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

Free Webinar "EHR Stimulus - Why Moving Now Matters"

Free Webinar "EHR Stimulus - Why Moving Now Matters"
Newsletter
July 10, 2013

The EHR Stimulus payout amount will soon drop! Simply participate in our free webinar to learn how easy it really is to get your EHR stimulus check in the full amount*.
Join ChiroTouch and Dr. Gary Street “Medicare Guru” to learn about this government program. We will also have a Q&A with other practices that have gone through the process in 2012 and have received their checks.
Don’t lose out! Join our free webinar and:
• Learn what steps you can take to qualify for your EHR Stimulus funds
• Learn what your EHR system needs to provide
• Hear from chiropractors who have already attested and received their funds
• Get the latest developments on the EHR Stimulus Program
Thousands of chiropractors have received their five-figure checks from the EHR Stimulus Program - And more chiropractors have received their funds using ChiroTouch than any other software solution in chiropractic!
*Maximum payouts based on current ARRA EHR Stimulus Program

Thursday, July 11th, 10:00 AM Pacific/11:00 AM Mountain/12:00 PM Central/1:00 PM Eastern Time
Registration, follow this link: https://www2.gotomeeting.com/register/223233354

NOW IS THE TIME – DO IT TODAY!

Questions – If you have questions, or simply need information, give me a call and I will do my best to help you. This is probably the most important decision of your Chiropractic career!
Plan to attend our future Seminars:
Thursday, July 25th 1:00 to 5:00 pm
St. Louis, MO at the Hampton Inn, Westport
Call our office (618) 395-3800 to register

Going Paperless

Newsletter
May 22, 2013
Chiropractic Medicare
"Going Paperless Made Simple!"

If you have not become paperless yet, please consider making that move quickly. The final window of opportunity closes the last day of September, so you have 90 days of "meaningful use" prior to 2014. That means you need to be moving on this NOW. To make the whole thing simple, you must purchase or have a certified software.

A certified software will lead you though the process step by step. We have been using ChiroTouch for 18 months. It’s an excellent software written by Chiropractors for Chiropractors. After 44 years of S.O.A.P note writing...it’s wonderful.

We "attested" last year, have received our first incentive payment in January....NO more paper. To make the whole thing simple...The Software. There are several out there for sale. I just know about ChiroTouch. If you have questions in regard to attesting or ChiroTouch, give me a call.
More info on the CMS (Centers for Medicare and Medicaid Services) Medicare EHR Incentive Program:
https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/downloads/Beginners_Guide.pdf

(EHR) DO IT NOW!!!

Newsletter
March 19, 2013
Chiropractic Medicare
(EHR) DO IT NOW!!!

The Medicare Electronic Health Record (EHR) Incentive Program is still alive and well. Incentive direct deposits are taking place across the country in the amount of up to $18,000.00 for those who have successfully attested for 2012.

The amount of your incentive payment depends on when you began participating in the program. The incentive payment is 75% of your Medicare allowed charges up to a maximum annual cap.
"The total maximum incentive amount that you can be paid under the Medicare EHR Incentive Program is $44,000 over five consecutive years of program participation. As you can see, you receive the maximum incentive by starting in 2011 or 2012 . If you don’t start by 2014, you are not eligible to receive any incentive payment under the Medicare EHR Incentive Program." -Page 15 of "An Introduction to the Medicare EHR Incentive Program for Eligible Professionals" found here: (https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/downloads/Beginners_Guide.pdf)

Example: If you attested before the end of 2012, you have received up to $18,000.00 incentive money in your checking account. If you continue Electronic Health Records in 2013, you will receive another deposit in your checking account in the amount of up to $12,000.00. When you continue for 2014, you will receive another deposit of up to $4,000.00 and if you continue in 2015, you will receive up to a final $2,000.00 deposit.

If you start now and attest in a timely manner this year, you will receive up to $12,000.00, next year for 2013, and up to $8,000.00 in 2015 form 2014. If you wait to attest in 2014, you have waited to long, and then in 2016 you will begin receiving cuts in your Medicare fees and probably other health insurance fees for the rest of your practicing years. Those that are doing Electronic Health Records presently will continue receiving increases in the fee structure instead of cuts.

How do you begin? First, is your office software certified? If it is, then call your software company and get it going. DO IT NOW! It's later than you think! If your office software is not certified look for one that is and get going. We have used Chirotouch for over one year and love it. If you have an interest in Chirotouch give me a call and I can save you some bucks.

***NEW***

D.D. Palmer wrote "The Chiropractor" booklets each month, 1904 thru 1908. Those are what B. J. Palmer used to create the first Chiropractic Book in 1906. We now have those "The Chiropractor" booklets in two (2) large books. If you like history, these are a must! Call me or send an email for more information.

IMPORTANT DEADLINE 12-12-12 FOR PQRS

Newsletter
December 11, 2012
IMPORTANT DEADLINE 12-12-12 FOR PQRS
(Physician Quality Reporting System)

 

The Chiropractors in our Chiropractic profession have worked for over 100 years to help Chiropractic grow and be accepted by the public. We have been very successful in being included into insurance plans, Medicare, Medicaid, PPO's, etc. However, now that we are in Medicare we have to meet qualifications and demands by the Federal Government to take part in reporting certain quality measures due to healthcare reform.

Please see link to the CMS Website for more information about PQRS (Physician Quality Reporting System):
 https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/downloads/2012PQRS_SatisfRprtng-Claims_Final508_1-13-2012.pdf

To determine if you are eligible to participate in PQRS:  
https://www.cms.gov/PQRS

Even though it is a voluntary program with incentives, it is also a program that will take away from your future earnings if you do not participate.

My guess is about 5 Chiropractors out of every 25 are participating in PQRS. This is NOT A GAME! This is serious business! We are going into the final window of opportunity.

The Physicians Quality Reporting System (PQRS), was introduced by the Centers for Medicare and Medicaid Services, and a new part of healthcare reform. The program created in 2007, established a financial incentive to eligible healthcare professionals to participate in a voluntary quality reporting program. Providers who participate and report quality measures receive a 0.5% payment incentive.

Why is it so important? CMS recently ruled that providers not successfully participating in PQRS by 2013 reporting period (January 1 - December 31, 2013), will have their Medicare reimbursement decreased by 1.5% beginning in 2015, and 2% in 2016. The 2012 reporting period is the last opportunity providers have to voluntarily participate.

It is easier than you think. However, it requires a certified software company to walk you through the paces. Please follow the links and get informed.

Learn, Compliance, Paperless & Attestation

Newsletter
October 22, 2012
Chiropractic Medicare
Learn, Compliance, Paperless & Attestation
Now is not the time to procrastinate!  If you plan on being in Chiropractic practice in 2015....listen up!  You have a choice.  Either get with it or get ready to retire!

Now that I have your attention, here are the steps necessary to wade through this Medicare process.  The process is not as extreme as first impression. 

1. Learn the correct way to do Chiropractic Medicare.  If you do not do Medicare correctly, all else will not be effective.  If you have attended our presentation or have our Chiropractic Medicare DVD & booklet, review the DVD and start doing Medicare correctly.
2. The Federal law says we must become Medicare Compliant. Follow this link: http://www.cms.gov/Medicare/Medicare-Contracting/MedicareContractingReform/Downloads/compliance.pdf  They provide seven (7) categories we must respond to by creating a Medicare Compliance Program and procedures in your practice.
3. Electronic Billing and Going Paperless
1. Nearly all Chiropractic offices are billing Medicare electronically. If you are not, you are going to be left behind and soon will be cut in Medicare reimbursement. Call your Medicare carrier, ask the carrier to help you bill electronically and follow their guidelines. Do not put it it off another day.
2. Going paperless is fabulous as long as you have a good Chiropractic software in your practice. I use Chirotouch software. This software leads you through the process of becoming paperless. I have to say, after doing written notes for forty-four (44) years, it is absolutely great to make a few clicks on the computer and not only have S.O.A.P. notes completed, but also produce "Documentation" by Federal Standards for Medicare, PI, etc.
4. Attestation: Once you have used and learned the software and follow the specific programs in the software, you will be ready to "attest" as to following the guidelines of a paperless practice. The government will now pay you an incentive dollar amount in direct proportion as to the number of Medicare visits you have. Learn more about the EHR Incentive Program. Remember....only the use of Certified EHR (those that meet specific federal standards for Meaningful Use) can qualify for incentive payment.  Do you know if your software is qualified? Follow this link: http://oncchpl.force.com/ehrcert

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

      

Federal Incentive Payments for Implementing Electronic Health Records (EHR)

*****

Newsletter

September 10, 2012

Chiropractic Medicare INCENTIVE

Federal Incentive Payments for Implementing Electronic Health Records (EHR)

Did you know Chiropractors are eligible for up to $44,000.00 each from Medicare? So far $16.5 million has been paid to Chiropractors.  Well over 2000 Chiropractors have been paid, some even the last installment.

You must Attest Meaningful Use in a continuous 90 day period within that calendar year.  In subsequent years, after a providers first year, the reporting period is the entire calendar year. For more information follow this link: https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/downloads/Beginners_Guide.pdf

In other words, you must register this month, so you have October thru December of this year for EHR Meaningful Use.  You can still be eligible to receive the full $44,000.00 incentive by implementing EHR in your practice no later than October 3, 2012 and performing meaningful use for just 90 days in your first year.

It makes no difference as to Participating or Non-participating Provider.  If you submit claims for Part B covered services, you are eligible.  If you successfully register and demonstrate meaningful use of a certified Electronic Health Record, your incentive payment will be based on all services allowed under Part B, regardless of your participation status or whether you have accepted assignment on those claims.

Remember....only the use of Certified EHR (those that meet specific federal standards for Meaningful Use) can qualify for incentive payment.  Do you know if your software is qualified? Follow this link: http://oncchpl.force.com/ehrcert

I am so fortunate to be using ChiroTouch software that has it together.  
Questions?  Give me a call (618) 395-3800.

The Federal Incentive Payments Program is helpful, but remember you must know the correct way to do Chiropractic Medicare and also become Medicare Compliant. Once the correct way to do Medicare is understood, you are half the way. 

REMEMBER....
You are required to become Medicare Compliant prior to 2013.        
December is coming quickly.  

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

Newsletter

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

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

Newsletter

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 23^rd, 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

Step 1 of the 7 Mandated Steps to Becoming Medicare Compliant

Newsletter

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

Chiropractic Medicare Compliance Guide & CD of Forms ~Newsletter 12/12/11

Newsletter
December 12, 2011

Chiropractic Medicare
Compliance Book & CD Ready for 2012
We are taking orders!

Dear Doctors and Staff,

It is finally completed!  After 2 1/2 months of late nights, hard work, critical thinking and research, "The Basics" Chiropractic Medicare Compliance Guidebook and CD are finished.
Most of my fellow Chiropractors are aware we "must be in Medicare Compliance" by the end of 2012.  Our Medicare Compliance Program is ready. Just add your office data, names, address and a few additional personnel changes, then print the policies, procedures, guidelines, etc., that have already been completed for you.

Knowing the importance of learning the correct way to do Medicare by federal standards and becoming Medicare Compliant is the important thing to do in Medicare in 2012.  We have a program and its ready to be implemented in your office. My Compliance Guide will save you and your staff hours of hard work. (I know that for a fact!)

REMINDER NOTE:  We are presently in the window to change your Medicare provider status. You can change to Participating Provider or to Non-participating Provider, the time to do that is NOW!

Are YOU Knowing the Correct Way to Chiropractic Medicare Compliance? ~Newsletter 11/25/11

Newsletter
November 25, 2011
Chiropractic Medicare Compliance, HIPAA and
Knowing the Correct way to do Medicare

Dear Doctors and Staff,

Having spent hours, this and last month, working on documents, forms, data, office policies,and reports necessary to become Medicare Compliant in 2012, it should be completed and ready to go by November 30th.

Two points of interest:
   1.  After going through ALL the "stuff" required by federal law - I can't imagine very   many offices will prepare this themselves.
   2.  The fee we have set to sell this program is worth every dime!

The manpower, critical thinking and production of the Chiropractic Compliance Program material is staggering, let alone, understanding and producing all the different office policies for all the different categories each office must produce.  If done correctly, the implementation of the Medicare Compliance Program, with self-audits and all the policies, will have a positive effect on the Chiropractic Error Medicare Rate.

Those Chiropractors that do not go through or implement this program will stand out like a sore thumb and I am sure will be in prime position for audits from their specific Medicare carriers.

There are three (3) specific areas we chiropractors must understand and implement in our practices:
1. Learning the correct way to do Chiropractic Medicare ("The Basics" Chiropractic Medicare DVD and Booklet)
2. Protecting patient Personal Health Information (Chiropractic HIPAA book and CD)
3. Chiropractic Medicare compliance with written policies to prevent fraud and abuse in the Medicare program (Chiropractic Compliance Program book and CD)

The most profound problem we Chiropractors face is the lack of knowledge of how the Chiropractic Medicare actually functions and what is specifically  needed to "document" the Chiropractic necessity of care. (Not S.O.A.P. notes)  If you become Medicare compliant, as mandated by 2012, and still make errors in "documentation"....you have gained nothing.

Recommendation: 
For those D. C's and staff that have attended our seminars, or have purchased our Chiropractic Medicare DVD, consider ordering our NEW Chiropractic Compliant CD & book. You are on the safe road for Chiropractic Medicare Compliance!

For those D.C.'s that do not have, or know about "The Basics" Chiropractic Medicare DVD or our Seminars, we have put together a bundle so you can get all the important information at a very good cost. Please call me for more information 618-395-3162 or 800-MY-CHIRO.

Regards,
Dr. Street

Electronic Billing Electronic Health Records (EHR) ~ Newsletter October 31, 2011

Newsletter
October 31, 2011
Chiropractic Medicare
Electronic Billing
Electronic Health Records(EHR)

Dear Doctors and Staff,

Electronic Billing and Electronic Health Records (EHR) are here to stay.  If you have procrastinated and presently still doing paper claims...Listen up!

We are in a window right now that requires an ACTION STEP.  You have ONLY 60 days to call an Electronic Billing Company (contact your Medicare Carrier for references and/or fellow Chiropractors already on billing software), get the program up and running in your practice.  Make sure the software is the certified X12 version 5010 software that can handle ICD-10 Codes.

Those that are using electronic billing, your software company should be preparing to upgrade from 4010 A1 software to x12-5010 software.  They should contact you with the new downloads, do testing to be sure all is functioning like it should, PRIOR to January 1, 2012.  If they have not called or contacted you with a time for update, YOU call them.  Do NOT put it off....Call today!

Electronic Health Records (EHR) is going to take place.....with or without you.  The time is quickly getting here where we must know and follow the Medicare guidelines....Perfectly.  Every Chiropractor will be audited in 2012 and by 2015, audits will be part of the regular Medicare program built into your Electronic Health Records and overseen by your own in house monitoring.  Everything is on a time line.  If your interested in the CMS incentive of up to $44,000.00 and if you plan on being in practice in 2015......you need to get going TODAY!

FIRST....Learn the mandatory rules in Chiropractic Medicare.  You can review our "The Basics" Medicare DVD and booklet or order it today.

SECOND....If you are electronic billing presently, call your company asking about the 5010 upgrade.  If your not doing electronic billing....make it happen QUICK!

If you have questions...give me a call!  I will soon have a "Chiropractic Compliance Handbook" ready to help my fellow chiropractors and staff with becoming compliant in Medicare and Electronic Health Records transition.