Medical Compliance Courses for Chiropractors with Dr. Mario Fucinari

Dr. Mario Fucinari is a seasoned practitioner with over 35 years of experience running a successful chiropractic office. He is a Practice Consultant, a Certified Professional Compliance Officer, Certified Physician Practice Manager, Certified Insurance Consultant, and a Medicare Carrier Advisory Committee member. He travels throughout the year to speak to audiences nationwide, sharing his chiropractic expertise and insights about documentation, compliance, and optimal patient care.

Topics

Each course contains real-world expertise developed by a seasoned practitioner, and a compliance and Medicare expert. Dr. Mario Fucinari can help to mitigate risks associated with everyday practice.

The Cash Practice
Clinical Guidelines
Coding
Compliance
Cultural Diversity
Documentation
Ethics and Health Care
Front Desk Procedures
Human Trafficking Awareness
Medicare
Medical Errors
Professional Boundaries
Rehabilitation
Suicide Prevention

Available Medical Compliance Courses

The following is a listing of courses instructed by Mario Fucinari DC, APMP, MCS-P, CPCO. Contact Dr. Fucinari to schedule speaking engagements or view upcoming courses to register to attend a course with Dr. Fucinari.

Be Informed About the Informed Consent (1-2 Hours)
Risk Management When Closing the Chiropractic Office (1-2 Hours)
Navigating Rules and Regulations of a Cash Practice (1-2 Hours)
Ethics in Health Care (1-2 Hours)
Recognizing Cultural Diversity and Implicit Bias (1-2 Hours)
Suicide Prevention, Mental Health, and the Chiropractic Profession (2 Hours)
Human Trafficking and Awareness (1-2 Hours)
Professional Boundaries in the Chiropractic Office (2 Hours)
Proper Utilization of the ICD-10 Codes and Guidelines (2 Hours)
Proving Medical Necessity in Any Type of Case (2 Hours)
Personal Injury Documentation, Coding, and Case Management (3-4 Hours)
Essential Requirements and Communications of the Chiropractic Office (DC and CA) (4 Hours)
Medicare: It’s Not Just PART Anymore (2-3 Hours)
Medicare, HIPAA, and Coding Essentials (4 Hours)
Stress Factors and the Prevention of Medical Errors (4 Hours)
HIPAA Awareness Training and Office Risk Assessment (4 Hours)
Motion Pattern Rehabilitation (4-6 Hours)
Essentials of Risk Management and Office Procedures (8 Hours)

View PDF of courses and course descriptions

Be Informed About the Informed Consent

With Mario Fucinari DC, CPCO, CPPM, CIC
Informed consent for treatment requires clear communication about choices. Informed consent is not a signature on a form; it is a communication process in which patients are given information about their options for tests, treatments, or procedures and the opportunity to participate in informed decisions. Proper documentation is essential to avoid litigation. Dr. Mario Fucinari will define the standard of care and clarify the components and delivery of appropriate informed consent.

About the Instructor
Dr. Mario Fucinari is a Palmer Davenport graduate. He is uniquely qualified as a seasoned practitioner, nationally recognized speaker, author, and instructor. Dr. Mario has decades of experience in compliance, coding, and documentation. He is a member of the Carrier Advisory Committee for Medicare, a Certified Professional Compliance Officer (CPCO), a Certified Physician Practice Manager (CPPM), and a Certified Insurance Consultant (CIC).

Learning Objectives

Apply information to the policies, procedures, and protocols of informed consent
Learn the consequences of an improper informed consent
Learn about patient’s rights to choose their care
Discover “informed consent” and how to apply this to chiropractic care.
Apply knowledge to design a treatment plan that shows the rationale for care
Learn the common errors in documentation that lead to denials

Hour 1

The Standard of Care
Informed Consent and the Consultation
The Informed Consent and your Treatment Plan
The Diagnosis
Legal Requirements to Provide Risks, Benefits, and Alternatives to Chiropractic Treatment
The consequences of not delivering a proper informed consent
When does the established patient need an informed consent?

Hour 2

The Reasonable Standard Law
Avoid “Shrouded Importance”
The Components of the Informed Consent
Specific State Informed Consent Guidelines
Clear Communication of the Informed Consent
What is meant by inherent or foreseeable risks?
The “Process” of informing the patient
Special Circumstances Informed Consent
Questions and Answers

Risk Management When Closing the Chiropractic Office

With Mario Fucinari DC, CPCO, CPPM, CIC
Just as opening a practice by hanging a shingle outside the front door is a myth, so is closing a practice by taking down the shingle. PPO contracts, state and federal requirements, staff issues, and of course, patient care must be taken into consideration. Dr. Mario Fucinari, a Certified Professional Compliance Officer and a Certified Physician Practice Manager, will take you through considerations in the closing of your practice.

Learning Objectives

Evaluate proper procedures for closing a practice
Learn the common errors and causes of litigation when closing the chiropractic office
Understand government and state regulations of notification when closing the office
Establish procedures for patient, insurance, and state board notification of closure
Understand HIPAA and patient accessibility to their records

Hour 1

Application of ethics in the closure of a practice
Proper notifications required and their timing
Medicare requirements in closure of a practice
State Requirements When Closing the Office (State Specific)

Hour 2

Ensuring access to patient records
Record retention after closing the office
Notification to insurance companies of the closure of a practice
Notification to your malpractice carrier of the closure of a practice
Notification requirements to your patients of the closure of a practice
Closure of a practice due to the Physician’s death
Questions and Answers

Navigating Rules and Regulations of a Cash Practice

With Mario Fucinari DC, CPCO, CPPM, CIC

Operating a cash practice offers numerous advantages, including increased control over pricing, reduced administrative burdens, and enhanced patient-provider relationships. However, it also comes with its own set of challenges and risks. Failure to comply with the rules and regulations specific to cash practices can lead to severe consequences, including legal penalties, loss of licensure, and damage to professional reputation. This class aims to equip practitioners with the knowledge and tools to navigate the legal landscape, ensuring compliance and mitigating potential risks.

About the Instructor
Dr. Mario Fucinari is a seasoned practitioner with over 35 years of experience running a successful office. He is a Practice Consultant, a Certified Professional Compliance Officer, Certified Physician Practice Manager, Certified Insurance Consultant, and a Medicare Carrier Advisory Committee member. He travels throughout the year to speak to audiences nationwide, sharing his chiropractic expertise and insights about documentation, compliance, and optimal patient care.

Learning Objectives

Establish the protocols to accomplish a cash practice legally and ethically
Learn the common errors in the quest to become a cash practice
Identify Risk Management issues in a cash practice
Learn Documentation Requirements unique to a cash practice

Hour 1

The Lure of a Cash Practice
Compliance and the Law
Medicare and the Cash Practice
Financial Policies

Hour Two

Time of Service Discounts
The Advance Beneficiary Notice (ABN) Regulations
The No Surprises Act and Your Financial Policy
Legal Requirements in Chiropractic Documentation
Questions and Answers

Ethics in Health Care

With Mario Fucinari DC, CPCO, CPPM, CIC

How do you know if you are an ethical person? Personal and professional ethics affect your overall success and satisfaction. Your core convictions enter every area of your professional and personal life. Knowing the difference between right and wrong is not enough. Knowing what the right thing is and doing it is different. Discover what the public expects regarding ethics from their healthcare team and where you fit in.

About the Instructor
Dr. Fucinari led a highly successful practice in Decatur, Illinois for 35 years. He graduated from Palmer College of Chiropractic Davenport in 1986. Dr. Fucinari is a member of the Carrier Advisory Committee for Medicare, a Certified Professional Compliance Officer (CPCO), Certified Physician Practice Manager, and a Certified Insurance Consultant. He is an author of several books on matters such as compliance, HIPAA, ICD-10 coding, and E/M Guidelines.

Learning Objectives

Understand the role of ethics in healthcare
Recognize ethical issues and how to proceed when they arise
Define what ethics is and how it relates to our daily life
Understand and define the concepts of integrity and professionalism
Identify critical principles the public expects from their healthcare provider
Identify ethical dilemmas and apply ethical principles
Learn to understand a leader’s ethical responsibilities

Hour 1

Define and Discuss the meaning of Ethics
Evaluate if a Whistleblower is considered ethical.
Examine Ethical Standards in the Law for Chiropractic (State Specific)

Hour Two

Properly Executing the Informed Consent
Evaluate the value of Anti-Discrimination Policies
Discuss and Create Awareness of Professional Boundaries
Questions and Answers

Recognizing Cultural Diversity and Implicit Bias

With Mario Fucinari DC, CPCO, CPPM, CIC

There are many forms of bias and discrimination. If left unchecked, biases and discrimination lead to diminished quality of patient care, leaving patients feeling isolated. Cultural and diversity awareness presents legal and ethical challenges when treating persons of different races, cultures, sexual orientations, and gender identities. This course will give you a better understanding of recognizing bias and discrimination, and utilize strategies that can help you become a culturally competent professional by coping with implicit bias. We will present methods to develop policies and procedures for best practices involving patient intake forms, consultation, and staff training.

Learning Objectives

Develop an appreciation for cultural diversity;
Attendees will learn basic concepts, including to be able to define the concept of implicit or unconscious bias;
Understand the history of immigration in the United States and how immigration is affected by various social, political, religious, and economic factors;
Learn the definitions and application for basic concepts including culture, ethnicity, race, racism, stereotype, prejudice, and discrimination;
Realize challenges in the care of the LGBTQ community;
Ability to demonstrate how biases can influence office decisions and healthcare;
Integrate policies and procedures that embrace acceptance and empathy rather than awareness and tolerance.

Hour 1

Definitions of implicit bias
How are biases formed?
Ethical considerations when treating diverse populations
What effect do biases have in our community and our profession?
Policies and resources for doctors and staff

Hour Two

Evaluating your intake forms
Develop methods to provide context to patients as to why specific questions are asked for healthcare
Ways to empower the patient how to answer social questions on forms
Questions and Answers

Suicide Prevention, Mental Health, and the Chiropractic Profession

With Mario Fucinari DC, CPCO, CPPM, CIC

According to Gallup, unhappiness has been increasing globally for a decade. In the aftermath of COVID, the isolation people feel from working at home, the financial stress of inflation, and depression due to stress, suicides have dramatically increased. It is crucial that, as part of the primary healthcare workforce, chiropractors are competent in the early identification of suicide risk. Learn how to use evidence-informed strategies to address the needs of potential suicide individuals.

Learning Objectives

Improve skill, knowledge, and attitudes in addressing behavioral and mental health with patients.
Identify risk alerts and develop a safe plan related to them
Improve knowledge and skill when screening and assessing patients for substance use, depression, PTSD, and suicidal thoughts.
Enable providers to conduct brief interventions using motivational interviewing to build trust and increase adherence and engagement in collaborative treatment planning.
Help providers refer patients to treatment services and follow up on referrals.

Hour 1

How do you measure happiness?
The five elements of a great life
The serious outcome of the COVID Pandemic – Depression and Suicide
Stress, Chronic Pain, and the Suicide relationship
Known Risk Factors for Suicide

Hour Two

Patients at Risk for Suicide
What can providers do to improve people’s lives and intervene in suicide idealization
Consultation Techniques to Detect Suicide Thought – Talk, Ask, Listen, Care
Action Steps in Suicide Intervention
Questions and Answers

Human Trafficking and Awareness

With Mario Fucinari DC, CPCO, CPPM, CIC

Human Trafficking is considered modern-day slavery. This course will give you a better understanding of what human trafficking is, how to identify a patient or an individual who may be a victim of human trafficking, and how to properly report the abuse. You will be equipped with the resources to help fight human trafficking and provide resources to victims. Learn important terminology in this field, the different types of human trafficking that exist and an understanding of the scope of the problem, both domestically and globally.

Course Objectives

To gain an understanding of the scope and magnitude of human trafficking, in both sex trafficking and labor trafficking.
To recognize and identify individuals who may be victims of human trafficking.
To understand trafficking from the perspective of the victim and the multiple needs of survivors.
To learn key terminology associated with human trafficking.
To recognize the roles that various disciplines/professionals have to play in anti-trafficking efforts.

Course Outline

Forms of human trafficking
Myths and realities of human trafficking
What is labor trafficking
Who are the traffickers?
Who are the victims?
The mindset of the victim
Identifying trafficked persons
Policies and resources for doctor, staff and the victim
Mandatory reporting of child abuse

Professional Boundaries in the Chiropractic Office

With Mario Fucinari DC, CPCO, CPPM, CIC

We will explore professional and sexual issues in the chiropractic office. Recent events have led to an acute awareness of a physician’s actions that may compromise the physician-patient relationship. The chiropractic practice is unique in that it frequently involves physical contact with patients of all ages. A chiropractic office’s unique circumstances may lead to situations that challenge legal, practical, and cultural differences between the doctor, staff, and patient. Ethical principles and models for decision making that is most applicable in the healthcare profession will be discussed.

Learning Objectives

Differentiate between personal and professional ethics;
Identify typical legal implications associated with boundary dilemmas;
Identify typical cultural implications associated with ethical dilemmas;
Identify behaviors that cross the boundaries of professional healthcare behavior;
Discuss ways to mitigate allegations of boundary misconduct

Hour 1

Shifting of attitudes and boundaries in society
Boundary violations in the news
Legal and Ethical Implications of Professional Boundary Violations
The effects of boundary violations on the patient and the doctor
Boundary violations from the patient’s perspective
The Doctor’s Boundaries

Hour 2

Discrimination Awareness
Section 1557 of the Patient Protection and Affordable Care Act
Sexual Harassment Awareness
The Informed Consent
Treatment of a Minor
Establishing Policies and Procedures On Professional Boundaries
Vicarious Liability Issues
Questions and Answers

Proper Utilization of ICD-10 Codes and Guidelines

With Mario Fucinari DC, CPCO, CPPM, CIC

Each year, the ICD-10 code system updates on October 1. Ensuring your practice is aware of the codes and proper use is imperative. Updating codes and policy guidelines on their use is essential in your practice. Learn the rules, regulations, and procedures of diagnosis coding. We will examine how to diagnose your patients effectively, look for the red flags in coding, and better utilize the coding guidelines to explain the patient’s circumstances. Perfect for doctors, staff, and billers.

About the Instructor
Dr. Mario is a seasoned practitioner and a nationally recognized speaker, author, and instructor with decades of experience in compliance, coding, and documentation. He has served for the last 12 years as a member of the Carrier Advisory Committee for Medicare. Dr. Mario is a Certified Professional Compliance Officer (CPCO), a Certified Physician Practice Manager (CPPM), and a Certified Insurance Consultant (CIC).

Learning Objectives

Learn the top methods to evaluate your ICD-10 usage
Incorporate proper utilization of the NEW ICD-10 codes and guidelines
Understand what the codes mean
Recognize code combinations to avoid
Be able to accurately describe the patient’s condition in all phases of care

Hour 1

Coding Guidelines for the Chiropractic Office
Increased Specificity in ICD-10 Coding
The Importance of Complicating Factors
ICD-10 Code Combinations that Will Trigger a Denial
ICD-10-CM coding changes for 2024
Coding of Trauma

Hour 2

Personal Injury Coding
Medicare Coding Principles
The hierarchy and sequencing of diagnosis codes
External Cause Coding Guidelines
Application of the Social Determinants of Health (SDOH) codes

Proving Medical Necessity in Any Type of Case

With Mario Fucinari DC, CPCO, CPPM, CIC

One of the best ways to avoid claim denials is to document defensibly and prove that your treatment was undeniably a medical necessity. Dr. Mario Fucinari will define medical necessity in any clinical case and clarify the components of documentation and billing required. Learn from a certified compliance officer and seasoned practitioner of 35 years how to incorporate the latest developments into your practice without giving up your chiropractic roots. Perfect for doctors, staff, and billers.

Learning Objectives

Attendees will be able to justify your care through documentation and coding.
Realize the consequences of denials and recoupments in the chiropractic office.
Learn to differentiate between maintenance care and active care.
Apply knowledge to design a treatment plan that shows the rationale for care.
Learn the common errors in documentation that lead to denials.

Hour 1

The Standard of Care
Legal Requirements in Chiropractic Documentation
Chiropractic Care and the Function Relationship
The Initial Encounter Report
Consultation Methods in Various Case Scenarios
The Personal Injury Consultation

Hour 2

Medical Decision-Making Determination and Documentation
Documentation of the SOAP Note
The Importance of the Outcome Assessment Tests
The Assessment and Medical Necessity
The Treatment Plan and Medical Necessity
Questions and Answers

Personal Injury Documentation, Coding and Case Management

With Mario Fucinari DC, CPCO, CPPM, CIC

Auto accidents are a cause of injury and litigation often seen in the chiropractor’s office. Learn how to navigate the pitfalls and legal land mines. This course will take a close look at Personal Injury patient care. Learn the protocols you must master to show medical necessity for the care you render and the rationale of the documentation and diagnosis you develop.

Learning Objectives

Analyze documentation guidelines and requirements
Understand staff’s responsibility to provide documentation elements
Acquire appropriate clinical reasoning skills to assess and diagnose patient conditions accurately.
Justify a patient care plan based on evidence-based practice guidelines
Develop practical evidence-based communicate skills with peers, patients, and auditors
Establish legal and ethical behavior as a health care professional
Integrate research with examination and treatment procedures

Hour 1

How to Verify Coverage
The Role of the Police Report
Financial Policies, the GFE, LOP, and Lien Law
The Consultation
The Existing Patient Dilemma

Hour 2

The Causal Connection
Colossus and Derivative Software
The Required Elements of a Personal Injury Consultation
Outcomes Assessment Tools

Hour 3

E/M Guidelines in Personal Injury
Required Elements of the Examination of the Kinetic Chain for musculoskeletal and Traumatic Brain injuries
Ordering and Reviewing X-Ray and MRI

Hour 4

SOAP Note Requirements in the Personal Injury Case
Physical Therapy Modalities and Procedures for the Personal Injury Case
Diagnosis Guidelines in Personal Injury
Types of Deposition
Questions and Answers

Essential Requirements and Communications for the Chiropractic Office

With Mario Fucinari DC, CPCO, CPPM, CIC

Whether you are new in practice or a seasoned practitioner, running a successful chiropractic office requires a clear understanding of procedures, regulations, and coding. Chiropractic physicians and their staff must work as a TEAM and know all applicable policies and procedures on documentation, billing, collections, and compliance. The consequences are too serious! Even the cash practice is affected by regulations such as the No Surprises Act, HIPAA, and the Anti-Kickback Statute. Learn what patient treatment, billing, and coding tools are essential in Chiropractic practice. This class is perfect for the doctor, staff, and billers.

Learning Objectives

Understand government regulations and industry trends.
Learn about patient’s rights.
Identify legal aspects of patient communication.
Learn crucial front desk procedures for patient intake.
Define step-by-step procedures at the front desk to avoid costly billing and collection errors.
Establish procedures for proper claim form submission
Discover “informed consent” and how to apply this to chiropractic care.
Learn the critical components of a good history.
Learn Medicare requirements and forms

Hour 1

Improving Processes, Procedures, and Efficiency
Ethics and Compliance Requirements
Overview of the “Revenue Cycle”
Insurance verification process

Hour 2

HIPAA concerns in Appointment scheduling
Patient registration required elements
Front Office Documentation Procedures
- Intake Forms
- Informed Consent Legal Procedures

Hour 3

Front Office Documentation Procedures (cont’d)
- HIPAA Forms and Protocols
- Non-Pregnancy Verification
- Permission to Treat a Minor Legal Protocols
Medicare Medigaps, Secondaries, and the QMB patient
Communicating Your Financial Policies

Hour 4

Co-pay, deductible collection, and cash procedures
The No Surprises Act
E/M Services – Who can do what
What are the Chiropractic Vital Signs
Questions and Answers

Medicare: It is Not Just P.A.R.T. Anymore

With Mario Fucinari DC, CPCO, CPPM, CIC

Just when you think you know it, the rules have changed again! See how Medicare’s documentation and coding requirements have changed again, including the ABN and GFE Forms. Documentation is more than P.A.R.T. Learn how these changes are being implemented in all carriers of insurance reimbursement. Knowing the documentation and coding requirements will guide you in supporting the care you render to your patients. This class is helpful for doctors, staff, and biller.

About the Instructor
Dr. Mario Fucinari is uniquely qualified as a seasoned practitioner, nationally recognized speaker, author, and instructor. He has decades of experience in compliance, coding, and documentation. He has served for the last 14 years as a member of the Carrier Advisory Committee for Medicare. Dr. Mario is a Certified Professional Compliance Officer (CPCO), a Certified Physician Practice Manager (CPPM), and a Certified Insurance Consultant (CIC).

Learning Objectives

Attendees will be able to relate Medicare requirements in their documentation
Identify legal aspects of proper documentation
Explain procedures for proper claim form instructions
Attendees will Demonstrate the documentation required for P.A.R.T.
Demonstrate clinical examples to utilize the A.B.N. form properly
Illustrate Function’s role in Medicare
Integrate outcome assessment tools to develop treatment goals

Hour 1

How to Analyze CERT reviews
The Medicare Beneficiary Identifier
Summarize Participating and Non-Participating Provider Facts
Contrast Medicare Parts A, B, C, D, G, N.
The Proper Informed Consent and Prevention of Medical Errors

Hour Two

The Initial Encounter Report Requirements in Medicare
Importance of Outcome Assessments and Proving Medical Necessity
Components of Evaluation and Management Services
The Medicare “Episode of Care”
Medicare Definition of Medical Necessity
Meeting Medicare Requirements through Biomechanical Evaluation

Hour Three

Optimally Use the ICD-10 Coding Guidelines in Medicare Patient Care
Medicare P.A.R.T. Assessment of the Subluxation
Medicare SOAP Note
The Medicare Advance Beneficiary Notice (ABN) Regulations
Medicare Financial Policies
Medicare Signature Requirements
Questions and Answers

Medicare, HIPAA, and Coding Essentials

With Mario Fucinari DC, CPCO, CPPM, CIC

Whether you are new in practice or a seasoned practitioner, running a successful chiropractic office requires a clear understanding of office procedures, regulations, billing, and coding. Even the cash practice is affected by regulations and coding such as Medicare, the ICD-10 Coding, the NEW E/M guidelines, and NEW HIPAA updates for 2024. Learn what patient treatment, billing, and coding risk management tools are essential to succeed in Chiropractic practice. This class is designed for everybody; doctors, staff, and billers will gain helpful information!

Learning Objectives

Understand government regulations and industry trends.
Determine Function’s role in insurance policies.
Establish procedures for consultation and examination essentials in the treatment plan.
Be able to define “Medical Necessity” in various carriers
Integrate outcome assessment tools to develop treatment goals
Learn Medicare documentation guidelines and requirements
Explore the NEW 2024 ICD-10 Codes and how they affect patient care
Give clinical examples to utilize the NEW ABN form properly

Hour 1

Compliance Requirements
The Standard of Care
The Eight Required Elements of a Documented Compliance Plan
Legal Requirements in Chiropractic Documentation

Hour 2

HIPAA Privacy Policy and Section 1557 Requirements
HIPAA Privacy and Security Rule Updates
Patient Access to Medical Records and the Cures Act
UPDATED Documentation Requirements for HIPAA
Financial Policy Pitfalls, Red Flags, and Hazards

Hour 3

The Medicare Initial Encounter Report
E/M Guidelines and Documentation
The Importance of the Outcome Assessment Tests
The Assessment and Medical Necessity
The Advance Beneficiary Notice (ABN) Regulations

Hour 4

Updates in ICD-10 Utilization
Rules in ICD-10 Coding
ICD-10 Coding Guidelines
Questions and Answers

Stress Factors and the Prevention of Medical Errors

With Mario Fucinari DC, CPCO, CPPM, CIC

Over the last twenty years, medical errors have continued to be a significant cause of death in the United States. Medical errors increase expenses in additional patient care and possible litigation costs, devastating the patient, family, doctors, and staff. Doctors must contend with the stress of family life, running a practice, and administrative duties, which increase the likelihood of errors. The goal of the course is to provide an overview of the problem of medical errors, factors contributing to the occurrence of these errors, and steps that can be taken to reduce medical errors in key care settings.

Learning Objectives

Understand the adverse occurrences from medical errors
Define the Root Cause of Medical Errors
Identify programs to reduce medical errors.
Outline the Do’s and Don’ts of medical record documentation.
Learn the consequences of an improper informed consent
Recognize three human factors involved in medical errors.
Compare three methods to avoid medical errors in any practice setting

Hour 1

Overview of Medical Error Rates
The Cost of Medical Errors
The Opioid and Fentanyl Epidemics
What Language Do You Speak?
Stress, Burnout, and the Relationship to Medical Errors
Stress and Depression

Hour 2

Strategies for Quality Improvement
The Standard of Care
How a Pilot Can Teach Us to Reduce Medical Errors
The Reasonable Standard Law
Informed Consent and the Consultation
Delivery of the Informed Consent

Hour 3

The Components of the Informed Consent
Specific State Informed Consent Guidelines
Special Circumstances Informed Consent
Financial Polcies

Hour 4

Documentation Mistakes Leading to Medical Errors
The Future Role of AI in Documentation
What is the Role of Radiology in the Chiropractic Practice
The Importance of a Specific Diagnosis
Patient Safety in the Treatment Room, Therapy, and Radiology
Questions and Answers

HIPAA Awareness Training and Office Assessment

With Mario Fucinari DC, CPCO, CPPM, CIC

The Health Insurance Portability and Accountability Act (HIPAA) was first passed in 1996. The HIPAA requirements were recently updated expanding the requirements to keep patient records confidential. The Federal government mandates annual training on HIPAA rules and regulations. Dr. Mario Fucinari will update the attendees as he guides you through a nuts-and-bolts risk assessment of your office, explaining the required actions and guidelines to keep your office compliant from the front desk to the treatment room.

Learning Objectives

Define what HIPAA is and how it relates to our daily life
Identify critical principles the public expects from their healthcare provider
Understand what your patient has come to expect in HIPAA Privacy
Learn HIPAA guidelines for patient treatment, payment, and healthcare operations
Recognize elements of the risk assessment that must be documented
Develop and write policies and procedures for the operation of the Chiropractic office
Define and detect discrimination in the office
Evaluate each team member’s role in HIPAA Compliance

Hour 1

Introduction to HIPAA
Discuss HIPAA Risk Assessment Requirements
HIPAA and Nebraska State Laws
Discuss HIPAA Office Staff Training Requirements
Examine Using and Disclosing Protected Health Information

Hour 2

Evaluate the HIPAA Privacy Regulations
The HIPAA Privacy Notice Requirements and Examples
Protected Health Information Use and Disclosures
HIPAA and Mental Health
Disclosure of Serious and Foreseeable PHI
Evaluate HIPAA Security Regulations
Examine Ransomware, Malware, and Virus Threat Mitigation
Password Protection

Hour 3

Discuss Front Desk HIPAA Procedures
Maintenance and Release of Patient Records
The Cures Act: Patient Access to Health Care Records
Financial Policies
Examine The No Surprises Act Procedures
HIPAA “In-Person” Rights

Hour 4

Discuss HIPAA Section 1557 Discrimination Awareness Requirements
HIPAA Physical Safeguards
Evaluate The Business Associate Agreement
Required HIPAA Forms
Questions and Answers

Motion Pattern Rehabilitation

With Mario Fucinari DC, CPCO, CPPM, CIC

Deconditioning occurs after periods of inactivity due to injury or a sedentary lifestyle. The benefits of rehabilitation therapy require more than just handing a sheet of paper to the patient. This course will educate the chiropractic physician on researched based assessments and treatments of aberrant motion patterns. Help your patients achieve physical independence and quality of life. This class is of benefit for both the doctor and staff.

About the Instructor
Dr. Mario Fucinari is a seasoned chiropractor of 35 years who holds certifications in compliance, sports injuries, whiplash injuries, and rehabilitation. Dr. Fucinari has used effective protocols on sports teams, the Illinois ballet, VA patients, and post-concussion syndrome victims. Learn common sense protocols without giving up your chiropractic roots.

Learning Objectives

The attendee will be able to define “Medical Necessity” with various carriers
Learn Examination Techniques to Uncover Functional Loss
Identify the concepts of range of motion and flexibility.
Identify and understand the ABCs of proprioception.
Understand how to implement low-tech rehabilitation techniques into treatment strategies to maximize performance and function
Determine appropriate types of feedback for your client depending on their skill level
Create sport-specific treatment options using athlete engagement
Accurately diagnose functional motion patterns
Educate participants on proprioception, VOR, and VSR disruptions
How to assess deconditioning of the kinetic chain in chronic neck and back pain
Learn how to create an individualized corrective treatment rehabilitation program for your patients
Identify and understand rehabilitation considerations for shoulder and arm injuries.

Hour 1

What is Considered a Medical Necessity
The Standard of Care
The Informed Consent

Hour 2

Concepts of the Kinetic Chain
Outcome Assessment Tests
Diagnostic Imaging Interpretation for Biomechanics and Pathology

Hour 3

Examining the Components of Ambulation
Objective Analysis of the Lower Extremities
Objective Assessment of the Shoulder and Arm

Hour 4

Two-Point Reference Technique to Evaluate Spinal Range of Motion
Muscle Strength Testing to Determine Rehabilitation Protocols
Research Trends in Rehabilitation
Research Updates on the Use of Custom Orthotics
The Diagnosis: Tell the Whole Story

Hour 5

Nutritional Consideration in the Treatment of the Patient
Rehabilitation Protocols and Hands-On Training of Upper Cross Syndrome
Rehabilitation Protocols and Hands-On Training of Lower Cross Syndrome

Hour 6

Rehabilitation Protocols and Hands-On Training of Piriformis Syndrome
Rehabilitation Protocols and Hands-On Training of Shoulder and Arm Injuries
Rehabilitation Protocols and Hands-On Training of the Post-Concussion Patient
Questions and Answers

Essentials of Risk Management and Office Procedures

With Mario Fucinari DC, CPCO, CPPM, CIC

Chiropractic Physicians and their staff must know all applicable policies and procedures on documentation, billing, collections, and compliance. Even the cash practice is affected by regulations such as the No Surprises Act, HIPAA, and the Anti-Kickback Statute. Learn what documentation, patient treatment, billing, and coding tools are essential in the Chiropractic practice. Simple changes will significantly affect the office’s efficiency and productivity. This class is designed for everybody; doctors, staff, and billers will gain useful information!

Learning Objectives

Understand government regulations and industry trends
Identify legal aspects of patient communication
Learn crucial front desk procedures for patient intake
Define step-by-step procedures at the front desk to avoid costly billing and collection errors
Establish procedures for proper claim form submission
Identify legal aspects of appropriate documentation in the Standard of Care
Discover what “informed consent” is and how to apply this to chiropractic care.
Determine Function’s role in insurance policies
Be able to define “Medical Necessity” in various carriers
Integrate outcome assessment tools to develop treatment goals
Learn Medicare documentation guidelines and requirements
Learn the NEW ICD-10 Coding Guidelines

Hour 1: Laws and Ethics

What Language Do You Speak?
The Chiropractic Team Positions and Responsibilities
Appointment scheduling – HIPAA
Overview of the “Revenue Cycle”

Hour 2: Risk Management–Insurance

Demographics Patient registration required elements
Insurance verification process
- Patient Name
- Name/Payer ID of Ins Company
- Subscriber ID/Group ID
- Fee Schedule
- Case Type
- Limitations/ Authorizations
- Primary/Billing Provider
- Cost Shares

Hour 3: Risk Management Front Office Documentation Procedures

Patient Identity confirmation – The Patriot Act
Patient Intake Forms
- Intake Form Bias
- HIPAA Forms
- Non-Pregnancy Verification
- Permission to Treat a Minor
- Informed Consent
Coordinating Benefits – The Birthday Rule

Hour 4:Risk Management—Financial Policies and Responsibilities

Co-pay, deductible collection, and cash procedures
Medicare Plans
Part A, B, C, D, F, G, N
Financial Policies and Responsibilities
Medicare Medigap, Secondaries, and the QMB patient

Hour 5

The Anti-Kickback Statutes in Chiropractic
The No Surprises Act

Hour 6: Risk Management—Documentation and Recordkeeping

Basics of Documentation and Coding
The Medicare Initial Encounter Report
E/M Guidelines and Documentation
The SOAP Note
PART
The Importance of the Outcome Assessment Tests
The Assessment and Medical Necessity

Hour 7: Risk Management—Billing and Coding

Correct Utilization of Modifiers
The 25 and 59 Modifiers Mine Field
The Advance Beneficiary Notice (ABN) Regulations

Hour 8

Basic of the 1500 Claim Form
Diagnosis Pointing
ICD-10 Coding Concepts
Updates in the ICD-10 Codes
Questions and Answers