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eNews September 2014

In this issue:

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LATE SUMMER & FALL WEBINAR SCHEDULE: Systems for Building A Successful Practice

These webinars will be held on Tuesday PT.
Dates and times are subject to change without notice.

webinar iconEssential Coding for the Chiropractic Practice

DATE: Tuesday, September 23, 2014 continued on Tuesday, October 7, 2014

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

COST: $177.00 for first person and $107.00 for each additional attendee

Cost includes seminar handouts for each paid team member and shipping and handling costs for the notes. If registration is received after the registration deadline the handouts can be sent overnight for an additional fee.


COST: $107 per attendee per module or Save 10% and pay $385 when the same person attends all four modules.

webinar iconModule I - Practice Building Principles & Systems     course details

DATE: Tuesday, October 21, 2014

9:00 am -10:45 am PST register online
12:00 pm - 1:45 pm PST - register online

Registration Deadline: Friday, October 17, 2014

webinar iconModule II - Scripts for Success     course details

DATE: Tuesday, October 28, 2014

9:00 am -10:45 am PST register online
12:00 pm - 1:45 pm PST - register online

Registration Deadline: Friday, October 24, 2014

webinar iconModule III - The Power of the Front Desk     course details

DATE: Tuesday, November 4, 2014

9:00 am -10:45 am PST register online
12:00 pm - 1:45 pm PST - register online

Registration Deadline: Friday, October 31, 2014

webinar icon Module IV - Dream Team Power Tools     course details

DATE: Tuesday, November 11, 2014

9:00 am -10:45 am PST register online
12:00 pm - 1:45 pm PST - register online

Registration Deadline: Friday, November 7, 2014

Save 10% when you register for all four modules.

Four modules 9:00 am - 10:45 am PST
Tuesdays starting October 21, 2014 -- register online

Registration Deadline: Friday, October 17, 2014

Four modules 12:00 pm - 1:45 pm PST
Tuesdays starting October 21, 2014 -- register online

Registration Deadline: Friday, October 17, 2014

* First Year DC, Chiropractic Student Discounts and multiple attendee discounts available.

Additional information regarding the content and registration is available on our website.

Unable to attend a Webinar in person? No problem!
Purchase the CD recordings and notes via our website and watch them again and again.


(DVD and Workshop Package)

CLEARANCE $100.00 while supply lasts.


I will be teaching "Billing, Coding and Documentation" at Life Chiropractic College-West

  • Sunday, September 28, 2014
  • Saturday, December 13, 2014

You can received Continuing Education Units for these classes. Additional information at http://www.lifewest.org/. Don't forget to register your C.A.s, too.

2014 California Intensive Coding & Collections DVD Training Package is now available for purchase. Previously recorded webinars and materials and forms on DVDs plus webinar handouts for all five webinars. A total of 14.25 hours of instruction. Includes binder with notes in addition to the DVDs

  • Essential Coding for the Chiropractic Practice
  • Systems for Improving Collections
  • California Personal Injury
  • California Medicare Part B
  • California Workers' Compensation

Save 15%! Buy the complete California Intensive Billing & Collections Webinars DVD Package

Buy all five webinars and save 15%! Or purchase just the webinar(s)you want at our online store.


What Are Aetna's Policy Regarding Physical Therapy Services and Complementary and Alternative Medicine?
- Curious? Learn more and more.


ICD-10 Delayed Again
- The new implementation date is October 1, 2015. This will provide you with additional time to up-date your software and learn all that you can about ICD-10 so that you are ready to use the new codes in October of 2015.

Use of the New 1500 Claim Form Version (02/12) Maybe Required by Non-Medicare Contractors
- As previously mentioned in the Spring 2014 issue all paper claims submitted to Medicare must be on this version of the claim form. Some other third party payor are now requiring the use of this this version for claims as well. If you are submitting claims electronically and your software doesn't accommodate the new version, your clearing house may be reformatting your claims to the new version of the CMS-1500 form on your behalf with or without your knowledge.

Modifier -59
- If you have ever had a carrier deny a claim whether it was related to the use or improper use of the modifier -59 this link will provide you with information regarding the history and rules. Don't let the word Medicare stop you from reading this article because many third party payors use these edits to deny payments. Learn more.

Herb Supplements Are the Most Common Complementary Medicine in US
- By Rachael Rettner, Senior writer | April 16, 2014 03:04am ET "Herbs and other dietary supplements besides vitamins are the most commonly used type of "complementary medicine" (also called alternative medicine) in the United States, followed by visits to chiropractors, yoga and massage, a new report finds." Read more.


NEW 2014 Fee Schedule Effective For Services on or After July 1, 2014 - On June 6, the Centers for Medicare and Medicaid Services (CMS) issued notification regarding updates to the 2014 Medicare Physician Fee Schedule Database (MPFSDB) that will go into effect on July 1, 2014. Included in the updates were new fees for Chiropractic Manipulative Treatment (CMT) codes 98940, 98941, and 98942. Check your Medicare Administrative Contractor's (MACs) website for the new fees. (The new fee schedule was not obvious on my MAC's website. I found it after the 2014 fee schedule under "Updates and Announcements")

Following the completion of the Chiropractic Medicare Demonstration Project in March 2007, CMS determined that the costs of this demonstration were higher than expected and they were required to recover $50 million over a 5-year period by deducting 2% from payments for chiropractic services. CMS has now determined that the costs are fully recovered; therefore, effective for dates of service on or after July 1, 2014, the 2% reduction for CPT codes 98940, 98941, and 98942 has been eliminated. Learn more.

New PQRS Remittance Advice Remark Codes - Effective April 1, 2014 if you are an eligible professionals (EPs) participating in the Physician Quality Reporting System (PQRS) you will notice new Remittance Advice Remark Codes (RARC) when receiving their Explanation of Benefits (EOBs) Centers of Medicare and Medicaid Services (CMS) changed the RARC to differentiate between whether a provider is billing their Quality Data Code(s) (QDCs)/PQRS G-code(s) as a zero dollar line item or $0.01 item. EPs that bill the G-codes with a zero dollar line item will see the new RARC code N620, which reads, "This procedure code is for quality reporting/informational purposes only," instead of N365. N620 is your indication that the PQRS codes were received into the CMS National Claims History (NCH) database. EPs that bill the G-codes with a $0.01 will see the new RARC N572 indicating that this procedure is not payable unless non-payable reporting codes and appropriate modifiers are submitted. In addition to N572, the remittance advice will show Claim Adjustment Reason Code (CARC) CO or PR 246 (This non-payable code is for required reporting only). Learn more.

EHR Incentive Programs: Changes in Stage 1 Meaningful Use Criteria - If you are participating in this program there were some changes on January 1, 2014 that you need to be aware of and they can be found at here.

I have attended several of the EHR webinars that have been presented by Future Health and have found them to be extremely useful in learning about the various stages and up-dates that are constantly happening. Addition information can be found on their website.

CMS Proposed Rule: Potential EHR Meaningful Use Timeline Modifications - On May 20, the U.S. Department of Health and Human Services (HHS) published a new proposed rule that would provide eligible professionals (EPs) more flexibility in how they use certified electronic health record technology (CEHRT) to meet meaningful use requirements. Recognizing that many software vendors are having a difficult time making the necessary changes to get their electronic health record (EHR) products certified and then getting their customers upgraded to the 2014 Edition CEHRT under the current timetable given in the 2014 Edition final rules, the newly proposed rule from the Centers for Medicare and Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC), would let providers use their prior 2011 Edition CEHRT or a combination of 2011 and 2014 Edition CEHRT for the EHR reporting periods in 2014. In January 2015, all EPs would still be required to report using only a 2014 Edition CEHRT for the entire year. The proposed rule also includes a provision that would formalize CMS and ONC's previously stated intention to extend Stage 2 through 2016 and begin Stage 3 in 2017. Click here to keep reading.


Check Your Medicare Application Status On-Line - Whether you have submitted your application on-line through PECOS or sent a paper application into Noridian, you can now check the application status here.

July 1, 2014 Up-Dated Fee Schedule can be found here. Look in the section BELOW the 2014 section and BEFORE the 2013 section. Find the words "UPDATES AND ANNOUNCEMENTS" then click on the file MPFSDB Fee Updates effective 7/1/14 per CMS CR 8773 [XLS]


WCAB, DWC Issue New Forms, Document Types and Titles for E-form and OCR Filers - Newsline No.: 2014-43 Date: May 12, 2014 The Workers' Compensation Appeals Board (WCAB) and the Division of Workers' Compensation (DWC) have created a new form and made modifications to two existing forms for use in the Electronic Adjudication Management System (EAMS). The new and modified forms will be posted on DWC's website. The changes were necessitated by SB 863. The forms are:

  • DWC-CA 10214 a-1 [Stipulations with Request for Award (Rev. 4/2014)]
  • DWC-CA 10208.3 [Declaration of Readiness to Proceed (Expedited Trial) (Rev. 4/2014)]
  • DWC-CA 10232.2 [Document Separator Sheet]

Learn more.

DIR Reduces Fees for Independent Medical Review, Independent Bill Review by 25% - Newsline No.: 2014-47 Date: May 19, 2014 The Department of Industrial Relations (DIR) is pleased to announce a reduction in Independent Medical Review and Independent Bill Review fees effective April 1, 2014. These new fees represent a 25% reduction. Parties who submitted an IMR or IBR on or after April 1, 2014 will receive a refund in the amount of fees paid in excess of the new fee schedule. Learn more.

Temporary total disability rates for 2015 announced - Newsline No.: 2014-50 Date: June 9, 2014 The minimum and maximum temporary total disability (TTD) rates for 2015 will increase on January 1, 2015. The minimum TTD rate will increase from $161.19 to $165.49 and the maximum TTD rate will increase from $1,074.64 to $1,103.29 per week. Learn more.

Division of Workers' Compensation Posts Updated Time of Hire Pamphlet - Newsline No.: 2014-52 Date: June 23, 2014 The Division of Workers' Compensation (DWC) has posted an updated time of hire pamphlet on its website. The pamphlet now has the new predesignation of personal physician and notice of personal chiropractor or acupuncturist forms that are effective on July 1, 2014.

The pamphlet, which is posted in English and Spanish versions, meets the requirements under Labor Code section 3551 to notify new employees about California workers' compensation rights and benefits either at the time of hire or by the end of the first pay period. Learn more.

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Keeping a Watchful Eye on the Chiropractic Industry

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