Health Care Reform (Obama Care)
- How it affects your practice
- State by state updates and where acupuncture fits
- Mandatory acupuncture benefits in 5 states
- Equality provision 2707 to pay within scope and non-discrimination (acupuncture, E&M services and physical medicine) Yes it is working and being enforced!
Insurance
- Understand and utilize insurance to increase your patient volume
- Verification, billing, and collection (common forms and format)
- Aetna, CIGNA, Blue Cross Blue Shield, United Health Care et al – Acupuncture protocols for coding and reimbursement
- Understand and resolve common errors that delay or block payment
- Billing for services beyond the 4 acupuncture codes
- Protocols for paper claims, electronic claims, and super bills
Managed Care
- Pros and cons of joining and what you must consider before signing up
- Which are pro-acupuncture and anti-acupuncture
Coding – Procedure and Diagnosis Updates
- ICD9 and ICD10 what is now and what is coming. Common code lists for both code sets
- Evaluation and Management coding – Defining when it is separate from the acupuncture service
- Coding for Tui Na, Gwasha, Cupping, Moxibustion, Massage, Exercise, Heat and physical medicine services
Documentation
- Documentation requirements for acupuncture, physical medicine and evaluation management codes
- Timed vs untimed services and what is required
- How documentation establishes medical necessity
- How, when and why to use standard outcome assessment tools
- Cash
- How to integrate insurance to enhance a cash only practice
- Are cash discounts legal?
- Are prepaid plans legal?
- Hardships?
WORKERS’ COMPENSATION
- Acupuncturist Role in the Workers’ Compensation System
- Can an acupuncturist be a primary provider?
- Specific state regulations and fee schedule for acupuncture where applicable
- Specific claim for requirements unique to workers compensation
- PERSONAL INJURY
- Understand the role and benefits of acupuncture in personal injury
- How to manage the PI claim including Med Pay, PIP, Third Party and Attorney lien claims
- Understand what it takes to get this patient directly and by referral
