnesses
  • Ascertain the role herbs have in health and disease
  • Understand drug and nutrient interactions

Course Group includes all Nutrition Courses numbered 145 thru 146

multiple

Adobe PDF Download
Android Compatible
AudioVisual Course
Iphone/Ipad Compatible

$48.00 USD