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September 2019 News Flash

October 1, 2019

In this issue

  1. Register Today!
  2. Did You Know??
  3. Incentive Opportunity
  4. Disclosure of Ownership and Cultural Competency Requirement
  5. Clinical Policies
  6. Last Call! Provider Satisfaction Survey
  7. NewsFlash and Email Communications
  8. Moving or Retiring? Let us Know!

Register Today!

Invite Attendee registration is limited and filling up quickly. Reserve your space here

3 Continuing Education credits pending.

For more information and to register, please visit our event website at fulcrum2019.voicehive.com.

Come experience all of the highlights on the stadium tour!

Agenda (Subject to Change)

  • 12:15 p.m.–1:30 p.m. – Registration, Stadium Tour, and Resource Fair
  • 1:30 p.m.– 2:15p.m. – Quality Measures: Structure and involvement of quality programs
    • Presented by Anthony Hamm, DC
  • 2:15 p.m.–3:00 p.m. – Payment Reform: Can changing how we pay for care bring value?
    • Presented by Michele Maiers, DC, MPH, PhD
  • 3:00 p.m.–3:15 p.m. – Break
  • 3:15 p.m.–4:45 p.m. – Who’s on your team? Expanding patient solutions through team-based care
    • Panel: Ensor Transfeldt, MD, Michele Maiers, DC, MPH, PhD, Huan Ma, TCMD, PhD, LAc
  • 4:45 p.m.–5:30 p.m. – Reception
  • 5:30 p.m.–7:00 p.m. – Dinner, Speaker, and Awards

Did You Know??

Woman receiving massageFulcrum Health is paving the way towards health plans offering additional covered benefits!

Fulcrum is seeking licensed acupuncturists to join our AcuNet network and qualified massage therapists to join our TruTouch network. Conservative care is gaining consumer demand because of efficacy in pain management. Due to this demand, Fulcrum is working with insurance plans that have interest in expanding this benefit to Medicare Advantage members. To meet this need, Fulcrum is currently seeking qualified massage therapists and licensed acupuncturists to join our network for providing health plan covered services. If you’re currently in an active massage therapy and/or acupuncture practice, we encourage you to consider applying.

  • No fee to join, no membership dues, no annual costs to participate
  • Your name and clinic will be listed in the directories and websites of Fulcrum’s clients
  • Professional development through continuing education classes
  • Receive referrals from within ChiroCare, Fulcrum’s chiropractic network

Do you have a massage therapist and/or acupuncturist in your clinic or collaborate with one outside your clinic? If you or a colleague are interested in becoming an AcuNet provider , please visit www.fulcrumhealthinc.org/acunet to learn more and join today! If you or a colleague are interested in becoming TruTouch provider , please visit www.fulcrumhealthinc.org/trutouch to learn more and join today!

Incentive Opportunity

Money BagWe are now offering an incentive for eligible clinics in the A and CCoE assigned tiers based on clinical outcome submissions. In addition to the financial incentive, submitting your clinical outcomes shows how you compare to your peers and generates shared learning from colleagues. More information on the incentive and the eligibility guidelines are available in the Learning Hub under the Incentive tab.

Compliance

Disclosure of Ownership and Cultural Competency Requirement

ReminderFulcrum asks all providers to complete the Disclosure of Ownership form each year. This form is related to disclosure of ownership, business transactions and excluded providers.

The Disclosure of Ownership is a requirement set forth by the Code of Federal Regulations ( 42 CFR Part §455 ) and from the Minnesota Department of Human Services (DHS) and the Centers for Medicare and Medicaid (CMS). These entities require all health plans and their delegates, including Fulcrum, to ensure that its network providers submit documentation. While we ask for this information annually, there are additional times you may need in order to complete this information such as:

  • upon initial contract with Fulcrum
  • when your information changes and/or upon contract renewal.

It is important to remember that if there are any changes to the information listed on your Disclosure of Ownership form, you must complete an updated form within 35 days. While Fulcrum asks you to complete the Fulcrum Disclosure of Ownership Form, you are able to submit your disclosure form used for other health insurers by fax at 763-204-8544 so long as identical information is requested.

For your convience this form is electronic and takes approximately 10-15 minutes to complete. Fulcrum is requesting that each clinic complete the online form by November 29, 2019.

Click here to access the online form

This online form is located on a secure, encrypted webpage.

If you know or suspect fraud, waste and/or abuse is occurring in your place of business 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.).

If you have any non-PHI related questions, please direct them to Compliance@FulcrumHealthInc.org .

Administrative

Clinical Policies

Laptop with stethoscopeFulcrum’s chiropractic clinical policies can be found on our website, to obtain these policies, click here . As always, these policies are also available on ChiroCare Connect.

If you have any questions, feel free to contact us at info@fulcrumhealthinc.org or 763-204-8570 and we’ll be happy to assist you. ​

Last Call! Provider Satisfaction Survey

Large green arrows in boxesWe value your opinion. The feedback we gather from this annual survey helps identify areas of interest and of concern to the ChiroCare by Fulcrum Health network. We also use your responses to assist in the development of new programs, supporting materials, and educational opportunities.

ChiroCare network providers should have received Fulcrum’s provider satisfaction in the mail. If you have not received or would like to request an emailed version, please email info@fulcrumhealthinc.org .

Please complete the survey and return it in the self-addressed, postage-paid envelope, no later than Friday, October 4, 2019.

If you have any questions, feel free to contact us at info@fulcrumhealthinc.org or 763-204-8570 and we’ll be happy to assist you. ​Thank you for taking the time to share your feedback and ideas with us!

NewsFlash and Email Communications

If you no longer wish to receive NewsFlashes or other important electronic emails, please emailinfo@fulcrumhealthinc.org and state that you no longer wish to receive the publication, and include your name, provider group name, and Tax ID #.

Please note that per Fulcrum’s contractual agreements, this publication needs to be received by at least one individual within your clinic.If someone in your organization would like to be added to the NewsFlash distribution list, please click here . Typically, you will only receive 1-2 emails per month.

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!