ICD 10 Preparation
- Transition timelines; preparing for October 1st
- Common acupuncture codes mapped from ICD9 to ICD10
- Common acupuncture codes that are not part of ICD9
- Important pitfalls to avoid (How to properly use A, D or S for strain and sprain)
- Tips for navigating the transition with ease
- Using the new codes to your advantage
Health Care Reform (Obama Care)
- 2015 Mandates
- Where acupuncture fits in your state
- What Care-Exchange plans do pay acupuncturist for
- Equality provision 2706 non-discrimination. What it does and how to enforce even in non-exchange plans
Insurance
- Understanding insurance and its role in enhancing an acupuncture practice
- Specific acupuncture protocols & policies for coding and reimbursement Aetna BC, BS, Cigna, United Health care et al
- Know the plans that are acupuncture friendly
- Step by step protocol- Verification, billing and collection
- Pros and Cons of being an âin networkâ provider for the insurance
Cash Practice Integration
- Cash discounts- what is legal in your state
- Pre-payment plans
- Hardships
- Super Bills â proper use and format
Documentation
- Documentation requirements for acupuncture, physical medicine and evaluation management codes
- Timed vs untimed services and what is required
- Use and implementation of outcome assessment forms to demonstrate medical necessity
Workers Compensation
- 2015 Fee updates – common codes and fees
- Acupuncturists role in the workersâ compensation â Predesignation & MPN
- Updated procedure limits
- Updated multi-procedure provider reduction and how it increases reimbursement
- Step by step authorization and guidelines for acupuncture and Workersâ Compensation
- Updated 1500 claim form requirements specific to Workersâ Compensation
Medicare
- How to get a denial from Medicare to send to a secondary with acupuncture benefits
- Personal Injury
- How to manage and evaluate a PI claim to ensure reimbursement
- Supreme court rule on fees when health insurance is billed in a PI claim
- Med Pay & Excess Med Pay and the role of managed care
- Proper diagnosis for the personal injury claim
- Common errors in justifying PI claims
- How to manage a PI a claim when an attorney is involved
Schedule
No Events