We know putting a program together and booking speakers isn’t easy so if you want to work with someone who is responsive with necessary materials and willing to work with your scheduling needs, contact us to schedule Dr. John or Jennifer for your next event.
Dr. John Davila is considered one of a few leading experts in documentation requirements and compliance procedures in the chiropractic field.
In this course doctors will not be taught what exercises to use for each condition they encounter, but instead how to set up treatment plans that incorporate active rehab that will change their profile of passive therapy over utilization with insurance companies and improve patient outcomes. The course ties together insurance company contract provisions, medical necessity rules, and patient management into one to help a practice smoothly implement active rehabilitation.
There is a ton of misinformation about Medicare which is why this course is taught directly from Medicare’s own policy on chiropractic. The focus of this course is how to create documentation that would stand up to the scrutiny of a Medicare review nurse yet still remain simple and quick enough for a high volume practice. By understanding exactly what Medicare is looking for, the doctor can cut out personal opinions and bad advice while making their notes and patient management bullet-proof.
Have you ever wondered how a doctor’s notes prove medical necessity? By translating insurance “doublespeak” into words a doctor can understand and digest, this course will shine a light on what an insurance company really wants to see in their notes. With that type of understanding, doctors can filter out ineffective, costly therapies to endorse best practices of the day that support valid and clinically beneficial goals.
This course includes a review of the Office of Inspector General’s polices on Federal compliance in marketing. Attendees will learn what is allowed according to the Federal government as per recent OIG Advisory Opinions and how they can be translated to everyday practice in chiropractic. The class will also cover case history as it relates to collections of co-pays and deductibles along with the Federal opinion on how to give proper discounts when dealing with insurance patients.
How does a doctor’s practice get selected for audit? This course will remove the veil of how an insurance company creates a profile used to deny a doctor’s claims and place them in insurance purgatory. In addition, we review coverage and implementation of corporate compliance and the Office of Inspector General’s policy for corporate compliance for small and single physician offices. The final product for the doctor is a self-created personal program that is scalable and specific to their practice.
Using an evidence-based outcome assessment of a patient’s case to justify care doesn’t require the doctor to remove themselves from connection to their philosophy. In this session we will cover the clinical rational it takes to relate the treatment of a subluxation to your state laws covering the practice of chiropractic in order to create clinically appropriate care. The next step in the process is to relate the philosophy of subluxation-based care to what the insurance company has as its policy for payment. This is not to change the way the doctor treats the patient, but to change who pays for the treatment.
Jennifer brings a new face and fresh perspective for your event’s office staff track.
Staff members who want to excel in performing both administrative and clinical tasks to help ensure maximum reimbursement for their practice will love this session. In this course we go through ways staff members can mitigate compliance issues for the practice as part of their daily tasks.
We have had the pleasure of sharing our knowledge of billing, coding, documentation standards, and policy with these associations, colleges and organizations.