Documentation 186
By: ChiroCredit.com, A Division of Surgent Pharmcon LLC

Course Description

Educational Objectives:

Hour 1

Discern Part B from Part C and know the rules for each.
Discuss mandatory enrollment necessary for Chiropractic specialty.
Master the definition of medical necessity vs. clinical appropriateness and who pays in either case.
Recognize the differences between acute, chronic, and maintenance care.
Locate and understand the Medicare Local Coverage Determination (LCD) for your state including all the rules and guidelines.
Identify CMT coding and how it is differentiated from maintenance in Medicare.

Hour 2

Review of statistical data that shows how risk is identified through data analysis.
Engage in billing compliance and random auditing to meet OIG compliance guidelines.
Avoid risk issues with proper use of the Medicare Advance Notice-Both Voluntary and Mandatory.
Discuss the role of SOP and Policy in practice risk mitigation, especially with Federal patients.