Practice and Payment - American Chiropractic Association

Q&A with NCLC 2018 Presenters: Dr. Kevin Sharp

Practice compliance and success are not diametrically opposed!

After serving as the president of the North Carolina Chiropractic Association, Kevin Sharp, DC, a presenter at NCLC2018, realized that many of the chiropractors in his state lacked a clear understanding of how to effectively code and manage the business side of their practices. Since then, he has devoted himself to teaching thousands of doctors and their staff how to effectively code, document and be compliant in their practices in a way that motivates them. "When you can break down the barriers of this aspect of what we do, doctors can free themselves up to focus on patient care," he writes. "In addition, I show doctors how a compliant practice can be profitable—which many think is diametrically opposed! You can run a compliant practice and make it profitable at the same time."  
Author: Kevin Sharp
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Q&A with NCLC 2018 Presenters: Dr. Jay Greenstein

Presentation Reviews the Relevance of Clinical Practice Guidelines to Better Patient Care and Proper Reimbursement

ACA’s annual meeting, the National Chiropractic Leadership Conference (NCLC), is packed with great educational content and world-class presenters. Join us Feb. 28-March 3 in Washington, D.C., to hear from some of the profession’s most compelling thought leaders. Here we pose several questions to one of our featured speakers: Jay Greenstein, DC. Dr. Greenstein will be speaking about the relevance of clinical practice guidelines.   

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Year End Tax Time Is Here…With New Challenges

Every year, articles are written about tactics to employ and take advantage of before year-end to save on taxes. However, the year 2017 is unique in that tax reform is being proposed right now…and will possibly be passed before the end of the year. The proposed tax plan recently released has a host of changes that, of course, makes some happy and others irate. As characteristic of proposed legislation, the initial release is just that: a starting point for discussion and debate. The final law, if it were to pass, will undergo changes both overtly and covertly via horse-trading in backroom deals and compromise.

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Chiropractors Treating Veterans Asked to Join Referral Network

*Member-Exclusive Content* Chiropractors treating veterans via programs administered through the U.S. Department of Veterans Affairs (VA) were notified recently that they should enroll in a new chiropractic referral network to continue participating in the VA’s Community Care Network (CCN). In its letter to chiropractors, contractor TriWest Healthcare Alliance explained that providers who wish to participate in the “new” Community Care Network must enroll in EmpowerChiro, a chiropractic referral network administered under TriWest. Referrals, appointment scheduling, documentation, claims, codes and reimbursement were also briefly touched upon--leading to questions this blog post seeks to answer.

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Author: Jack Dusik
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You’ve Saved It; Now It’s Time to Spend It Wisely

Consider Your Options for Accessing Retirement Funds and Minimizing the Tax Impact

Time can be your nemesis or friend, depending on when you start your journey. The journey is saving for retirement, and research clearly shows the earlier you start the better your chances of having enough money when you need it most. Conservative estimates have shown that a couple, with their anticipated life expectancies, will require more than $260,000 from age 65 on to cover their medical and healthcare-related expenses. Retirement may be a lauded goal, but getting there, keeping and enjoying what you saved, and leaving a legacy involves some effort!
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MACRA and MIPS: Getting the Big Picture

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) officially ushered in the value-based model of reimbursement, beginning a change to the payment landscape of American health care. But what does this mean to providers? What does it mean overall for you as a chiropractic physician? First of all, we shouldn’t be afraid of the deck being “reshuffled. Anytime there is a change in a system – especially a system that has delayed or avoided change – it becomes ripe for an innovative, landmark transformation.
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Choosing Wisely X-ray Recommendations Reflect Evolving Evidence, Accepted Standards

The first ACA Choosing Wisely® recommendation states: In the absence of red flags, do not obtain spinal imaging (X-rays) for patients with acute low-back pain during the six weeks after the onset of pain. Some doctors of chiropractic may be surprised that ACA included this recommendation. There are many DCs who are committed to delivery of high-quality patient care that currently take or order X-rays on a majority of their patients because they believe that X-rays are a necessary component of the examination process. There are a number of reasons why this is the case.

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11 Reasons Why Performance Measurement Matters to the Chiropractic Profession

Long before many of us can remember, there were only two people sitting in the chiropractic treatment room – the patient and the doctor. Gradually, the state licensing boards starting showing up. They were joined by the insurance industry. Then health policy makers like Medicare and Medicaid. Followed by more members of the insurance industry. Then scientists made an appearance, talking about evidence-based clinical practice. Now this already very crowded room may become even more crowded if we open the door to the ever-loudly-knocking performance measurers. We have had time to get at least somewhat used to the state and national boards, insurers, policy makers and even the scientists, to some extent. But what is performance measurement and how might it be beneficial to the practice of chiropractic?  
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Selling Your Practice: Valuation and Practical Advice

Selling a practice can be a stressful event. Most DCs are so focused on healing patients they don’t have the time for, or the interest in, learning about business valuation. How do you sell a practice? Is it time-consuming? Expensive? Are lawyers required? How do you find the right buyer? How do you determine a fair price? For some chiropractors, this process may seem so daunting it is simply easier and less stressful to put off the decision. The good news is that selling a practice is not as arduous as it may seem. 

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Pros and Cons of MACRA: It’s a Business Decision

ACA and Best Practices Academy team up to provide education on value-based reimbursement.

Having had the opportunity to speak across the nation regarding the new Medicare quality payment program, I soon realized how emotionally charged our colleagues are about the concept of “one more thing.” One more thing…added to the list of all the other things we have to deal with or at least should deal with; but that, frankly, our profession isn’t dealing with. What am I talking about? Regulations that affect the healthcare industry, and we are in the crosshairs because we are health care professionals, defined as “physicians” in many states (including Medicare) and our practices are affected by it. This cold, hard fact rings true for many practices that have experienced post-payment audits and recoupments, HIPAA violations with fines and public reporting. 

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