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Tuesday, February 28, 2012

Step 3 of the 7 Mandated Steps "Conducting Effective Training and Education"

February 27, 2012
Chiropractic Medicare
"Making the Transition"
Step 3 of the 7 mandated steps

Dear Doctors and staff,

The transition from silent to sound movies was difficult for most silent stars.  In her portrayal of Norma Desmond in "Sunset Boulevard" (1950), Gloria Swanson, once a silent screen actress, captured the bitterness and sadness she and others experienced when talkies emerged. In a famous scene, Norma retorts, "We didn't need voices...we had faces." Charlie Chaplin also clung to the older medium, creating several silent films during the 1930's, a decade otherwise dominated by "talkies."

Silent starlets were Mary Pickford and Lillian Gish, along with Clara Bow and Louis Brooks, never made the "talkies" transition like Greta Garbo, Marlene Dietrich and Jean Harlow.  They just faded away.

All health care providers, including Chiropractors, are facing a transition today. By the end of 2012 we either get with it NOW like Greta Garbo and Jean Harlow or by 2014-15 we will fade away just as Lillian Gish and Clara Bow.  We have known this is coming for several years.  It is here.  It is decision time NOW. Do you plan on being in Chiropractic practice on 2015?

If you do plan on being in a Chiropractic practice, you must become Medicare Compliant and prepare to become paperless in your office functions.

Step #3 in Becoming Medicare Compliant:

Conducting Effective Training and Education
Your Compliance Officer, under the direction of the Contractor (owner/doctor) shall develop training for new employees/staff and doctors.  Refresher training should re-emphasize Medicare statutory, regulatory and contractual requirements and the contractors (Doctor's) Code of Conduct.  Compliance training shall be presented by the Compliance Officer or designated staff in a specific procedure issue.  Specific training subjects for both formal and informal training will be specified by the Compliance Officer under the direction of the Contractor.
The purpose of these seven (7) steps in Chiropractic Medicare Compliance is to stop fraud, abuse and errors.  As you will see the program is extremely effective.  Next week we will cover item # 4, "Auditing and Monitoring Risk Areas" as mandated by the government.

Have questions? Give Dr. Street a call today at (618) 395-3800.

Spring 2012 Seminar Schedule:

 *Thursday, March 22, 2012
1:00 pm - 5:00 pm at
 Staybridge Suites - St. Louis, MO
To Register Call:  (618) 395-3800

Tuesday, February 21, 2012

Step 2 of the 7 Mandated Steps "Medicare Compliance Officer (CO)"

February 20, 2012
Chiropractic Medicare
Step 2 of the 7 Mandated Steps

Dear Doctors and Staff,

Someone in your office must become a "Medicare Compliance Officer". Either the doctor or a key staff!

You and your staff must produce "Essential Duties" for a Compliance Officer (CO) and have written compliance policies and procedures developed with the assistance of a Compliance Committee which directs the operation of the Compliance Program especially the Medicare duties and responsibilities.

The Compliance Officer (CO) is the point-of-contact for all employees to assure all are compliant in Medicare.  The Compliance Officer (CO) is also the company "watch dog".

You will need to designate a secure, but accessible, area as your "Compliance Department".  There you will be able to receive confidential communications from staff and conduct internal investigations.

The "Compliance Officer" is expected to gain and maintain a thorough understanding and appreciation for Federal, State and local laws, rules and regulations relating to the commitment to comply with all applicable statutory, regulatory and Medicare program requirements.

Next week we will cover item # 3, "Conducting Effective Training" as mandated by the government.

Knowing the importance of learning the correct way to do Medicare by federal standards and becoming Medicare Compliant are two important things for your office today!

Have questions? Give Dr. Street a call today at (618) 395-3800.

Spring 2012 Seminar Schedule:

*Thursday, February 23rd, 2012
8:00 am to 2:00 pm
Utah Chiropractic Physicians Association
Salt Lake City, Utah
Chiropractic Medicare, Medicare Compliance, and a bit of Chiropractic History

*Thursday, March 22, 2012
1:00 pm - 5:00 pm at
 Staybridge Suites - St. Louis, MO
To Register Call:  (618) 395-3800

Tuesday, February 14, 2012

Step 1 of the 7 Mandated Steps to Becoming Medicare Compliant

February 13, 2012
Chiropractic Medicare
Step 1 of the 7 Mandated Steps

Dear Doctors and Staff,

With the negative reports from the office of the Inspector General in regards to the poor track record of Chiropractors "documenting" the Chiropractic necessity of care along with the high rate in billing Medicare claims, we now find ourselves having to deal with a "mandatory" Medicare Compliance Program.

To stop errors, fraud and abuse in Medicare, Chiropractors and staff are requested to begin the Medicare Compliance Program.  A step by step procedure with time lines for compliance and information regarding Electronic Health Records Incentive Program.

If you choose not to become Medicare Compliant, by the year 2014 you probably will not have any Medicare patients and will lose a large number of Insurance Company privileges.

Centers for Medicare and Medicaid Services are preparing to implement the combination of HIPAA, protecting personal health information, along with addressing the high error rates, fraud and abuse in Medicare.  In doing so, each provider is required to bill electronically using ICD-10 codes uploaded onto a server clearinghouse also compliant using 5010 software.

As you proceed through this process, keep aware of the time lines and testing necessary to get to the next step.  Consider the incentive to be successful in both financial and protective of you and your patient's personal health information.

Step 1 of the 7 Mandated Steps:
a.       Written Policies and Procedures.
b.      Developing a written Standards of Conduct.
c.       Written Duties and Responsibilities of Management by (Owner/Doctor).
d.      Compliance Officer, Essential Duties.
e.       Compliance Committee and Duties.
f.        Retention of Records and Information Systems, Policy, Information,   
                                                               i.      General Guidelines.
g.       Compliance Element Policy, Meeting and Managers Annual Performance
                                                               i.      Evaluation.

The GOOD NEWS is we have this all completed in our Chiropractic Medicare Compliance Book and CD. The CD contains all the policies, procedures, detailed compliance training, reporting systems, disciplinary guidelines and policies, corrective action and self-audit procedures.  Our Medicare Compliance CD is in both Publisher and Word docs, ready for your staff to download, review and personalize for your Medicare Compliance.

If you have questions, please give me a call 618-395-3162. ~Dr. Street

Wednesday, February 8, 2012

Three Important Areas

February 8, 2012
Chiropractic Medicare
Three Important Areas We ALL MUST become Proficient In!

Dear Doctors and Staff,

This is the year for Chiropractors in Medicare.  Last year the Inspector General indicated that out of 100 claims filed to Medicare by Chiropractors, 67 had errors.  They believe they have overpaid Chiropractors by millions. With that in mind, nearly every Chiropractor filing Medicare claims will be audited in 2012.

There are three key areas in which we must be prepared:

First, we must know the correct way to provide great Chiropractic care to our seniors and document by federal standards. You must know the correct way to do Chiropractic Medicare!!! If you don't know the correct way to do Medicare an audit will be devastating.

The second area of our concern is HIPAA (i.e. knowing how to protect personal Health Information in your office, developing your in-house HIPAA policies, procedures and training.)

The third area of concern is becoming Medicare Compliant. By the end of 2012 each and every Chiropractic office must be aware and prepared for the seven (7) areas of compliance set by the Federal Government.

We offer many helpful items to help with these areas to help you get prepared. If you have questions, comments, concerns about Chiropractic Medicare, please give me a call at 618-395-3800.

Warmest regards,
Dr. Street