Newsletters

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!

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??

Fulcrum 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

We 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

Fulcrum 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

Fulcrum’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

We 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!

It 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!

In this issue

1. Clinic Innovation Recognition!
2. Save the Date: Symposium & Awards Dinner, 11.21.19
3. Reminder! Incentive Opportunity
4. Learning Hub
5. Disclosure of Ownership and Cultural Competency Requirement
6. Organization Determinations
7. Let Your Voice Be Heard! Provider Satisfaction Survey
8. NewsFlash and Email Communications
9. Moving or Retiring? Let us Know!

Clinic Innovation Recognition!

Is your clinic working to change the way it delivers patient-centered care?

Or towards a successful team-based care approach?

If so, then Fulcrum Health would like to recognize you for your efforts at our upcoming symposium !

Apply here today!

As a provider, you can apply for one or both awards with the award recipients recognized at our November 21st symposium at US Bank Stadium .

Our selection committee will review the applications using specific criteria and notify the winners in mid-September. Deadline for submission is September 3, 2019.

Save the Date: Symposium & Awards Dinner, 11.21.19

Fulcrum Health is excited to present our Symposium and Awards Dinner on November 21, 2019 at US Bank Stadium!

In addition to the informative speaker line-up, there is an optional 45 minute stadium tour which may include the field, Vikings locker room, Vikings interview room and other highlights like the Press Box, a suite, club spaces, and the operable doors.

Attendee registration is now open! Register here today to reserve your spot.

3 Continuing Education credits may be available at no additional cost.

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

Reminder! Incentive Opportunity

We 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.

Learning Hub

As of 6/1/2019, the Learning Hub has been updated based on provider feedback and additional resources. If you have not been to Fulcrum’s Learning Hub to see the latest enhancements or are a first time visitor, please click here .

In Fulcrum’s Learning Hub you will find QConnect login access, informative videos, sign-up availability for a telephonic training session with a QConnect Specialist, and important education materials.

This resource will continue to be updated based on enhancements and new educational learnings so please check the site regularly.

As a reminder, for B and C tier assigned providers, the use of Fulcrum Health’s utilization management program, QConnect, is required to obtain authorization to prevent interruption to claims payments.

Compliance

Disclosure of Ownership and Cultural Competency Requirement

In accordance with regulatory requirements of the Minnesota Department of Human Services (DHS) and the Centers for Medicare & Medicaid Services (CMS) regulations, all payors, including Fulcrum Health, Inc. (Fulcrum) must collect and maintain information regarding disclosure of ownership and management information and cultural competency from all providers in its network on an annual basis.

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.

Organization Determinations

This article focuses on organization determinations – what they are and when to get one. As a reminder, Advance Beneficiary Notices (ABN) (Form CMS-R-131), are not used in the administration of Medicare Part C services. ABNs are used only for Medicare Part A and B (original Medicare).

Please review the organizational determination process to ensure the patient has exhausted their insurance benefits and use the Fulcrum financial disclosure forms to provide cost information on non-covered services to your patients.

An organization determination, as defined by the Centers for Medicare and Medicaid Services (CMS), is:

Any decision made by a Medicare health plan regarding:

1. Receipt of, or payment for, a managed care item or service;
2. The amount a health plan requires an enrollee to pay for an item or service; or
3. A limit on the quantity of items or services.

An organization determination, sometimes referred to as a coverage decision, is a decision a health plan or delegated entity makes about a patient’s benefits and coverage and whether the requested service(s) should be paid. Organization determinations are typically requested by a provider, but a patient is also able to request a coverage decision before receiving certain medical services. A patient may choose to request a determination for a coverage decision beforehand when either the doctor or patient are unsure whether the health plan will cover a medical service. After notification of the denial, a written consent, in the form of a Financial Disclosure Form (FDF), signed by the member agreeing to receive and be financially liable for the denied services prior to the services being rendered is required .

The only way to justify billing the member is if the FDF is filled out. These forms can be found here . After these steps are complete, the provider may treat the member. If this is not done in the manner prescribed, the provider risks being financially liable.

Upon receipt of your request for an organizational determination, the health plan has 14 calendar days for the physician or other health care professional to make a final decision. Once the decision has been made you and the patient will receive a letter indicating the outcome of the review. If the review was denied, you will be presented with appeal rights in the letter along with an explanation of the process you must complete to appeal the decision.

For further information on Organization Determinations, please visit the Learning Hub . Instructions on entering Organization Determinations in the QConnect provider portal can be found on page 16 of the Training Manual located on the Resources tab.

For information on how a Medicare health plan processes organization determination, please visit: https://www.cms.gov/Medicare/Appeals-and-Grievances/MMCAG/index.html

If you have any questions on this matter, please call Fulcrum Provider Services at 877-886-4941. If you know or suspect fraud, waste, 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.).

Administrative

Let Your Voice Be Heard! Provider Satisfaction Survey

We 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!

It 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!

In this issue

1. Save the Date
2. Calling All Innovators!
3. Reminder! Incentive Opportunity
4. Learning Hub
5. Billing Medicare Advantage Members FAQ
6. Fulcrum’s Statement About Incentives
7. Provider Satisfaction Survey – Coming Soon!
8. NewsFlash and Email Communications
9. Moving or Retiring? Let us Know!

Save the Date

Fulcrum Health is excited to present our Symposium and Awards Dinner on November 21, 2019 at US Bank Stadium!

In addition to the informative speaker line-up, there is an optional 45 minute stadium tour which may include the field, Vikings locker room, Vikings interview room and other highlights like the Press Box, a suite, club spaces, and the operable doors.

Attendee registration opens August 19th.

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

Calling All Innovators!

Is your clinic working to change the way it delivers patient-centered care?

Or towards a successful team-based care approach?

If so, then Fulcrum Health would like to recognize you for your efforts at our upcoming symposium !

As a provider, you can apply for one or both awards with the award recipients recognized at our November 21st symposium at US Bank Stadium .

Our selection committee will review the applications using specific criteria and notify the winners in mid-September.

Apply here today!

Deadline for submission is September 3, 2019.

Reminder! Incentive Opportunity

In this issue

1. Have you checked out the Learning Hub recently?
2. Incentive Opportunity
3. Financial Disclosure Forms
4. Data Sharing
5. Moving or Retiring? Let us Know!

Have you checked out the Learning Hub recently?

As of 6/1, the Learning Hub has been updated based on provider feedback and additional resources. If you have not been to Fulcrum’s Learning Hub to see the latest enhancements or are a first time visitor, please click here .

In Fulcrum’s Learning Hub you will findQConnect login access, informative videos, available telephonic training session sign-up with a QConnect Specialist, and important education materials.

This resource will continue to be updated based on enhancements and new educational learnings so please check the site regularly.

As a reminder, for B and C tier assigned providers, the use of Fulcrum Health’s utilization management program, QConnect, is required to obtain authorization to prevent interruption to claims payments.

Incentive Opportunity

Beginning July 1, 2019 we will offer 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 Hubunder the Incentive tab.

Compliance

Financial Disclosure Forms

In this issue

1. Fulcrum’s Infection Prevention Study published!
2. Fulcrum Health Is A National Level Advocate
3. Informed Consent
4. Review Billing Practices
5. Patient Communication
6. Moving or Retiring? Let us Know!

Fulcrum’s Infection Prevention Study published!

We are excited to announce that our Infection Prevention Study was published in the online issue of Chiropractic Economics! Read more on the study here .

Thank you to the 30 clinics who volunteered to be part of a study looking at what infection control practices would best suit the chiropractic offices. The clinics received testing product kits that included hand sanitizers, gloves, sharp containers and table disinfectants. After testing they supplied opinions on the products and had the clinics retested for potential infectious organisms.

Some key discoveries were the need for hand sanitizers in every room and to check the expiration date, products for table disinfectants, cleaning toys, disposal of sharps before they become ¾ full and keep clean linens in a closed cabinet.

Fulcrum Health Is A National Level Advocate

We are excited to announce that Fulcrum Health’s CEO, Patricia Dennis, has been newly elected to AAPAN’s Board of Directors! This designation allows her to serve as a professional advocate to network providers. Click here to read more. She is also a Board Member of PMMA.

The Physical Medicine Management Alliance (PMMA) is an AAPAN Board Committee that consists of organizations representing care management companies who specialize in physical medicine, musculoskeletal care and wellness. These organizations focus on partnering with provider specialists to facilitate care delivered via specialty services that include, but are not limited to, Physical and Occupational Therapy, Chiropractic Care, Podiatry, Speech Therapy and Integrative Care.

PMMA Provides:

1. Industry leadership and guidance in musculoskeletal and therapeutic care management
2. Singular, authoritative voice representing common interests
3. Robust advocacy at the federal and state legislative and regulatory levels
4. Influence and input on public policy
5. Insights and opportunities for dialogue between industry leaders
6. Educational and marketing efforts focused on promoting the value proposition of evidence-based conservative care to stakeholders
7. Collaboration with synergistic associations to leverage advocacy efforts

Their most recent publications:

• PMMA urges the use and coverage of non-opioid treatments as first-line therapy for individuals to manage pain
• Expand Access to Conservative, Non-Pharmacologic Pain Management for Better Outcomes and Lower Risk

Please visit our website to learn more – Articles can be found here.

PMMA’s affiliation with the American Association of Payers, Administrators and Networks (AAPAN) further strengthens Fulcrum’s positioning as a successful industry advocate on both the federal and state levels.

Compliance

Informed Consent

In this issue

1. AcuNet Network Expansion!
2. Fulcrum Health’s Annual Meeting is This Week
3. Non-Covered Chiropractic Services
4. Medical History Communication
5. CMS to launch new direct-contracting pay models in 2020
6. Moving or Retiring? Let us Know!

AcuNet Network Expansion!

Fulcrum’s licensed acupuncturist, Deb Zurcher, DC, LAc, attended the Great River Symposium this month. She enjoyed meeting with fellow acupuncturists to discuss the need to expose acupuncture to a broader audience and to learn about new approaches to enhance our AcuNet providers practice . Together we have the power to do more. Dr. Zurcher looks forward to working with you as a provider in the AcuNet network!

If you or a colleague are interested in becoming an AcuNet provider :

• No fee to join, no membership dues, no annual costs to participate
• Receive referrals from ChiroCare, Fulcrum’s chiropractic network and from our online directory.

Please visit our AcuNet website, https://www.acunet.org/ to learn more and join today!

Fulcrum Health’s Annual Meeting is This Week

This is a friendly reminder that Fulcrum Health’s Annual Meeting will take place this Thursday May 2, 2019, at our Plymouth, Minnesota office at 8:00 a.m. In an effort to be good stewards of our resources, this meeting will be available via phone. Please call (763) 204-8575 Ext. 8541.

Annual Meeting minutes will be made available onChiroCare.com following the meeting. In our May newsletter we will provide a link.

Click Here to access our 2018 Annual Report.

Compliance

Non-Covered Chiropractic Services

In our series, we continue on the subject of Non-Covered Chiropractic Services. We would like to address Fulcrum’s policy around this process. Our policy states that contracted Fulcrum Health network providers must comply with all administrative requirements for billing members for non-covered services.

The policy, which reflects state and federal regulations, speaks to the specific purposes and procedures for obtaining written consent to evidence that providers have adequately notified patients and obtained documented acknowledgement of member liability for non-covered services for which they will be billed. Not performing this process according to policy increases your risk of potential regulation violations as well as creating issues on the back end, including appeals and complaints/grievances by the patient, and may result in services falling to provider liability.

A good number of issues and investigations we work on a daily basis could be mitigated by a thorough understanding of these requirements on the part of providers. Please review the policy carefully and reach out to us if you have any questions. The current version can be found here.

If you have any questions on the OIG Workplan, CMS regulations and/or Fulcrum’s policy, please feel free to contact Lariza Carlson at l.carlson@fulcrumhealthinc.org.

Education

Medical History Communication

Doctors transmit a message of caring and concern to patients when they can speak confidently about specific medical record information. Let your patients know you have viewed their medical history by verbally reviewing it with them. This simple step shows you care and improves patient satisfaction. Improving patient satisfaction is one of the three components of the Triple Aim.

Tips for improved medical history communication:

• Regularly refer back to the patient’s chart when discussing their current condition. If symptoms are recurrent, make sure to share that observation with the patient.
• Review the patient’s medical chart prior to entering the exam room. Patients appreciate the fact that their care provider knows about them and remembers them.

Ex. “I was looking through your chart this morning. When you were here

three months ago, we talked about XYZ. How is that going?”

• If an error is found in the medical history portion of the chart, be sure to correct it promptly. Patients will become frustrated if they need to correct the same error over multiple visits.

CMS to launch new direct-contracting pay models in 2020

HHS (Health and Human Services) launched an ambitious, double-pronged strategy to shift primary care from fee-for-service payments to a global fee model where clinicians and hospitals could assume varying amounts of risk.

The first model aims at small primary-care practices, offering two options with a flat monthly fee per patient. Bonuses or penalties will depend on their ability to keep their patients “healthy and at home,” said Adam Boehler, director of the CMS’ Center for Medicare and Medicaid Innovation, or CMMI.

Larger practices and health systems would have additional choices, which could be very lucrative but pose steeper risks. Under the first “professional option,” providers would assume 50% of the risk, including savings and losses. Under the “global option,” providers would take on full risk.

For more information, visit: https://www.modernhealthcare.com/payment/cms-launch-new-direct-contracting-pay-models-2020?utm_source=modern-healthcare-alert&utm_medium=email&utm_campaign=20190422&utm_content=hero-readmore

Moving or Retiring? Let us Know!

It 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!

In this issue

1. Meet Our Licensed Acupuncturist! Deb Zurcher, D.C., L.Ac.
2. 2018 Provider Quality Bonus
3. Fulcrum Health Annual Meeting
4. Non-Covered Chiropractic Services
5. New Regulatory Requirements – CMS Preclusion List
6. Radon Testing Reminder
7. Moving or Retiring? Let us Know!

Meet Our Licensed Acupuncturist! Deb Zurcher, D.C., L.Ac.

Deb Zurcher, DC, LAc, has been a licensed acupuncturist since 2012 and has over 20 years of chiropractic clinical experience as well as 16 years as a business owner. In 2003, Dr. Zurcher founded a multi-disciplinary clinic, Eagle Creek Wellness Center, LLC, in Prior Lake, MN. Her previous roles include; Liaison Faculty in the Clinical Ed department at Northwestern Health Sciences University, Self-Management Skills Guide then Operations Manager at MOBE. Dr. Zurcher graduated from Northwestern Health Sciences University with a Doctor of Chiropractic and a Masters in Acupuncture. She earned her Bachelor of Arts degree from Gustavus Adolphus College.

To learn more about AcuNet, Fulcrum’s acupuncture network, please visit www.fulcrumhealthinc.org/acunet .

2018 Provider Quality Bonus

As Fulcrum continues its journey to value-based payments for its network providers, the company is pleased to announce that in mid-March, it distributed $1.3M to eligible network practitioners as part of its Provider Quality Bonus Program. The provider quality bonus program is designed to recognize those providers who exhibit an approach that most closely aligns with ChiroCare’s best practices and Fulcrum’s Mission, Vision and Values. It is based upon provider tier as well as the individual practitioner’s performance for services provided between January 1 and December 31, 2018. Awards to eligible practitioners reflect client mix, patient volume, billing patterns, and efficiency of treatment provided as compared to other practitioners within the network. At this time, only ChiroCare Centers of Excellence (CCoE) and high performing Category A providers are eligible to receive a quality bonus.

The quality bonus award serves as Fulcrum’s acknowledgement of practitioner’s continued effort to provide high quality, patient centered care. This quality bonus payment is compensation in addition to that already received via fee schedule based claims payments. On average, the provider quality bonus represents a 10% increase in the fee schedule for practitioners within ChiroCare Centers of Excellence (CCoE’s) and a 6% increase for Category A providers. Additionally, Fulcrum does not withhold any claims payment amounts due to practitioners.

Click here to learn more on how your clinic may become a ChiroCare Center of Excellence.

Fulcrum Health Annual Meeting

Our annual meeting will be held on May 2nd, 2019. This is an opportunity for our network providers to learn more about what Fulcrum Health is doing for you. Additional information to follow.

Compliance

Non-Covered Chiropractic Services

Non-Covered Chiropractic Services is a pertinent and relevant issue to be covered in upcoming Compliance articles. This month we will speak to the OIG Workplan specifically.

The Office of the Inspector General (OIG) recently released updates to their Workplan which serves to identify risks across various agencies (CMS, DHS, etc.) most in need of attention. These risks are prioritized and resources slated to perform audits and reviews accordingly.

T he payment of non-covered chiropractic services is an issue still active on the Workplan. As you are aware, Medicare Part B only pays for a chiropractor’s manual manipulation of the spine to correct a subluxation if there is a neuro-musculoskeletal condition for which such manipulation is appropriate treatment (42 CFR § 410.21(b)). Chiropractic maintenance therapy is not considered to be medically reasonable or necessary and is therefore not payable (Centers for Medicare & Medicaid Services’ Medicare Benefit Policy Manual, Pub. No. 10002, Ch. 15, § 30.5B). Prior OIG work identified inappropriate payments for chiropractic services. Medicare will not pay for items or services that are not “reasonable and necessary” (SSA § 1862(a)(1)(A)).

Based on these regulations, the OIG is set to review Medicare Part B payments for chiropractic services to determine whether payments were claimed in accordance with Medicare requirements. In one example, a chiropractic practice in Florida was reviewed for two calendar years for potentially inappropriate billing of chiropractic services to Medicare. Out of 21,425 services, totaling $656,051 in Medicare payments, they selected 100 services using a simple random sample which would serve as a representation of their Medicare billing. Of the 100 chiropractic services in their sample, 33 were not allowable: 31 services were medically unnecessary and 2 were not documented. On the basis of those sample results, the OIG estimated the practice received unallowable Medicare payments of at least $169,737 for those two years. This example validates the importance of the development, implementation and enforcement of policies and procedures to ensure thorough understanding of the documentation and medical necessity of billable chiropractic services. Fulcrum currently has documented policies and procedures to support our providers in the understanding of this process. Should you have any questions on the OIG Workplan, CMS regulations and/or Fulcrum’s policy, please feel free to contact Lariza Carlson at l.carlson@fulcrumhealthinc.org .

Education

Reminder to Medicare Providers Regarding Billing Beneficiaries Enrolled In the Qualified Medicare Beneficiaries (QMB) Program

This is an important reminder that federal law prohibits Medicare providers from collecting Medicare Part A and Medicare Part B deductibles, coinsurance or copayments from Original Medicare and Medicare Advantage beneficiaries enrolled in the Qualified Medicare Beneficiaries (QMB) program. The QMB program is a state Medicaid benefit that covers Medicare deductibles, co-insurance and co-payments.

Note: Copayments still apply for Medicare Part D benefits. For those eligible for QMB, this will be copayments at the Low Income Subsidy level.

Medicare providers must accept Medicare payment and Medicaid payment (if any) as payment in full for services given to individuals enrolled in the QMB program. Medicare providers who violate these billing prohibitions are violating their Medicare Provider Agreement and may be subject to sanctions. (S ee Sections 1902(n)(3); 1905(p); 1866(a)(1)(A); 1848(g)(3) of the Social Security Act.)

The QMB program applies to all Medicare providers, both participating and non-participating. Further, providers are obliged to accept assignment on all services to these beneficiaries, even if they would not do so otherwise. Accepting assignment means you agree to accept the Medicare and Medicaid payment as payment in full, regardless of whether Medicaid pays or not.

Providers who are not enrolled as a Medicaid provider are still subject to the QMB program limitations. Because Medicaid won’t pay providers if you aren’t enrolled with Medicaid, Medicare cost-sharing balances must be written off and may not be billed to QMB program enrollees.

At this time, there are a couple of potential ways to identify QMB individuals:

• If you are a Minnesota Health Care Programs (MHCP) provider, you can directly query the Minnesota Department of Human Services (DHS) MN–ITS system to verify QMB eligibility.
• You can ask the beneficiary if they are enrolled in the Qualified Medicare Beneficiaries (QMB) program through (MHCP). Medicare beneficiaries eligible for Medicaid QMB programs may have documentation, e.g., QMB eligibility verification letters from DHS they can show providers.

For more information on QMB plans, visit: https://www.cms.gov/Medicare-Medicaid-Coordination/Medicare-and-Medicaid-Coordination/Medicare-Medicaid-Coordination-Office/QMB.html

Moving or Retiring? Let us Know!

It 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!

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 info@fulcrumhealthinc.org .

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 info@fulcrumhealthinc.org .

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

We 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 v.fischer@fulcrumhealthinc.org .

Compliance

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 athttps://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/MedicareProviderSupEnroll/PreclusionList.html

If you have any questions, please direct them to Compliance@FulcrumHealthInc.org . 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.).

Education

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!

It 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!

In this issue

1. Fulcrum’s Utilization Management Program
2. What is the value of a ChiroCare Centers of Excellence (CCoE) designation?
3. Accepting now – 2019 Center of Excellence Applications
4. Board of Directors Reelection Report
5. PHI Practice
6. ACA Appointment
7. Patient Experience
8. Moving or Retiring? Let us Know!

Fulcrum’s Utilization Management Program

To keep us moving on our journey to value-based payment, the adoption phase for B&C tier providers of the ChiroCare network will begin on February 1st, 2019.

What is the value of a ChiroCare Centers of Excellence (CCoE) designation?

Healthcare in today’s world is focused on providing patient options that demonstrate high standards of quality and value. Consumers are demanding clinics that demonstrate this level of quality and affordability while primary care providers are seeking conservative care options to manage their patients’ back pain.

• Provides visibility as a Center of Excellence clinic on the Find a Doc tool located on ChiroCare.com
• Positions your clinic to be recognized for increased Pay for Performance incentives
• Recognition as a quality clinic, facilitating trust and referrals with other care practitioners and patients
• Opens opportunities to participate in pilot projects demonstrating conservative care value

The CCoE program highlights ChiroCare clinics who achieve and maintain the highest standards of patient-centered care through record keeping, documented outcome measures, and collaboration with other health care providers to achieve the Triple Aim in health care.

Attributes of Excellence

1. Comprehensive Patient Intake and History
2. Assessment and Outcome Tools
3. Cognitive Behavioral Therapy
4. Shared Decision Making
5. Conservative Imaging
6. Treatment Care Plans
7. Coordination of Care Between Practitioners or Facilities
8. Management of the Care Plan
9. Established Referral List of Practitioners and Referral Procedures
10. Active Care Instruction
11. Patient Education on homecare and prevention
12. Wellness Instruction
13. Patient-Centered Approach to Care Plans and Care Management
14. Demonstration of Collaboration with Other Practitioners

Accepting now – 2019 Center of Excellence Applications

Fulcrum is pleased to announce ChiroCare by Fulcrum Health Centers of Excellence (CCoE) application process is open to the entire ChiroCare network. 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.

We invite those network providers who believe their clinics meet the Centers of Excellence criteria to apply. The application period is open until March 1, 2019.

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 v.fischer@fulcrumhealthinc.org .

Board of Directors Reelection Report

In accordance with Fulcrum Health’s Bylaws, the board members listed below confirmed their desire to serve an additional three (3) year term beginning on January 1, 2019 and ending on December 31, 2021 as Directors of the Corporation. Election ballot forms were emailed to all voting members via Survey Monkey in October of 2018, and we are pleased to announce our reelections.

Congratulations to:

• Molly Magnani, DC
• Leo Bronston, DC
• Mark Dehen, DC

We are excited to announce the new Chair of Fulcrum’s Board of Directors, Molly Magnani, DC!

Dr. Magnani is currently practicing at Allina Medical Clinic with Internal Medicine Physicians, Podiatrists, Rheumatologists, Endocrinologists and Mental Health providers to develop optimal treatment plans and referrals for patients. Her practice includes manipulation, acupuncture, physical therapy, massage, nutritional counseling, exercise programs and outcome assessment.

For more information about Fulcrum’s Board of Directors, visit the Board of Directorssection on our corporate website.

Compliance

PHI Practice

With the ease of electronic communications, like email, it is important to remember that risks still exist when sending information to patients. While emailing patients is not prohibited, there are considerations you should take prior to hitting send.

Please Note: Sending protected health information (PHI) through email to Fulcrum Health is prohibited.

If you need to send PHI to Fulcrum Health regarding: (1) an organization determination or prior authorization, please use QConnect; (2) a response to a member complaint or appeal, fax to 763-204-8544.

We encourage providers to always use encrypted emails when sharing any treatment, billing, and appointment information with your patients. If you are using a public email server, you should know that many of these are not considered to be a secured email method. Unsecured emails can be more easily intercepted by unintended users, which may result in PHI being received and used by an unintended recipient. Sending encrypted emails makes it so only the intended recipient is able to view the contents.

Securing patient PHI is a #1 concern – so exercise caution before transmitting any PHI through email – and if you must transmit PHI through email, be sure to encrypt your email before sending.

Under the Health Information Portability and Accountability Act (HIPAA), a patient has the right to ask their provider to communicate with them in reasonable alternative methods. For additional information on the HIPAA Privacy Rule’s guidance on emailing, please visit the US Department of health & Human Service’s website.

If you have any questions, that do not contain PHI, please direct them to Compliance@FulcrumHealthInc.org. Additionally, if you know or suspect fraud, waste 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.).

ACA Appointment

Congratulations to Dr. Leo Bronston! Leo Bronston, DC has been elected to the American Chiropractic Association (ACA) Board of Governors. The legislative, policy, corporate, business, and property powers of ACA are exercised, conducted, and controlled by the Board of Governors. In addition, Dr. Bronston is a Fulcrum Health board member.

https://www.acatoday.org/About/Board-of-Governors

Education

Patient Experience

Patient experience is the primary driver of patients’ consumer loyalty at health systems, hospitals, and physician practices, according to a recent Press Ganey report. According to an article in HealthLeaders , patient experience is five times more likely to influence brand loyalty than conventional marketing tools.

A few key takeaways:

• Positive patient experience aligns with the mission of acquiring and retaining patients
• Healthcare organizations should maximize patient feedback through multiple channels such as surveys, text, and email
• Negative reviews online are an opportunity to improve patient experience

Click Here to read the article in its entirety.

Moving or Retiring? Let us Know!

It 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!

In this issue

1. Accepting now – 2019 Center of Excellence Applications
2. Press Ganey Promotional Materials
3. Special Thanks to Fulcrum’s Advisory Committee
4. Important Information Regarding Locum Tenens and Billing Practices
5. Is Your Chiropractic License Up to Date?
6. GHP Claims are Transitioning to the Quartz Claims System
7. Fulcrum’s new utilization management (UM) program
8. Moving or Retiring? Let us Know!

Accepting now – 2019 Center of Excellence Applications

Fulcrum is pleased to announce ChiroCare by Fulcrum Health Centers of Excellence (CCoE) application process is open to the entire ChiroCare network. 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.

We invite those network providers who believe their clinics meet the Centers of Excellence criteria to apply. The application period is open until March 1, 2019.

Current CCoE’s do not need to re-apply. Verification review of records will begin 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  v.fischer@fulcrumhealthinc.org.

Press Ganey Promotional Materials

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 info@fulcrumhealthinc.org .

Special Thanks to Fulcrum’s Advisory Committee

Several chiropractors contribute to our continuous quality improvement initiatives by offering suggestions and serving as the voice for Fulcrum Health. They are routinely called upon to weigh in on quality improvement initiatives, provider and patient surveys, clinical tools, and administrative processes. Committee Members have proved invaluable as we advance our efforts in paying for value-based care.

Thank you to the 2018 Field Advisory Council! 

• Michael Bawek, D.C.
• Jeffrey Bonsell, D.C.
• Steven Dandrea, D.C.
• Mark Dehen, D.C.
• Amanda Fitzgerald, D.C.
• Joel Fugleberg, D.C.
• Kristina Fruechtl, D.C.
• Melissa Kolb, D.C.
• Adam Millsop, D.C.
• Julie Schmidt, D.C.
• Jacob Sundberg, D.C.
• Jeff Varner, D.C.
• Art Volker, D.C.
• Josh Watkins, D.C.

Compliance

Important Information Regarding Locum Tenens and Billing Practices

This month’s article will look at the use of locum tenens providers and our provider’s obligation when moving, retiring, or selling your practice. While locum tenens are allowed to bill under your name, the paperwork must be filled out completely and submitted to Fulcrum Health prior to services being rendered to avoid a violation of your contract with Fulcrum Health and possibly a violation of the False Claims Act (FCA). 

For more information on locum tenens and to request the forms, please call our Credentialing department at: 1-877-886-4941 x203

Please be aware: Any claim submitted under the credentials of a different provider than the one who provided services in order to obtain payment is considered a false claim and most likely a fraudulent practice. Violations of this requirement can cause you to be immediately termed from the network. Additionally, improper payments made to you will often times be recouped.

For providers moving or retiring, it is vital that you report any practice changes to ensure that we have your current information. Our Provider Update tool within ChiroCare Connect is a quick and easy way to report these changes. Simply select the “Billing Information Update” option within the Provider Update tool. Please be sure to let us know as soon as possible of any upcoming change.

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 toCompliance@FulcrumHealthInc.org.

Administrative

Is Your Chiropractic License Up to Date?

For providers who have not renewed their chiropractic license for 2019, please ensure you renew before the states deadline. Every year, a few providers miss the deadline, and are disappointed to learn that claims will not be reimbursed for the lapsed license period. Ultimately, network participation will be terminated if the license is not renewed.

Minnesota providers, visit the Minnesota Board of Chiropractic Examiners for more information.

• License renewal required annually by December 31^st.

Wisconsin providers, visit Wisconsin’s Department of Safety and Professional Services for more information. 

• License renewal required by December 14^th of even years.

North Dakota providers, visit the North Dakota Board of Chiropractic Examiners for more information.

• License renewal required by the first day of September of each year.

South Dakota providers, visit the South Dakota Department of Health for more information.

• License renewal fees are due by December 31^st of each year.

Iowa providers, visit the Iowa Department of Public Health for more information.

• License renewal is generally required by June 30th of even-numbered years.

Nebraska providers, visit the Nebraska Department of Health and Human Services for more information.

• License renewal required by August 1^st of even-numbered years.

GHP Claims are Transitioning to the Quartz Claims System

Quartz is transitioning Gundersen Health Plan, Inc. (GHP) claims to the Quartz claims platform. They have stopped processing GHP claims through the legacy claims processing system beginning December 14, 2018.

Please submit any claims with dates of service in 2018 or earlier as soon as possible. As of now, they will be processing claims manually for claims submitted with 2018 dates of service or earlier. Please continue to send claims for GHP with dates of service for 2018 or earlier to the mailing address you are currently using. 

Click here for additional information.

Fulcrum’s new utilization management (UM) program

Fulcrum’s new utilization management (UM) program will start us on the journey to value-based payment by shifting the focus from service management to quality management identified through outcome assessments.

This program incorporates concepts used in the CMS value-based model and use of outcome assessment tools, while providing additional tools and education to support better patient outcomes .

Fulcrum’s new UM program, called QConnect, will roll out in 3 phases: Education, Adoption, and Performance

What does the new UM program mean for me as a provider?

The Fulcrum UM program, called QConnect, will assist providers in sharing patient-centered information and validated outcome measures. These quality measures support the necessity for treatment and demonstrate the value of care.

• Treatment Decision Support
  • Real-time treatment trial recommendations are provided based on the patient–centered information. Reporting attributes of risk factors or delayed recovery will assist with defining patient complexity.
• Collecting Outcomes
  • QConnect assists providers with sharing validated outcome measures to identify and differentiate quality of care.
  • It also creates a measure to inform providers of their quality of care as compared to their peers. Understanding quality outcomes will assist us in identifying best practice approaches.

Watch for additional information by email and US mail!

Moving or Retiring? Let us Know!

It 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!