In This Issue:
- Important Dates
- Required Provider Training by December 31: Dual-eligible Products
- No Cost ICD-10 Webinars Coming in January
- 2014 Provider Survey Deadline Extension
- Welcome New ChiroCare Members!
- Updated and Refreshed Website
- Coding Corner
- Compliance Corner
- December 31, 2014 – Dual-eligible Products Training Deadline
- January 1, 2015 – Health care providers in Minnesota must have an interoperable EHR system in their clinical practice settings
- January 15, 2015 – Gauging ICD-10 Readiness Webinar
- January 27, 2015 – Gauging ICD-10 Readiness Webinar
- February 21, 2015 – ICD-10 Implementation Boot Camp
- October 1, 2015 – ICD-10 implementation deadline
HealthPartners and UCare sell dual-eligible products that qualify as Special Needs Plans (SNPs), e.g., Minnesota Senior Health Options (MSHO) and Minnesota Senior Care Plus (MSC+). Due to the unique makeup and needs of SNP members, plans are required to submit a Model of Care (MOC) plan that includes product-specific provider training for these products. In compliance with the HealthPartners and UCare MOCs, ChiroCare providers are required to review each plans’ SNP training materials and share with appropriate clinic staff. The training deadline is December 31, 2014, and it is an annual requirement.
To comply with this provider requirement, we are providing training materials and the MSHO/Special Needs Plan Training Log. Below are the training presentations for HealthPartners and UCare (HealthPartners is a PDF, and UCare is a link to the training site).
It’s important to retain a completed Training Log to demonstrate compliance. This will be especially important if you face an audit in the future.
UCare MSHO MSC+ Model of Care Training Presentation | Web Link
2014 MSHO/MSC+ Model of Care (PDF presentation slides)
A survey link and access code for CCMI’s annual provider satisfaction survey has been emailed to all ChiroCare providers from Survey & Ballot Systems (SBS). The survey deadline has been extended and will run through Thursday, December 11. Once you’ve completed your survey, send an email to firstname.lastname@example.org to be entered into a drawing to win one of 10 $50 gift cards. Please use “2014 Provider Satisfaction Survey Giveaway” in the subject line and include your first and last names in the email. We look forward to hearing about opportunities to develop new quality programs and/or support materials. Thank you for your participation!
ICD-10 implementation is October 1, 2015—and you will have enough time to do it accurately and efficiently if you begin now. This is far beyond a typical annual update and will require months of planning and testing. In fact, the testing phase is expected to be the most rigorous and time consuming and it is recommended clinics begin testing in June.
Dr. Evan Gwilliam, vice president of ChiroCode Institute, is presenting two webinars in January to help ChiroCare’s network chiropractors navigate as efficiently as possible from ICD-9 to ICD-10. Dr. Gwilliam is the only chiropractor certified as an ICD-10 Instructor by the American Academy of Professional Coders. He has taught dozens of ICD-10 training boot camps all over the country.
“All ChiroCare providers are strongly encouraged to attend one or both webinars,” says Vivi-Ann Fischer, D.C., CCMI’s chief clinical officer. “While the content of the meetings will be similar, attendance at both will be beneficial. ICD-10 has 141,000 codes—more than eight times the 17,000 codes in ICD-9. Every ICD-9 code chiropractors are using, including 739 and 839 subluxations, is going to change.”
Seminars will be held on:
January 15, 2015, 12:30 p.m.-1:30 p.m. (CST) Register
January 27, 2015, 12:30 p.m.-1:30 p.m. (CST) Register
SAVE THE DATE! February 21, 2015, ICD-10 Boot Camp
Ross Crain, D.C.
Matthew Fiebelkorn, D.C.
Erin Folkerts, D.C.
Gayle Garness, D.C.
Marshall Harris, D.C.
Tyler Hasse. D.C.
Nicholas Heckmann, D.C.
Kelly Kuka, D.C.
David Lutz, D.C.
Christopher Massoglia, D.C.
Angela Maurer, D.C.
Grant Modory, D.C.
Mason Pokomy, D.C.
Laura Seid, D.C.
Travis Tann, D.C.
ChiroCare recently launched some exciting enhancements to the chirocare.com website. In an effort to better meet the needs of our stakeholders, we refreshed our current website to be clearer and easier to navigate. We did this by surveying some of our audience members and analyzing feedback from our 2013 Provider Survey. Using your comments and suggestions, we created a more efficient and rewarding web experience.
Below is a list of the Top Five Updates to ChiroCare.com:
- Refreshed home page – clearly describes who ChiroCare is and what services we offer.
- Improved site navigation – layout is more intuitive and user-friendly.
- Enhanced “Find a Doctor” search function – now visible and accessible on all pages.
- Updated language – uses more consumer-friendly language.
- Re-organized content – easier to find information and documents you needWe invite you to visit our improved website and would like to hear your feedback. Please send all comments and thoughts to email@example.com.
- 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.
- 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.”
- 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/Cigna and UCare 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.
- Medicare Electronic Health Record (EHR) Incentive Program. Effective January 1, 2015, Minnesota Statute 62J.495 requires that all hospitals and health care providers working in Minnesota have an interoperable EHR system in their clinical practice settings. ChiroCare offers access to things like free EHR courses, videos, information on federal incentives, and many other resources on its website.
- 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.