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eNews January 2013

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These webinars will be held on Thursdays PST. Dates and times are subject to change without notice. Unable to attend a Webinar in person? No problem! Purchase the CD re cordings and notes via our website and watch them again and again. Additional informa tion regarding the content and registration is available on our website.

webinar iconCalifornia Medicare Part B   course details

DATE: Thursday, February 7, 2013

9:00 am -11:15 am PST - register online
12:30 pm - 2:45 pm PST - register online

webinar iconEssential Coding for the Chiropractic Practice*   course details

DATE: Thursday, February 14, 2013 continued on Thursday, February 21, 2013

9:00 am -11:00 am PST - register online
12:00 pm - 2:00 pm PST - register online

*This webinar is a prerequisite for California Workers' Compensation webinar.

webinar iconCalifornia Personal Injury - course details

DATE: Thursday, February 28, 2013

9:00 am -11:00 am PST - register online
12:30 pm - 2:30 pm PST - register online

webinar iconSystems for Improving Your Collections   course details

DATES: Thursday, March 7, 2013 continued on Thursday, March 14, 2013

9:00 am -11:00 am PST - register online
12:00 pm - 2:00 pm PST - register online

webinar iconCalifornia Workers' Compensation*   course details

DATE: Thursday, March 21, 2013

9:00 am -11:00 am PST - register online
12:30 pm - 2:30 pm PST - register online

*Prerequisite: may be waived for people who have taken the following seminars with Lisa Bilodeau in a hotel setting: Codes, Fees, and EOBS, Intensive Billing and Collections for 2008 or the Chiropractic Insurance Basics. To verify your attendance we will need to have the name of the seminar and the exact date you attended. If requesting a waiver please complete registration form.

Save 15% when you register for all five webinars!

DATE: Thursday mornings starting February 7, 2013

TIMES: Times vary. Exact times are listed above. 5 modules. register online

COST: $540 for first person and $310 for each additional attendee

Registration Deadline: Thursday, January 31, 2013

DATE: Thursday afternoons starting February 7, 2013

TIMES: Times vary. Exact times are listed above. 5 modules. register online

COST: $540 for first person and $310 for each additional attendee

Registration Deadline: Thursday, January 31, 2013


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Acquire essential skills that every office needs to know, plus learn relationship-building techniques that turn patients into loyal, lifetime-referring patients.


ICD-9 Up-Dates are usually released in October. The best way I know of to get the most current information is to join your you MAC's (Medicare Administrative Contractor) List Serve.

2013 CPT, HCPCS Changes, Additions and Revisions - Your MAC may have already provided you with a list of changes. If not, here is the one that I received from Palmetto GBA the MAC here in Northern California.

As always I recommend that you research all codes prior to using them.


ICD-10 as mentioned previously will become mandatory in October of 2014. CMS has developed a variety of educational resources to help Medicare FFS providers understand and prepare for the transition to ICD-10. General information about ICD-10 is available at http://www.cms.gov/Medicare/ Coding/ICD10/index.html on the CMS website.

Several Long Awaited Proposed Health Reform Regulations Released From the ACA Week In Review Dated November 22, 2012: "Several long awaited proposed regulations that govern implementation of the Patient Protection and Affordable Care Act (PPACA) provisions were released by the Department of Health and Human Services (HHS) on Tuesday. These regulations are intended to provide detailed guidance regarding implementation of the 2010 law. Of special note--starting in Jan. 2014--it will be illegal for an insurer to discriminate due to pre-existing conditions in denying coverage. It is estimated that this one provision will provide insurance options for some 129 million Americans. In addition to the pre-existing conditions exclusion, insurers will not be able to discriminate based upon gender, occupation, claims history or health status for the purpose of raising premiums.

Additional Standards were also laid out in this week's proposed rule that relate to issuers' determinations of essential health benefits and their value. PPACA requires payers in the individual/small group markets to include within their plans core essential benefits. ACA is following this development closely and is active nationally on behalf of the profession. Be sure to look for ACA comments on these proposed rules in future editions of Week in Review. If you haven't yet decided to contribute to CHAMP, consider these national proposals and how they will affect you. Follow health care reform here.


2013 Medicare Part B Deductible is $147.00

2013 Medicare Fees - As I am writing this the 2013 fees which were released in November reflect the 27% decrease. It is quite possible that they will increase early in 2013 so it is recommended that you not do your billing for visits in January until we get the final word. To find the fee schedules for your area visit your Medicare Administrative Contract (MAC) website.

PQRS - Just in case you have not heard, beginning January 1, 2013 there have been some major changes that will affect all of us. At the time I am writing this I am waiting for Susan McClelland to up-date the materials for the ACA so that I have correct information on its use in 2013. If you need more information regarding PQRS, please contact your local state association or the American Chiropractic Association.

GP Modifier No Longer Required as of 10/2012. This modifier should not be used on any claims beginning October 1, 2012. The modifier GY will still be used for all the physical medicine codes.

Signature Requirements continue to be a major concern. To learn more about the signature requirements you can read on topics such as "What is required for a Valid Signature?", "What should I do if I haven't signed an order or medical record?", "What is a signature log?", "What if the physician signs the order or progress note, but the signature is not legible?" LEARN MORE

Medicare Summary Notice (MSN) Redesign CR 7676, from which this article is taken, announces that CMS has undertaken a redesign of the MSN, in order to: 1) make the document current and consistent with all applicable statutes and laws; and 2) to render it more easily and widely understood by the beneficiary population that it serves.

In addition, CR 7676 announces that of the 'Medicare Claims Processing Manual' Chapter 21 (Medicare Summary Notices), Sections 10.3-31 (MSN Redesign) has been updated to reflect the new MSN designs. This update is effective with the final implementation of the new designs on January 3, 2013, and will be used to provide guidance on the implementation of these new MSN designs.

Additional Information: You can find the official instruction, CR 7676, issued to your Carrier, FI, A/B MAC, RHHI or DME MAC by visiting this link on the CMS website. You will find the updated 'Medicare Claims Processing Manual' Chapter 21 (Medicare Summary Notices), Sections 10.3-31 (MSN Redesign), and including all of the new (and final) MSN designs as attachments to that CR.


The Online Provider Services (OPS) URL Has Changed. The new Web address, https://www.onlineproviderservices.com/ecx_improvev2/. You may also access OPS from the Palmetto GBA Web site


FAQs regarding SB 863 which the Governor signed the bill into law on September 18, 2012. This FAQ page Topics covered in this FAQ include:
The basics
Independent medical review
Medical care
Qualified medical examiners
Medical provider networks
Independent bill review
Permanent disability benefits
Supplemental job displacement benefits

Division of Workers' Compensation Preparing Balanced Approach to SB 863 Implementation Information on all changes will be posted on website Newsline No. 69-12 The Division of Workers' Compensation (DWC) is on target for implementation of Senate Bill 863's effective date of Jan. 1, 2013. The division is taking a balanced approach that will reflect the bill's intention to balance substantial benefit increases to injured workers with efficiencies and cost savings to employers.

Some aspects of SB 863 will become law on Jan. 1, 2013 without any regulatory action. You are encourage to check the DWC website for frequent updates on SB 863. Once the first parts of the law are implemented on Jan. 1, 2013, the information will reflect the changes and help stakeholders prepare for the next steps in this important reform package. LEARN MORE

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Keeping a Watchful Eye on the Chiropractic Industry

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