More info

For more information on how to bill Chiropractic Medicare please visit http://www.chiropracticmedicare.com/



Thank you for your interest!

Tuesday, April 30, 2019

Chiropractic Medicare Good Bye…. May 2019


Chiropractic Medicare Good Bye…. May 2019

After 35 plus years of providing Chiropractic Medicare information, answers to thousands of chiropractic Medicare questions plus lots of printed materials, DVD’s and CDs to help my fellow chiropractors and their Staff with Medicare…. It’s time to retire.
In doing so, I sincerely “thank” those that have attended “The Basics” Chiropractic Medicare Seminars all over America. It has been fun and exciting, plus, we have been in every major and many small towns in America.
“Thank you” to the Chiropractic Colleges, and Chiropractic State Associations who so kindly gave to me speaking engagements for their membership.
I will be ending my broadcast Chiropractic Medicare E-mail in 30 days, however you may have an interest in some Chiropractic Medicare and Chiropractic History materials before they disappear, especially since none of this information will be available for our profession in the future.
We still have considerable items in stock…. when they are gone, they are gone. These items will do me no good upon retirement so I am making them available to my fellow chiropractors so they don’t go to waste and at a great discounted fee (up to 75% off).

Items Remaining…. for 30 days:
1.) “The Basics” Chiropractic Medicare Program booklet and DVD
2.) “The Basics” Chiropractic Office Fundamentals Book 12th. Edition
3.) Chiropractic Medicare Audits and Appeals DVD and booklet
4.) Chiropractic HIPAA Forms and CD ready to use
5.) Medicare Chiropractic Compliance Book and CD ready to implement

SPECIAL:
Bundle #4.)  Chiropractic Medicare DVD and Booklet, The Basics Office Fundamentals Book, HIPAA book and CD, Par or Non-Par CD. 
Bundle #5.) The Basics Chiropractic Medicare booklet and DVD, and The Basic Chiropractic Medicare Compliance Book and CD ready to implement.

Other Specials… Chiropractic History:

D.D. Palmer’s Early Years, The Discovery of Chiropractic Presentation book and CD (includes a copy of “Sweet Home” New Boston, Illinois Historic Tour)

Zarbuck’s Chiropractic History. Collected Chiropractic History collected and written by Merwyn V. Zarbuck, D.C. including the historic Chiropractic Parallax. A real collectors piece for any chiropractor interest in chiropractic history. 

Super Special: Only place this Chiropractic History collectors item is available!
            First, D.D. Palmer put together small paper booklets called “The Chiropractor” and later B. J. Palmer continued publishing “The Chiropractor” that was used to produce the first Chiropractic Green Books (even though it was red). Those Palmer booklets are now available as Volume I and Volume II., “The Chiropractor” 1904 to 1906. (These will never be available again after 30 days)

“The Chiropractor” D.D. Palmer Volume 1 and “The Chiropractor” B. J. Palmer Volume II 1904 to 1906 

To order:
Call  1-800-692-4476   You may use: Visa, MasterCard and Discover or paypal.
All items will be available for 30 days or until stock is depleted.

Thank you everybody!!








Wednesday, February 20, 2019

Seminar in February 2019

New Seminar date!

Date: Thursday, February 21, 2019 Cancelled
Time: 1:00 PM - 5:00 PM
Location: O'Fallon, Illinois
Location address:
 Hilton Garden Inn O'Fallon

For questions please call: (618) 395-3162

Wednesday, May 23, 2018

June 2018


     Take a few minutes to go to your specific Medicare Carrier website to review and download your carrier’s Local Coverage Determination (LCD).  Even though you have done that in the past....your carrier may change their guidelines at any time.
      Some have been through audits and may have several patients you need to go through for the Appeals process.  You should have received a letter informing you of the invitation to submit an interest for the Low Volume Appeals Settlement.  So....instead of letting the time line pass and lose your appeal opportunity....go to the website they sent to you and follow their specific guidelines.

      Medicare is a good Chiropractic program as long as you know and follow the rules!

***New Seminar Date for June 2018!***


Date: Thursday, June 28, 2018
Time: 1:00 PM - 5:00 PM
Location: Carmel, Indiana
Location address:
 Holiday Inn Express
 9797 North Michigan AVE
 Carmel, IN 46032
Hotel phone: (317) 735-1687 for direction purposes only
To register or for questions please call: (618) 395-3162

Tuesday, October 3, 2017

Seminars in Washington and Oregon

Date: Saturday, November 4, 2017
Time: 8:30 AM - 12:30 PM
Location: Portland, Oregon
Location address:
 Radisson Hotel Portland Airport
 6233 NE 78th CT
 Portland, OR 97218
Hotel phone: (503) 251-2000 for direction purposes only
To register or for questions please call: (618) 395-3162


Date: Thursday, November 2, 2017
Time: 8:30 AM - 12:30 PM
Location: Pacific, Washington
Location address:
 Quality Inn & Suites
 415 Ellingson Road
 Pacific, WA 98047
Hotel phone: (253) 288-1916 for direction purposes only
To register or for questions please call: (618) 395-3162

Friday, June 9, 2017

Seminar in Indiana

Date: Saturday, June 24, 2017
Time: 8:30 AM - 12:30 PM
Location: Mishawaka, Indiana
Location address:
Courtyard by Marriott
4825 N. Main Street
Mishawaka, IN 46545
Hotel phone: 574-273-9900 for direction purposes only
To register or for questions please call: (618) 395-3162

Wednesday, November 2, 2016

Medicare Carriers, and LCDs, oh my!

Have you been to your Medicare Carrier’s website yet? Each state has a Medicare Administrative Contractor (MAC) with specific Jurisdictions. You should be familiar with it by now. If not, please go there today. You can find your Carrier by Googling your state name with “Medicare Part B” or going to the CMS link below:

https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Review-Contractor-Directory-Interactive-Map/

First item to research about your carrier, find your LCD or Local Coverage Determination. If you think all chiropractors in all states follow the same Medicare Guidelines, you are only half right! The Medicare Carriers determine the LCD by their own interpretation of the guideline. This is extremely important as of October 1, 2015. Unless you have been living under a rock, you know that we are using ICD-10 codes now and with that change came a brand new LCD. Make sure you know the codes you are allowed to use.

Second important item to know is your Carrier has an online portal. Whether you are a Participating or Non-Participating Provider, you can use their portal. It is a fantastic tool. You can get patient eligibility verification, duplicate remittance advice, submit corrections, submit re-determinations, check status of appeals, send a secure inquiry to the Carrier and receive a response within the portal. 

End of Year 2016 Seminars

~~~ End of Year 2016 Seminars  ~~~

Date: Thursday, December 1, 2016
Time: 1:00 PM - 5:00 PM
Location: O'Fallon, Illinois
Location address:
Country Inn & Suites
116 Regency Park
O'Fallon, IL 62269
Hotel phone: 618-622-8600 for direction purposes only
To register or for questions please call: (618) 395-3162


Date: Saturday, November 19, 2016
Time: 8:30 AM - 12:30 PM
Location: Portland, Oregon
Location address:
 Holiday Inn-Portland/Airport
 8439 NE Columbia Blvd.
Portland, OR 97220
Hotel phone: (503) 256-5000 for direction purposes only
To register or for questions please call: (618) 395-3162


Date: Thursday, November 17, 2016
Time: 6:00 PM - 10:00 PM
Location: Mukilteo, Washington
Location address:
 Staybridge Suites
9600 Harbour Place
Mukilteo, WA 98275
Hotel phone: (425) 493-9500 for direction purposes only
To register or for questions please call: (618) 395-3162


Date: Thursday, November 17, 2016
Time: 8:30 AM - 12:30 PM
Location: Pacific, Washington
Location address:
 Quality Inn & Suites
 415 Ellingson Road
Pacific, WA 98047
Hotel phone: (253) 288-1916 for direction purposes only
To register or for questions please call: (618) 395-3162

Wednesday, May 18, 2016

June 2016 Seminars




Date: Saturday, June 11, 2016
Time: 8:30 AM - 12:30 PM
Location: Mishawaka, Indiana
Location address:
 Holiday Inn Express
420 University Drive
Mishawaka, IN 46545
Hotel phone: 574-277-2520 for direction purposes only
To register or for questions please call: (618) 395-3162

*and*


Date: Thursday, June 19, 2016
Time: 1:00 PM - 5:00 PM
Location: Indianapolis, Indiana
Location address:
 Hampton Inn - Downtown 
105 S Meridian Street
Indianapolis, IN 46225
Hotel phone: (317) 261-1200 for direction purposes only
To register or for questions please call: (618) 395-3162

Friday, October 2, 2015

November 2015 Seminars

Date: Thursday, November 19, 2015
Time: 1:00 PM - 5:00 PM
Location: Indianapolis, Indiana
Location address:
 Hampton Inn - Downtown 
105 S Meridian Street
Indianapolis, IN 46225
Hotel phone: (317) 261-1200 for direction purposes only
To register or for questions please call: (618) 395-3162


Date: Saturday, November 14, 2015
Time: 8:30 AM - 12:30 PM
Location: Portland, Oregon
Location address:
 Holiday Inn-Portland/Airport
 8439 NE Columbia Blvd.
Portland, OR 97220
Hotel phone: (503) 256-5000 for direction purposes only
To register or for questions please call: (618) 395-3162


Date: Thursday, November 12, 2015
Time: 6:00 PM - 10:00 PM
Location: Mukilteo, Washington
Location address:
 Staybridge Suites
9600 Harbour Place
Mukilteo, WA 98275
Hotel phone: (425) 493-9500 for direction purposes only
To register or for questions please call: (618) 395-3162

Date: Thursday, November 12, 2015
Time: 8:30 AM - 12:30 PM
Location: Pacific, Washington
Location address:
 Quality Inn & Suites
 415 Ellingson Road
Pacific, WA 98047
Hotel phone: (253) 288-1916 for direction purposes only
To register or for questions please call: (618) 395-3162

Friday, August 21, 2015

New York Seminar 2015

Date: Thursday, September 17, 2015
Time: 1:00 PM - 5:00 PM
Location:  Farmingdale, New York

Location address: Office of Dr. Beth A. John
341 Conklin Street
Farmingdale, NY 11735
Office phone: (516) 249-2310 for direction purposes only
To register or for questions please call: (618) 395-3162

Tuesday, August 18, 2015

Chiropractors Transitioning from ICD-9 to ICD-10

August 17, 2015
Chiropractic Medicare 2015ICD-10 Change and Easy Transition

     As we approach the ICD-10 deadline, let us do a little preparation so the transition from ICD-9 to ICD-10 is easy. First question..... How many of you wish to become Coding Experts? I suspect NONE want to become Coding Experts.... so you will enjoy this article and it may even take a little pressure off.

     Secondly, to really take a little pressure off, CMS (Centers for Medicare & Medicaid Services Office of the Administrator) presented a letter to all Medicare Providers dated July 7, 2015 that contains a paragraph as follows:

    “For 12 months after ICD-10 implementation, Medicare review contractors will NOT deny physician or other practitioner claims billed under the Part B physician fee schedule through either automated medical review or complex medical record review based solely on the specificity of the ICD-10 diagnosis code as long as the physician/practitioner used a code from the right family.  However, a valid ICD-10 code will be required on all codes starting October 1, 2015” 

     That clearly means that after October 2015 NO ICD-9 codes may be used on any claim, not only to Medicare, but all insurances.  The transition must be 100%.  Prior to October 1, 2015, NO ICD-10 code are acceptable.  Wednesday evening, September 30 will be the end of ICD-9 codes forever.

     To prevent delays in payment, it is important to bill all your Medicare and insurance claims as quickly as possible prior to October 1, 2015.  So Thursday morning, October 1, 2015, all your patient diagnosis must be changed as you see the patient and do their S.O.A.P. notes.  If you bill each day electronically, make sure no ICD-9 codes appear on any claims.

     All certified software have special migration programs making it much easier to switch to ICD-10.  ChiroTouch, as an example, uses ICD-10 wizard in the diagnosis window to practice matching your present diagnosis with the new ICD-10 diagnosis.  Even though you are adding new ICD-10 diagnosis prior to October 1, no permanent changes go into the official records or any claim prior to October 1, as it is designed for practice only.

 As Chiropractors, remember, we are not reimbursed in Medicare to “treat” patient symptoms, but to locate and correct vertebral subluxations.  Your diagnosis should be a Chiropractic diagnosis with subluxations, degenerative joint disease, sprain/strain, neuritis, etc.  Practice makes perfect.....and we will soon get used to it. 



Help! My patient has Medicare and Medicaid, what do I do?

From time to time our office receives this question. You are a Non-participating chiropractor, your patient has Medicare and Medicaid, and you are unsure how to bill. 

Remember: ALWAYS BILL MEDICARE FOR A COVERED SERVICE. As a chiropractor, the only covered service in Medicare is the manual manipulation. However, the question was how to bill, so let's get to that.

As a Fee-For-Service Non-participating Provider in Medicare, you must accept assignment on a patient with Medicare Medicaid. You are allowed to collect unmet deductibles for Medicare. (Most of the time we take a small monthly payment plan for these individuals to meet that as they are on a budget.) They are on a fixed income and have met certain income criteria to be on the federal programs, no matter what the age. You must bill the covered service (the chiropractic adjustment) and mark box 13 as signed and 27 as accept assignment. For all other services you provide (that are not covered such as x-rays and therapies) make sure to have them sign the ABN notifying them at the time that these are not covered services, you are not required to bill those, and you may collect payment for those services.

Reference for Medi-Medi payment/billing requirements: (https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/Medicare_Beneficiaries_Dual_Eligibles_At_a_Glance.pdf)
            "Assignment - You must accept assignment for services furnished to dual eligible beneficiaries. Assignment means that you are paid the Medicare-allowed amount as payment in full for all Part B claims for all covered services for all Medicare beneficiaries. You may not collect from the beneficiary any amount other than the unmet deductible and coinsurance. Prohibited Billing Under Section 1902(n)(3)(B) of the Social Security Act, as modified by Section 4714 of the Balanced Budget Act of 1997, Medicare and Medicaid payments you receive for furnishing services to a QMB are considered payments in full. You may not balance bill QMBs for any Medicare cost sharing (including deductibles, coinsurance, and copayments) for these services. You are subject to sanctions if you bill a QMB for amounts above the Medicare and Medicaid payments (even when Medicaid pays nothing)."

Reference for covered services: (https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/bp102c15.pdf)
            "30.5 - Chiropractor’s Services (Rev. 23, Issued: 10-08-04, Effective: 10-01-04, Implementation: 10-04-04) B3-2020.26 A chiropractor must be licensed or legally authorized to furnish chiropractic services by the State or jurisdiction in which the services are furnished. In addition, a licensed chiropractor must meet the following uniform minimum standards to be considered a physician for Medicare coverage. Coverage extends only to treatment by means of manual manipulation of the spine to correct a subluxation provided such treatment is legal in the State where performed. All other services furnished or ordered by chiropractors are not covered. If a chiropractor orders, takes, or interprets an x-ray or other diagnostic procedure to demonstrate a subluxation of the spine, the x-ray can be used for documentation. However, there is no coverage or payment for these services or for any other diagnostic or therapeutic service ordered or furnished by the chiropractor. For detailed information on using x-rays to determine subluxation, see §240.1.2. In addition, in performing manual manipulation of the spine, some chiropractors use manual devices that are hand-held with the thrust of the force of the device being controlled manually. While such manual manipulation may be covered, there is no separate payment permitted for use of this device."


Reference for ABN use: (https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/Chiropractors_fact_sheet.pdf)
                "Option #2: A beneficiary selects option #2 when s/he agrees to pay out of pocket for the service in question and does not want a claim sent to Medicare. In accordance with the ABN, the provider would not file a claim, and the beneficiary would not have appeal rights since no claim is being submitted. (Please note that the patient can change his/her mind at a future time and request the claim be submitted.)"

Tuesday, July 28, 2015

ICD-10 Migration and Episode Care

Chiropractic Medicare 2015
1.  ICD-10 Migration
2. Episode Care


1.  ICD-10 Migration
     On October 1, 2015 the ICD-9 Code sets used to report medical diagnosis and inpatient procedures will be replaced by ICD-10 code sets.  Those using certified software should be compatible with both ICD-9 and ICD-10. Your software company will provide tools to change over to ICD-10 and have the training for the provider to properly code.  If you have questions about your software being able to "Migrate to ICD-10" please call your software company TODAY.
     If you are not paperless, you may wish to print out the ICD-10 codes for your review.  It will print over 60 pages.  As you review, you will soon see very few of the ICD-10 codes will be used in your practice. Review the list and mark your codes.
     The problem for our profession is real. Somewhere around eleven thousand of the 60 thousand practicing Chiropractors became paperless and Medicare compliant.  For those not using certified software, be prepared for major delays in reimbursement by Medicare and insurance companies.  I strongly recommend having ALL your billing up-to-date prior to October 15th of this year.

2.  “Episode”
     Medicare carriers are now reviewing Chiropractic care by “Episode” units.  I have no problem with that. Our job in Medicare is NOT treating patient symptoms, but correcting vertebral subluxations.  As long as you practice like a Chiropractor in Medicare.....the fewer problems you will have. YOUR SUCCESS AND SECURITY IS UP TO YOU!    
     Be a Doctor of Chiropractic........Remember, always tell the truth!   

2015 August and September Seminars



Date: Thursday, August 6, 2015

Time: 1:00 PM - 5:00 PM
Location: Rockford, Illinois

Location address:
 Hilton Garden Inn Rockford 
7675 Walnut Street
Rockford, IL 61108
To register or for questions please call: (309) 732-3233

*********


Date: Thursday, September 10, 2015

Time: 1:00 PM - 5:00 PM
Location: Princeton, Indiana

Location address:
 Hampton Inn Princeton 
107 S Richland Creek Drive
Princeton, IN 47670
Hotel phone: (812) 385-2400 for direction purposes only
To register or for questions please call: (618) 395-3162

*********

UPDATED INFO!

Date: Thursday, September 17, 2015
Time: 1:00 PM - 5:00 PM
Location:  Farmingdale, New York


Location address: Office of Dr. Beth A. John
341 Conklin Street
Farmingdale, NY 11735
Office phone: (516) 249-2310 for direction purposes only
To register or for questions please call: (618) 395-3162


Wednesday, April 29, 2015

Seminar in June

Date: Saturday, June 27, 2015
Time: 8:30 AM - 12:30 PM
Location: Mishawaka, Indiana
Location address:
 Holiday Inn Express
420 University Drive
Mishawaka, IN 46545
Hotel phone: 574-277-2520 for direction purposes only
To register or for questions please call: (618) 395-3162

Friday, March 20, 2015

Seminar in April 2015

Seminar in April 2015


Date: Saturday, April 11, 2015
Time: 8:30 AM - 12:30 PM
Location: Port Byron, Illinois

Location address:
Dr. David Bull's Office
1010 Rose Hill RD
Port Byron, IL 
Location phone: 309-523-3491 for direction purposes only
To register or for questions please call: (618) 395-3162

Wednesday, February 25, 2015

CERT, Audits, and Security Risk Analysis

Newsletter
February 18, 2015
CERT, Audits, and Security Risk Analysis

     Every Doctor of Chiropractic and Chiropractic Corporation having an NPI number received a package from your Medicare Carrier called “CERT & YOU.”  It contained magnetic stickers, a flyer and a DVD.  This information is specifically for we Chiropractors to reduce the CERT error rate by directly engaging and partnering with each doctor to prevent CERT errors.
     “Watch the DVD” and go to your Medicare Carrier website to review “Medicare Policy & Review”.  Take this information serious, review it with the knowledge that we will be access to random audits by not only CERT, but by CMS, your Medicare Carrier with pre and post audits.
     Presently many Chiropractic offices are requested to present their “Security Risk Analysis.”  Review your software for this information.  Your certified software will have all the questions available for you and your staff to complete.  It is basically pretty simple....it just needs to be done.
     The biggest problem with CERT, and other audits, is that most Chiropractors are not doing Medicare correctly, especially documenting the “Chiropractic Necessity of Care”.  If you have attended our presentation or purchased our Chiropractic Medicare DVD....take a moment, review the material given to you and start producing “documentation” as presented....(remember – SOAP Notes are not documentation!)  Those that have our information know what “Documentation” is....use it correctly every Medicare patient visit so when audited, you will be successful.

Thursday, December 11, 2014

Open Enrollment and ICD-10

Newsletter
December 11, 2014
Chiropractic Medicare
"Open Enrollment and ICD-10"
 
2015 Medicare Participation Enrollment period is open, running from mid-November through January 31, 2015. This Open Enrollment Period gives Medicare Providers the opportunity to change their participation status. You can also access your new 2015 Medicare Fee Schedule by going to your carrier’s website.

If you choose to change your Medicare Participation status, you can do so with a certified letter to your Medicare Carrier indicating your change in the Medicare Part B Program effective January 2015. (Those in possession of our Chiropractic Medicare DVD and booklet, see example letter page 42 in booklet.)

CMS has released their final ICD-10 rule, indicating implementation of ICD-10 will occur October 1, 2015 with no further delays.

The implementation of ICD-10 will require us to change the way we called patient data and document in our charts. The change that must occur deals with being more “specific” to the highest degree. The more specific the data collecting and documentation the easier it will be to find the correct ICD-10 code. If you are using a certified software with all of its parts, when your data collecting is complete, your software should be able to do the conversion automatically from ICD-9 to ICD-10. Please make sure to communicate with your certified software company about getting the new ICD-10 codes and training for correct use.

Insurance companies are determining, with clarification from CMS, which specific codes are to be used and acceptable by providers. The key will be specific data collecting on all preliminary forms so that your software can either do the conversion or prompt you for more specificity to choose the correct ICD-10 code. DO NOT WAIT to review your data collecting for “specific” information. If you wait until October 2015 you could have a long spell of no commercial insurance or Medicare reimbursement.

Remember, while preparing for ICD-10 implementation, we must still be doing Medicare correctly. Also, doing Electronic Health Records or “EHR” (being paperless) is only one part of the seven steps necessary to become Medicare Compliant. You can either write your own Medicare Compliance Policy Book activating the requirements in your office, or you may purchase a Medicare Compliance book like you did with HIPAA.

Tuesday, October 7, 2014

November 2014 Seminars

November seminar dates. 4 CE credits available.

Date: Saturday, November 15, 2014
Time: 8:30 AM - 12:30 PM
Location: Portland, Oregon

Location address:
 Holiday Inn-Portland/Airport
 8439 NE Columbia Blvd.

Portland, OR 97220
Hotel phone: (503) 256-5000 for direction purposes only
To register or for questions please call: (618) 395-3162


Date: Thursday, November 13, 2014
Time: 6:00 PM - 10:00 PM
Location: 
Mukilteo, Washington
Location address:
 Staybridge Suites
9600 Harbour Place

Mukilteo, WA 98275
Hotel phone: (425) 493-9500 for direction purposes only
To register or for questions please call: (618) 395-3162


Date: Thursday, November 13, 2014
Time: 8:30 AM - 12:30 PM
Location: Pacific, Washington

Location address:
 Quality Inn & Suites
 415 Ellingson Road

Pacific,  WA 98047
Hotel phone: (253) 288-1916 for direction purposes only
To register or for questions please call: (618) 395-3162

Friday, September 26, 2014

You Must Meet the Requirements for Core Measure #15

I need a Security Risk Analysis? What is that? I get calls from Chiropractors or their staff with this question every week. Here is the information and links to help you better understand Core Measure 15.

But first, from: http://www.healthit.gov/providers-professionals/certification-process-ehr-technologies

“The Office of the National Coordinator for Health Information Technology (ONC) Certification Program provides a defined process to ensure that Electronic Health Record (EHR) technologies meet the adopted standards and certification criteria to help providers and hospitals achieve Meaningful Use (MU) objectives and measures established by the Centers for Medicare and Medicaid Services (CMS).
Eligible professionals and eligible hospitals who seek to qualify for incentive payments under the Medicare and Medicaid EHR Incentive Programs are required to use certified EHR technology.”

Translation: The Certified Software you purchased is required to meet certain criteria in order to be a Certified Technology by the ONC. The job of the software is to help you meet all of the requirements. They are all set up basically the same and have training requirements, video tutorials, how-to documents, and support staff available to you. It is important and necessary to use not only the software but to use the training and support available to your office.

The Core Measure #15, also referred to as “Protect Electronic Heath Information”, or “Security and Risk Analysis”
This Core Measure has been wreaking havoc on Chiropractors. It isn’t a number to report found on your Dashboard. It’s a report or template that should be provided by your software company and completed in your office during the reporting period. A security risk analysis comprises the following parts: Risk Analysis, Risk Management, Sanction Policy, and Information Systems Activity Review. Think of it as an audit of your software and how you and your staff are protecting the fragile information contained therein. It should be easy to get these 4 templates or forms, run the audit, complete the forms, and file them in a safe place. The problem is most offices skip this step, and attest “YES” anyway. Later, when asked by CMS to provide their Risk Analysis they fail to provide and have to pay their incentive back.
The Measure states: “Conduct or review a security risk analysis in accordance with the requirements under 45 CFR 164.308(a)(1) and implement security updates as necessary and correct identified security deficiencies as part of its risk management process.”
Going further, below you will find better description of the 4 things you need:
(From: http://www.gpo.gov/fdsys/pkg/CFR-2003-title45-vol1/pdf/CFR-2003-title45-vol1-sec164-308.pdf)
164.308(a)(1)(i) Standard: Security Management Process. Implement policies and procedures to prevent, detect, contain, and correct security violations.
(ii) Implementation specifications:
(A) Risk analysis (Required)
- Conduct an accurate and thorough assessment of the potential risks and vulnerabilities to the confidentiality, integrity, and availability of electronic protected health information held by the covered entity
(B) Risk management (Required) - Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with 164.306(a). (Link found here:
http://www.gpo.gov/fdsys/pkg/CFR-2010-title45-vol1/pdf/CFR-2010-title45-vol1-sec164-306.pdf)
(C) Sanction policy (Required) - Apply appropriate sanctions against workforce members who fail to comply with the security policies and procedures of the covered entity.
(D) Information system activity review (Required) - Implement procedures to regularly review records of information system activity, such as audit logs, access reports, and security incident tracking reports.
*****
More links regarding Core Measure #15. Some are full of long explanations, but still full of information.  

http://www.hitechanswers.net/meaningful-use-measure-and-hipaa/
http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/SecurityRiskAssessment_FactSheet_Updated20131122.pdf
http://www.healthit.gov/sites/default/files/pdf/privacy/privacy-and-security-guide.pdf
http://www.hhs.gov/ocr/privacy/hipaa/administrative/securityrule/rafinalguidancepdf.pdf
http://www.youtube.com/watch?v=ml4okcBxN6c
http://www.youtube.com/watch?v=1fDvzznChhg