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Risk Management and Malpractice - Chiropractic Assistant


Risk 137

Minimizing Risk by Preventing Medicare Improper Payments


1.0

$20.00 USD

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  • Distinguish between fraud, waste and abuse
  • Utilize your Medicare Local Coverage Determination (LCD)
  • Describe how a “reactive” approach to compliance with these guidelines may place you risk for penalties, fines, and potential conviction
  • Follow critical compliance requirements for minimum, mandatory, annual self-audits and chart reviews
  • Detect common billing protocols that are red-flags for third-party auditors and chiropractic boards of examiners

Kathy Mills Chang, MCS-P, CCPC

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Risk 136

Managing Risk Using the 2018 OIG Chiropractic Portfolio


1.0

$20.00 USD

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  • Be able to identify the definitions of Fraud, Waste and Abuse and how they may show up in day-to-day practice
  • Become aware of the source of overpayments, including not-medically necessary care, maintenance care, and active treatment
  • Apply the guidance from the OIG to your state and carrier regulations since they are a resource to these groups
  • Recognize insufficient documentation and incorrect coding before the billing takes place
  • Implement the action steps recommended by the OIG to eliminate incorrect documentation, billing and coding practices to reduce compliance risk

Kathy Mills Chang, MCS-P, CCPC

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Risk 135

Record Retention and Disposal and the 18 PHI Identifiers


1.0

$20.00 USD

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  • Identify the 18 PHI Identifiers
  • Awareness of other HIPAA related documentation and the appropriate retention period
  • How to confirm retention period for healthcare records
  • Recognize required security measures and their value to practice risk management
  • Implement policy and protocol for compliant and secure disposal of records

Kathy Mills Chang, MCS-P, CCPC

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Risk 134

Risk Management - Social Media and Cloud Computing


1.0

$20.00 USD

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  • Understand what social media really is and what it means to your practice
  • Identify the benefits and the risks of social media
  • Find out what state boards and other governing entities have to say about social media being used in healthcare facilities
  • Recognize the boundaries of social media in healthcare
  • Learn how to implement an effective and appropriate social media policy to protect the provider, the employees and the patients
  • Improve your understanding of the “cloud” along with the benefits and risks of cloud computing
  • Apply your knowledge of the cloud as you make decisions and policies for your practice and all content stored or placed onto the cloud

Kathy Mills Chang, MCS-P, CCPC

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Risk 133

Legal Do's and Don'ts All Chiropractors Should Know


2.0

$40.00 USD

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Hour 1

  • 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 2

  • 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.

Peter Van Tyle, Esq

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Risk 132

Protect Your Practice with Innovative Risk Management Techniques


1.0

$20.00 USD

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  • 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

Kathy Mills Chang, MCS-P, CCPC

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Risk 131

Risk Management Considerations of Patient Financial Matters


1.0

$20.00 USD

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

Kathy Mills Chang, MCS-P, CCPC

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