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FCA Journal October/November/December 2016
Wednesday, 21 December 2016

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- Meet Your Leaders

- The Magnificent 6: Components Necessary for a Successful Practice

- Answers to Your Important Malpractice Questions

- Firefighter Wellness and Fitness Programs in the State of Florida: Practical Applications and Future Directions

- Emerging Leaders: Freedom Day USA

- Become the Corporate Chiropractor in Your Town

- The National Photo Recap

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Legislators Begin Session Prep as PIP/No-fault Repeal is Filed
Thursday, 15 December 2016
Tallahassee – Florida’s newly-elected state senators assembled at the capitol this week for their first round of committee meetings preparing for their 2017 Legislative Session slated to begin in early March. House members, however, chose not to meet this week opting instead for two days of training seminars conducted last week.
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Medicare Audits in Florida Have Arrived
Thursday, 08 December 2016
The FCA Help Desk has received several calls this week regarding a request for records from StrategicHealthSolutions, an audit contractor for CMS (Medicare). Please be aware of a potential request for records and do NOT ignore. The FCA Help Desk is gathering Information to assist our members in responding. If you wish to discuss this with Mollie Frawley, FCA Help Desk Coordinator, please email her at insurance@fcachiro.org with your best contact information AND your FCA member number or your Florida DC license number.
 
Read more for helpful steps to take if you receive an audit letter. 
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Medicare Updates and Reminders: Time Sensitive
Wednesday, 19 October 2016
In addition to the September 12th change in billing First Coast, there are at least 3 other changes that are time sensitive in nature. October 1 begins the need for more specificity in coding ICD-10.  November 30th is the last day to appeal your PQRS status for 2015.  Failure to respond to re-validation requests may require re-enrolling in Medicare with no grace period for billing.  For more information, read on.
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FAQ’s and Coding Tips for Billing Medicare After the 09/12/2016 LCD Change
Tuesday, 20 September 2016
The September 12, 2016 coding and billing changes by First Coast Service Options (FCSO) have raised several common questions listed below.  These questions are better understood with a better understanding of both the documentation AND billing underlying mandates for covered chiropractic services:
  • Does the September 12th date apply to dates of service or claims submission dates?
  • Do you have a list of common NMS codes we can use?
  • Do I have to have a NMS condition for each subluxation region billed?
  • Can I use the same NMS condition for the different subluxation regions billed? For example low back pain for lumbar, sacrum and ilia?
  • In what order must I bill the diagnoses on the bill?
  • How do I bill when the primary insurer is PIP or Workers’ Compensation and they require different codes and billing instructions than Medicare?
  • Why can I only point to ONE diagnosis code in Field 14 on the bill? When did this start?

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