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Straight Talk Provider Bulletin – September 2014

September 25, 2014

In This Issue:

Important Dates
Exclusive, No-cost October 9 CCMI Business Summit for ChiroCare Providers and Their Staff Members
Special Active Care for Seniors Class October 11
CCMI Merger Announced
ChiroCare Centers of Excellence: Patient-centered, Collaborative Care
October is National Chiropractic Health Month
The Slow Medicine Model
Poor Nutrition Plagues Americans
UCare Members May Now Print Their Own ID Cards
Coding Corner
Compliance Corner

Important Dates

ChiroCare is offering a number of options this fall for network doctors to take advantage of learning opportunities while earning CEUs.

  • October 4 – Active Care Program 4 with Dr. Travis McCathie Register!
  • October 9 – ChiroCare Fall Business Summit Register!
  • October 11 – Active Care for Seniors with Dr. Paul Osterbauer (Strongly recommended prerequisite: Active Care Certification) Register!
  • October 25 – Active Care Program 2 with Dr. Andrew Klein Register!
  • November 22 – Active Care Program 4 with Dr. Andrew Klein Register!

shutterstock_199681517-2-e1409857266292Providers and Staff Members Invited to Exclusive Oct. 9 Summit!

At this year’s exclusive CCMI Fall 2014 Business Summit, the focus is on Patient-centered Care and Compliance! Not only will providers and their staff members have a unique opportunity to learn the latest in cognitive behavioral therapy, collaboration and coordination of care, and Privacy and Security updates, we’ll also make sure the day is memorable and enjoyable. Join us for great food, lively discussion, and prize drawings for Fitbits® and other surprises!

When:
October 9, 2014
9 a.m.-3 p.m. (Registration begins at 8:30)

Where:
Minneapolis Marriott Northwest
7025 Northland Drive North
Brooklyn Park, MN

Cost: None!

Register

 


Are You Ready for the Silver Tsunami? Active Care for Seniors Registration Now Open!

The so-called Silver Tsunami is upon us, with 10,000 baby boomers turning 65 every day. Are you prepared to provide optimal care for these patients who have unique and often complex health care needs?

Registration is now open for Active Care for Seniors, taught by Paul Osterbauer, D.C. With a strongly recommended prerequisite of Active Care Certification, this supplemental program features two hours of lecture and two hours of hands-on practice. You will learn to:

  • Understand the unique qualities of seniors
  • Identify red flags for frailty and falling
  • Use cognitive screening tools
  • Spot the risk for medication complications
  • Manage multiple co-morbidities
  • Apply active care strategies for balance, flexibility and strength
  • Use elements of coding and documentation for Medicare
  • Take advantage of resources and community support

When:
October 11, 2014
8 a.m.-Noon

Where:
Northwestern Health Sciences University
2501 West 84th St.
Bloomington, MN 

Cost: None!

register2

 


merge-icon-1105173100Chiropractic Care of Minnesota, Inc. and Chiropractic Care of Wisconsin Merged In September

In case you missed the announcement earlier this month, Chiropractic Care of Minnesota, Inc. (CCMI) and Chiropractic Care of Wisconsin, Inc., (CCWI) merged on September 1, 2014. In bringing the two not-for-profit organizations together to serve the communities of Minnesota and Wisconsin, and areas of North Dakota, South Dakota, and Iowa, expands our network to include 2,200 providers, serving over 1.5 million members. Click here to see the blog by ChiroCare’s Chief Clinical Officer, Vivi-Ann Fischer, D.C.

Here’s what CCMI leaders have to say about the merger:

  • Steve Jobe, D.C., M.B.A., Chairman of the CCMI Board of Directors: “This strategic combination provides the opportunity and expertise to expand the development and implementation of new services, while continuing to provide a high level of customer service to our network chiropractors and to current and future customers. We have always admired the way Chiropractic Care of Wisconsin does business, and this merger will enlarge the footprint for both organizations and provide a broader and stronger provider network.”
  • Tabatha Erck, CEO of CCMI: “This combination creates an exciting opportunity for our company, for our customers, and stakeholders. We believe that leveraging the strengths of each organization will yield many synergies and benefits in the years ahead.”

You can rest assured it will be “business as usual.” You will not experience any changes in process or customer service at this time.


ChiroCare_SpineCenters1_1-e1409072147617ChiroCare Centers of Excellence: Patient-centered, Collaborative Care

Chiropractic Care of Minnesota, Inc. (CCMI) has developed the ChiroCare Centers of Excellence (CCoE) Program within its chiropractic network. The Program recognizes clinics that use standardized clinical protocols and an integrated, collaborative approach in achieving positive outcomes and improved quality of life for patients.  

To help identify the desired qualities of a Center of Excellence, CCMI convened the “National Task Force on Spine Care.” After reviewing extensive research, the Task Force provided CCMI with a disciplined framework of clinical protocols that define an exceptional clinical operation. This framework became the basis for the criteria of the Centers of Excellence Program. 

Program Overview

The Program will identify existing ChiroCare clinics that have well-defined and documented procedures and the supporting infrastructure to ensure that patients are managed with consistent effectiveness. Through an application and documentation review process, ChiroCare evaluates the clinics against the CCoE criteria. Clinics that meet these criteria will achieve the ChiroCare Center of Excellence designation. 

To provide patients with a consistent, high-quality experience, ChiroCare expects the entire clinic to demonstrate the best practice approaches of a Center of Excellence. Thus, this Program assesses the clinic as a whole, including all chiropractors within the clinic. 

ChiroCare Centers of Excellence Criteria

Clinics applying for the CCoE designation must meet criteria developed specifically for the Centers of Excellence Program. These criteria focus on key attributes of excellence that include clinical assessment and outcome tools, best practice X-ray procedures, shared decision-making, detailed treatment plans, re-evaluations and treatment plan updates, active care, patient education, cognitive behavioral therapy, care management, and reporting back to primary care doctors or other providers involved in a patient’s care.

The CCoE application and assessment process is considered separate and distinct from ChiroCare’s standard credentialing program. ChiroCare confirms a clinic’s compliance with the expectations of the Program through ongoing monitoring activities and regular communication with the clinic.

We will keep you apprised of details for our upcoming Demonstration Project. For questions about the ChiroCare Centers of Excellence Program, please contact CCMI’s Executive Office at (651) 389-2006, or toll-free at (866) 714-0524.


NCHM14logoOctober is National Chiropractic Health Month: Conservative Care First!

Hosted by the American Chiropractic Association (ACA), National Chiropractic Health Month (NCHM) is a national public awareness and education campaign held each October. 

This year’s theme is “Conservative Care First!” It is designed to educate the public on why a conservative approach to pain management and health enhancement is sensible and effective. 

There are many resources available, including the following patient handouts:

ChiroCare also makes a number of patient resources available, including Preparing for your Appointment, Questions About Chiropractic, and Managing Back and Neck Pain at Work.


Helping Veterans Access Essential Chiropractic CareMinnesotaCapitol

The “Chiropractic Care to All Veterans Act” has been introduced in the House of Representatives by Rep. Mike Michaud (D-Maine). The bill would require the Veterans Administration (VA) to have a chiropractic physician on staff at all major VA medical facilities by 2016. To help ensure chiropractic services are readily available to our service men and women, contact your Congressional representative to urge your federal representative to cosponsor the bill.


new_medicine-largeThe “Slow Medicine Model:” How Integrative Care Improves Patient Outcomes

The growing trend in the medical community is integrative medicine. By combining the lifesaving drugs and high-tech procedures of medical science with alternative therapies that stimulate the body’s healing processes, integrative medicine delivers higher standards of treatment than orthodox or complementary medicine can separately provide. 

University of Arizona clinical medical professor Kenneth R. Pelletier, Ph.D., M.D., examines conventional medical treatments for 300 to 400 common conditions. When they are not effective, evidence-based integrative medicine— which includes chiropractic, herbal medicine, and meditation—can be a practical alternative, he says. Pelletier believes the future of health care will focus on a “slower, more systemic approach” to health and wellness, rather than merely treating symptoms.

“New Medicine,” written by a Dr. Pelletier and a distinguished team of leading health experts, presents the best integrative treatments for over 100 ailments, from headaches and acne to cancer and heart disease. This recent article features the book’s findings and predicts that slow medicine is the medicine of the future.

“This idea of ‘slow medicine’ validates where we are headed with ChiroCare Centers of Excellence,” says Vivi-Ann Fischer, D.C., Chief Clinical Officer for ChiroCare. “It’s all about collaborative care, where each practitioner defers to the competence and expertise of the other in order to create a high-quality, patient-centered experience.”


Poor Nutrition Continues to Plague Americansfoodsafe

The quality of Americans’ diets has improved somewhat but remains poor overall, and dietary disparity between the rich and poor is growing, a new study shows.

All health care practitioners should make it a habit to remind patients of the following, according to the Centers for Disease Control and Prevention:

  • Eat a variety of foods, including vegetables, fruits, and whole-grain products
  • Eat lean meats, poultry, fish, beans, and low-fat dairy products
  • Drink lots of water
  • Limit salt, sugar, alcohol, saturated fat, and trans fat in your diet

The CDC also offers many patient resources — including easy-to-read and Spanish versions — about everything from healthy snacking, to healthy food trends, to eating disorders, to healthy restaurant eating.

This helpful diet assessment tool from Harvard Medical School offers recommendations for how patients can use a food diary to discover potential trouble spots that can then be addressed to transform outcomes through improved nutrition. And this new report from the Alliance to Advance Patient Nutrition addresses the persistent challenges of hospital malnutrition, which leads to increased complication rates, length of hospital stay, readmission rates, and mortality.


ucare-logoUCare Members May Now Print Their Own ID Cards  

Members of all UCare products now have the ability to print their ID card from UCare’s secure online member portal. UCare’s printable member ID cards will exactly match actual ID cards in terms of size, fields, font size, colors, logos, copay information, phone numbers, and the information on the back. The cards are printable on an 8.5 x 11 piece of paper for members to cut out and present. 


Coding Corner

  • Coding and Documentation Seminar Highlights: A summary of the September 15, 2014, Coding and Documentation seminar has been posted to chirocare.com by Dr. Vivi-Ann Fischer.
  • CPT Codes. ChiroCare has posted a table, identifying CPT codes that represent the various levels of chiropractic manipulative treatment. For each code, the definition and the requirement for billing is provided. We encourage you to share this with all members of your staff.
  • ChiroCode Institute: Providers can take advantage of free, weekly news alerts regarding coding and compliance by signing up for the ChiroCode Institute newsletter.
  • ICD-10 Update. “We advise our network doctors to use the delay of ICD-10 implementation as an opportunity to get a head start on improving documentation,” says Vivi-Ann Fischer, D.C., chief clinical officer for ChiroCare. “We have made many resources available to help our doctors prepare for ICD-10.”

Compliance Corner

  • CCMI Financial Disclosure Form. The Medicare Advance Beneficiary Notification of Noncoverage (ABN) Form may no longer be used for Medicare Advantage members with administration through ChiroCare. Instead, we encourage you to use the CCMI Financial Disclosure Form, available through ChiroCare Connect, with HealthPartners, UCare and Cigna plans to notify patients about services they will be responsible for paying. If you choose to use a different form, please ensure that it meets all requirements outlined in CCMI’s Billing for Non-Covered Services policy to avoid any potential billing issues.
  • Record Keeping Tips:
    • Conduct a self-audit, using the ChiroCare Chart Review Checklist.
    • Medicare requires that all patient chart entries be signed by the treating doctor.
    • Assessments must be updated after each visit.
    • Treatments need to have a clear beginning and end date.
    • Measurable treatment goals must be clearly stated and updated:
      • Using neck and low back indexes to track improvement
      • Using Outcome Tools on ChiroCare Connect
    • The treating doctor must match the billing doctor.
  • Signature Compliance: SOAP notes must be signed by the provider:
  • Compliance Hotline: ChiroCare has a 24/7 compliance hotline for providers, patients, ChiroCare employees, and other individuals who are concerned about a possible compliance issue. Doctors have a duty to report themselves if a breach occurs (e.g., a laptop with unencrypted patient data is stolen; a flash drive containing patient data disappears).
  • Locum Tenens Reminder: If you will be having a doctor who is not contracted with CCMI fill in for you on a temporary basis—even if it’s only for an hour—you are required to inform ChiroCare in writing of your intent, and have written approval from ChiroCare, before the substitution may occur. Please call the ChiroCare corporate office for assistance and forms: (651) 389-2006 or (866) 714-0524. 
  • Medicare Electronic Health Record (EHR) Incentive Program. If you are participating or planning to participate in Stage One of the Medicare Electronic Health Record Incentive Program this year, it’s important to be aware of milestones and changes. The official website offers all the details that will help with implementation, and cms.gov offers a clear explanation of the 2014 definition for Stage One of Meaningful Use. Last week, the AMA released its EHR usability framework, which includes eight priorities for improving usability and integration of EHRs in the clinical setting.