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February 2019 News Flash

February 28, 2019

In this issue

  1. Payment to Reward Quality Providers
  2. Press Ganey Promotional Materials Available For Your Clinic!
  3. Fulcrum Appoints Molly Magnani, D.C. as New Board Chair
  4. 2 Weeks Only! Center of Excellence Applications Deadline Extended
  5. New Regulatory Requirements – CMS Preclusion List
  6. Radon Testing Reminder
  7. Moving or Retiring? Let us Know!

Payment to Reward Quality Providers

ChiroCare Centers of Excellence (CCoE) and high performing Tier A providers are eligible to receive a quality payment. This payment is based upon provider tier and the individual performance for services provided between January 1 and December 31, 2018, patient volume, billing patterns, and efficiency of treatment as compared to other network providers.

As Fulcrum continues its journey to value-based payments, the provider quality payment program recognizes those providers who exhibit an approach that most closely aligns with ChiroCare’s best practices and Fulcrum Health’s Mission, Vision and Values. This payment is in addition to the fee schedule based claims payments.

Distribution of this payment will take place in mid-March and funds will be electronically deposited into the banking account of record for your clinic.

Please do not hesitate to contact Fulcrum’s corporate office with any questions at 763-204-8570 or .

Press Ganey Promotional Materials Available For Your Clinic!

Fulcrum Health is pleased to announce that its ChiroCare network has received the 2018 Guardian of Excellence Award® from Press Ganey . The Guardian of Excellence Award recognizes top-performing health care organizations that consistently score in the 95th percentile or above on measures of patient experience. You are truly improving the quality of our communities – and we thank you. We encourage you to also promote this good news in your clinic and your community.

To let your community know of this achievement, we are providing you with some template tools that you can customize.

Download the promotional packet here . (This is a zip file that contains all the promotional documents)

The packet includes:

  • Copy that can be used in an email to patients and community members or in a newsletter from your clinic (if you have a regular client newsletter that you produce)
  • Copy that you can use on your website
  • A social post for Twitter and Facebook that you can customize and use on your clinic or personal social pages
  • A copy of the news release that Fulcrum has been distributed.
  • Guardian of Excellence graphic image that can be used on your website and in social media

If you have questions about any of these tools or need assistance with implementing them, please don’t hesitate to contact us at .

Fulcrum Appoints Molly Magnani, D.C. as New Board Chair

Dr. Magnani is currently Lead Chiropractor and serves on the Spine Steering Committee at Allina Health, where she has been employed since 1996 as one of the first chiropractors in an integrated care setting. In her position as Board Chair for Fulcrum Health, Dr. Magnani will oversee the work of the Board and ensure sound and compliant governance and management of the organization, as they continue to advance their vision to be a leader in high-quality, physical medicine networks. Dr. Magnani has served as a member of the Board of Directors for Fulcrum since 2011. She replaces outgoing Board Chair, Mark Dehen, D.C.

“As a practicing chiropractor, Dr. Magnani is an industry leader in team-based care and she knows what it takes to collaborate across the care continuum for optimal patient outcomes, which is a focus at Fulcrum Health,” said Patricia Dennis, CEO of Fulcrum Health. “In addition, Molly has a deep understanding of our organization and will play a crucial leadership role as we strengthen our care connections with traditional medicine, building bridges for integrative care.”

In addition to her role at Allina Health and Fulcrum Health, Dr. Magnani has served as the lead faculty member at the University of St. Thomas Chiropractic Leadership Institute and is a member of the Board of Trustees for Northwestern Health Sciences University. She earned a Bachelor of Art in biology from St. Olaf College, and a Doctor of Chiropractic from the National Health Sciences University in Illinois. Dr. Magnani also attended the University of St. Thomas, where she completed the physician leadership program. Dr. Magnani is certified in acupuncture and is actively involved in fitness, nutrition and women’s health, and is a frequent speaker at chiropractic conferences.

2 Weeks Only! Center of Excellence Applications Deadline Extended

Fulcrum Centers of ExcellenceWe invite those network providers who believe their clinics meet the Centers of Excellence criteria to apply. The application period is extended only until March 15, 2019. We encourage you to take a close look at the CCoE program overview . The self-assessment tool will assist with determining your readiness to apply.

Current CCoE’s do not need to re-apply. Verification review of records began in January 2019.

If you have any questions about the ChiroCare Centers of Excellence program, please contact Dr. Vivi-Ann Fischer at 763-204-8570 or .


New Regulatory Requirements – CMS Preclusion List

Along with the new year also comes a new Centers for Medicare and Medicaid Services (CMS) requirement known as the Preclusion List.

The Preclusion List will consist of providers who are currently revoked from Medicare, under an active reenrollment bar, or have engaged in behavior for which Medicare would have revoked them for if they had been enrolled in Medicare at the time. CMS requires the removal of precluded providers on the list and a swift notification to enrollees who have received care from those providers in the last 12 months.

With this new rule, Fulcrum has implemented an ongoing review of providers on this list in addition to excluded providers. It is important to note that we will continue to review the Office of Inspector General (OIG) Exclusion List, as the preclusion and exclusion files are not entirely interchangeable. While excluded providers will be on the Preclusion List, precluded providers may not always be on the OIG Exclusion File.

For more information on how we are required to implement and comply with the newly adopted Preclusion List requirements, you can find information at

If you have any questions, please direct them to . Additionally, if you know or suspect fraud, waste or abuse is occurring in your place of business or have other Compliance-related concerns, please report it immediately to Fulcrum’s compliance hotline at 1-866-714-0526. Tips can be left on this voicemail 24/7 by anyone (provider, office support staff, patients, etc.).


Radon Testing Reminder

As part of the health & wellness community, we encourage providers to educate their patients of the dangers of Radon.

Radon is a colorless and odorless gas that comes from the soil. The gas can accumulate in the air we breathe. Radon gas decays into fine particles that are radioactive. When inhaled these fine particles can damage the lungs. Exposure to radon over a long period of time can lead to lung cancer.

It is estimated that 21,000 people die each year in the United States from lung cancer due to radon exposure. A radon test is the only way to know how much radon is in your home. Radon can be reduced with a mitigation system.

To learn more about radon, please click here.

To order an inexpensive radon test kit, click here.

Moving or Retiring? Let us Know!

Address Book IconIt is vital that you report any practice changes to ensure that we have your current address, phone, fax, and email address. Any changes or corrections to your TIN/name combination should be communicated immediately. TheProvider Update tool within ChiroCare Connect offers a quick and electronic means to report changes. Simply select the “Billing Information Update” option within the Provider Update tool.

Please contact our Provider Services team at 877-886-4941 with any questions about submission of updates.

We appreciate your continued partnership!