Healthcare Update Course with Dr. Mario Fucinari

Saturday, January 26, 2019
9 AM – 1 PM

DBNC Education Center
3350 N. Water Street, Suite A
Decatur, IL 62526

A record number of changes in healthcare policy will begin in 2019.  The CMS Physician Fee Final Rule was released.  Changes in evaluation and management guidelines will take place that will affect all realms of healthcare.  2019 will also bring changes in Blue Cross policies, expansion of the VA referrals to chiropractors, increased HIPAA audits and deeper data mining claim analysis with ICD-10 coding.  Whether you have a large practice, small practice, personal injury practice or even a cash practice, these important regulatory changes are sure to impact your office for years to come.

Having trouble keeping up with the latest changes? Join our class to hear Dr. Mario Fucinari, a Certified Professional Compliance Officer and a Certified Medical Compliance Specialist discuss the latest developments and what they mean for your practice. Dr. Fucinari will show you how to incorporate the latest developments into your practice, without giving up your chiropractic roots. Perfect for doctors, staff and billers.

Learning Objectives:

  • Comprehend the major legislative happenings that will affect physicians in 2019
  • Understand the key government regulations and industry trends expected to impact physician groups in 2019
  • Learn documentation guidelines and requirements
  • Identify documentation requirements for different case types
  • Identify the medical record as protected and confidential information

Hour One – Medicare Compliance

  • Recent OIG Reports on Chiropractic
  • Eight Steps of a Compliance Plan
  • The Initial Visit Report in Medicare
  • The Significance of Box 14 on the claim form
  • E & M Coding Guidelines Update
  • The Exit of the Medigap Part F Plan
  • Advance Beneficiary Notice (ABN) Regulations

Hour Two – HIPAA Compliance

  • HIPAA Updates for 2019
  • HIPAA Risk Assessment
  • Front Desk Procedures to Compliance
  • Consultation Requirements
  • Business Associate Agreement
  • Hazards of Social Media

Hour Three – Blue Cross Policy

  • Blue Cross Policies on Therapy and the Chiropractic Office
  • Blue Cross Policies on Musculoskeletal Treatment
  • Clinical Guidelines
  • Pre-authorization Guidelines for Chiropractic Services

Hour Four – ICD-10 Coding

  • Veteran’s Administration (VA) Coding Guidelines
  • Increased Specificity in ICD-10 Coding
  • ICD-10 Coding Rules for 2019
  • Proper Hierarchy of Code Reporting

This course has applied for four hours CME Category One.


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