Preparation for the September 7 switch to NGS Medicare

This shouldn’t be too big a deal, but there are a couple steps I want to make sure you are on top of. Obviously it would be best if you can attend one of the Wisconsin CSW Medicare seminars (here), but these are the basics:

  1. Make sure you have talked to your billing software company and your clearing house and that you have made any changes needed so that your Medicare claims goes to the correct place as of Monday, September 9.
  2. Do your final billing to WPS Medicare on Friday, September 6. That is the last day you can bill to them. Starting with dates of service September 7 or later, send those to NGS Medicare.
  3. You and the doctors should review the diagnosis that NGS Medicare allows for chiropractic claims. I have heard that there are slight differences, so this all has to be reviewed prior to submitting claims after the switch. Medicare Allowed Diagnosis Codes
  4. The new chiropractic policy for Wisconsin, Minnesota and Illinois is L27350 (here:LCD for Chiropractic Services) and has all the diagnosis allowed. Double check these on your Medicare patients. Any Dx not on this list will be denied.
  5. Doctors need to review all onset dates for all current Medicare patients to make sure that they are under active care, that they have an updated onset, and that documentation is in order (see #4 above).
  6. In order to document your objective goals and functional impairment, I strongly suggest you start using an outcome assessment tool every 30 days with all Medicare patients. In speaking to several clients, they like the Functional Rating Index. It is quick, easy for a Medicare patient, and very fast for the staff to score.
  7. You can find the FRI form for free at http://www.chiroevidence.com/FRI.html. There is a two page version or a one page version.

As always, call me if you have any questions, but these are the minimum basics that we have to be ready to move on.

Best, Dave

Upcoming Medicare and Reimbursement Changes: To Survive and Thrive – You Need to Study and Train

“The illiterate of the 21st century will not be those who cannot read and write, but those who cannot learn, unlearn, and relearn.”  Alvin Toffler

 

I don’t see this discussed much – at least not enough.

It’s called: STUDY.  Study is similar to training, which includes practice, and both require real personal effort and engagement to be effective.

You may want to study more but just don’t feel like you have the time to do so.  It does take time away from other activities. It can be confusing, tedious, and even seem belittling – sitting down and grinding over information, trying to figure out how something works. Practicing and roll playing can seem even worse.

But the return on your investment is worth it.   And nowadays, you have to constantly study just to stay up to date, let alone get ahead.    For example, for those of you in the insurance departments – patient accounts – you have probably had to learn many new things lately. You may have had to upgrade your computer programs for electronic health records. You have had to learn about “meaningful use” and other new terms.

But wait, there’s more!
INSURANCE
I checked in with our resident billing expert, Mr. Dave Michel, and he informs me you have the following headed your way:
  • June: new CMS 1500 claim form
  • July: PQRS implementation
  • Sept 7: WPS to NGS (Medicare administrator change in several Midwest states.)
  • Oct: new ICD 10
  • January major provisions of the PPACA and required EFT and ERA

For those of you in charge of patient reimbursement, you will have to learn about these new programs, train and then get them correctly implemented.  You have many resources from which to learn, including: association seminars and webinars, the CMS website, Chirocode.com, NGS web site for those of you in the Midwest, the PM&A Members website and Facebook page.  There are other resources as well, but the point is that you will have to study, learn, and work it out and get it implemented.

FRONT DESK AND OTHER CLINIC DEPARTMENTS
This also applies to every other job in your office. Each team member should be able to write a book about their department and job within five years and be capable of presenting a full day seminar on what they do to other chiropractic staff.

The front desk should be experts in customer service, sales for scheduling, and excellent in many other skills.  Therapy and rehab staff should know the physiological affect their machines and protocols produce for their patients. They too need to be exceptional at patient education, customer service, and as compassionate as the patient’s mother.

YOU ARE PROFESSIONALS
These are high standards, but you are professionals. You don’t work on an assembly line at the Ford plant. We now live in a networked economy. We have long since passed the Industrial Age, even though most of our management techniques still seem tied back to when “Father Knows Best.”

There is no getting around it, this is a new age. Alvin Toffler, quoted above, wrote about post the Industrial age for business in his book, The Third Wave. The second wave was the Industrial Age – and the third was and is the Information Age.

It is 2013 and your patients are smarter than patients have ever been and expect more.  They know about you before they call you and report on you after they see you so the whole world knows how you treated them.

You have to be better.  You have to study, learn, train.  In a tough economy, patients will go to the best and  bypass the rest. You have to be the best.

A NOTE TO DOCTORS
This apples to you doubly. Beyond the continuing education credits, I suggest you consider challenging yourself to constantly work on improving any and every aspect of your clinical craft like a true artisan. Like a scientist. And like a philosopher.

But you are also a CEO, which includes an entirely different set of skills. As the owner and manager of your business, you need to perfect your skills as a leader, manager, and marketer.  This is so horribly omitted (or perverted) in many programs as to be either laughable or criminal.   Once you do learn these subjects, you can delegate most of them and we can show you how, but you need to learn them nevertheless.

ONE HOUR PER WEEK
Stephen Covey talks about how you have to “sharpen the saw.”  You can cut a tree much faster if the saw is sharp and that sharpening is called training and study.  According to the American Society for Training and Development, since 1991, annual training budgets in the U.S. have grown from $43.2 billion in 1991 to $156 billion in 2011. Obviously, business sees an ever increasing need for training.

Encourage your team to take at least one hour each week to study some aspect relating to their job.   Encourage them to attend seminars and webinars and tele-classes, and have them give a presentation for the entire team at the next team meeting about what they learned.  You can give them a bonus if they give a book report about a book they read in the Lending Library.

YOUR PATIENTS
Lastly, this also applies to your patients. One of the primary functions of your office should be the training and education of your patients.  They need to take responsibility for their own health and in order to do this – they need to know what you know.  Regular care classes, a “lending library” and of course, warm “table talk” by doctor and staff help.

***SPECIAL TEAM TRAINING TELECLASS WITH PHYLLIS FRASE AND DANA PITTNER TUESDAY, MAY 21, 

12:30pm – 1:30pm CDT – “Dialogues and Dilemmas

Take time this Tuesday to listen to these dynamic ladies discuss solutions to the 10 most common conversations staff often gets stuck on with patients.

Learn how your staff can share and educate your patients on the chiropractic lifestyle.  What you can say at the front desk, in therapy, financials, etc.

There is no charge for this teleclass. For active PM&A members, you will find it on you Members site in a few days just in case you missed it.

April Teleclass: Affordable Care Act:How Will it Affect Your Chiropractic Practice?

“2014 will bring the greatest changes to the health insurance industry in our lifetime. This is not bull or scare tactics. The face of health insurance – already vastly different than it was ten years ago – is about to undergo a dramatic and seismic change.” -David Michel

Join us this Thursday April 18th, 12:30 CST to listen to Mr. Dave Michel of Petty, Michel & Associates discuss the Affordable Care Act.

Mr. Michel will discuss:

  •  Are your financial plans set for further limits on care?
  •  Can you continue to treat your patients based on your philosophy?
  •  Are you ready for mandatory changes to your Dx, your EOBs, the HCFA CMS 1500 claim form, and HIPAA? All coming in 2014?

If you can catch this class as it happens, it is free! Otherwise they will be in our vault for those of you who are active members with us.

To Register visit: Surviving, Striving and Thriving Through the Affordable Care Act

2013 – Teleclass Schedule – Poster

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We are excited about our upcoming teleclass schedule for 2013 which will start this Tuesday, March 19th.

We have an awesome line-up of teleclasses for you and your staff in the areas of chiropractic philosophy, office procedures and reimbursement.

Class description and registration can be found on the calendar on this site.

We have also prepared a poster you can print and post on the wall in your staff commons area for an easy view of upcoming class.  [Link]

If you can catch these classes live, they are free! Otherwise they will be in our vault for those of you who are active with us.  Hope to “hear” you in class.

2013 Chiropractic Team Training – Live Teleclasses – at Petty Michel & Associates

Ms. Phyllis Frase and Ms. Dana Pittner will be presenting 10 special training classes for chiropractic teams in 2013.

Petty Michel & Associates
Phyllis Frase and Dana Pittner
Chiropractic Team Teachers and Coaches

These classes will be offered free of charge when sitting in for the live session. (Fees may apply for viewing the archived edition)

Classes will be held on the third Tuesday of every month from 12:30 to approximately 1:45.

March 19, 2013- What Makes Chiropractic  So Special?
Getting Oriented With Chiropractic Basics: History, Science – Art – Philosophy, Key Terms.

April 16, 2013 – Extra-ordinary Service:
8 basic everyday actions to deliver WOW to your patients.

May 21, 2013- 7  Ways To Educate Your Patients During Your Day – And Why.

June 18, 2013- Over the Counter Collection
Strategies and Tactics.

July 16, 2013 – The Secrets Of Scheduling:
Cluster booking, and multiple scheduling the right way.

August 20, 2013 – Recall Systems that Work.

September 17, 2013- What You Should Be Telling Your Doctor.
What your doctor doesn’t know that you should tell him/her, and why.

October 15, 2013- Leadership Role in Chiropractic

November 19, 2013 – Purpose, Procedures and Checklists: How To Improve Your Skills And Success In Chiropractic.

December 17, 2013- Your Golden Future in Chiropractic

To Register Please Visit the Calendar of Events and follow the instructions.

For all classes register immediately by selecting the class(s) of your choice on the calendar and click the Register Now link below the class description.   You will automatically, via email, receive your special log-in access number where you can participate via computer, or by telephone only.

*** Each class will require a new access number and a new phone number. To attend the conference, all you have to do is call the number from any phone, enter the access number, and you will be in the class.

If you are a PMA client, you will receive  a special email during the week before the talk with the access number and new phone number. You can also find this information on the PMA Member’s web site at www.pmamembers.com.  It will be a posted a few days before the teleconference.

For questions, please give us a call at 1(414) 332-4511.  Or Email!

Get New Patients By Just “Concepting” Them

The stories exist.

It is not talked about much. Most offices don’t know about it, and those that do, often just take it for granted.

But we have seen it happen and it never fails to amaze.

One office I worked with had been doing badly with new patients and office visits. It was March and numbers had been declining since the previous summer. They had tried about everything – new marketing procedures, new staff, but nothing was working.   It was a three doctor office – all good chiropractors and the support team was great.  But everyone was exhausted at trying to increase the volume. They all looked haggard and disillusioned.

The senior doctor and I worked out an ambitious plan to solve the problem. We decided to hold a staff meeting to go over our ideas with everyone.  The meeting lasted about an hour and a half. Everyone brought their lunch and we talked.  We discussed items on the plan and followed an agenda the doctor and I had put together. At the end of the meeting, the mood of the office seemed to change.

Then, the phone starting ringing.

Literally, off of the hook. Existing and inactive patients starting calling in for appointments. I remember that the front desk team scheduled at least 4 new patients before I left that afternoon.  By the time I left, what had been a sullen office in the morning was now an exuberant and festive party of healing in the afternoon.

I am really not exaggerating. Looking over their numbers at the end of the month, the doctor and I noticed that they had their best month ever for office visits and new patients.

Their success was not due to a new marketing or management procedures.  It was because of something magical.

This magical thing – you too have it. You have probably even experienced it a few times. It is not always easy to acquire, but never the less, it is there. If you can grab it, harness it, it will help you towards your dreams.

Our webinar this Thursday, November 15 will cover 8 solid steps to uncovering your magic that can help you boom your office – and your life.

The power that made your practice is the power that can heal and grow your practice.

Learn how this Thursday.

Register Now

July Webinars- Positive Job Reviews and Practical Chiropractic Patient Education

This month, we have 2 webinars designed to help you grow your practice and provide better service to your patients. These are in addition to our world class expert consulting and coaching, our free articles on our web site and those especially for our clients in our PM/A Members Library.

These are short discussions with plenty of slides and examples, along with follow up summaries.

Register now. Keep training!

  •  Office Management –  How to Do An Employee Job Review For Your Chiropractic Office So That Everyone Wins.
    Are these job reviews really necessary? Do employees get raises automatically every year? Employee reviews are often neglected, or are dreaded by both employee and doctor. This webinar covers the basic steps to make them effective and positive for all concerned.Thursday, July 12, 12:30pm   Registration
  • Marketing Management – Educating Your Chiropractic Patients – 6 Programs that Work.
    Does patient education work? How much of it just a sales pitch by companies to get you to buy their brochures and videos?  Even if it does work, what are some practical steps you can use in our office? We will discuss 6 simple programs that are working to help increase patient referrals and retention.
    Thursday, July 19th, 12:30pm  Registration

****To view the calendar and/or register  for our other webinars as an active PM/A client or guest, please go here: LINK 

Chiropractic Principles, Chiropractic Infomercials, Management by Numbers: 3 New Webinars in June

June, 2012
Milwaukee, WI

A tidal surge of politics rampages across this state with a big recall election for our standing governor taking place. But this surge will no doubt continue across this country for the rest of this year. Like massive tectonic plates shifting, the forces will be widespread as more people become involved in current events.

No matter what side you take in politics, if any, and there are more than two sides, there is only one side when it comes to taking care of your patients. That decision is already made for you by virtue of being a chiropractic doctor and chiropractic team member. That side is simple: deliver the highest quality care and service possible for your patients.

You must always do what is best for their health. That is never an issue.

Similarly, you must always do what is best for the health of your business that provides this care. It too must be strong and healthy so that it can provide the facility that allows you to give provide for your patients.

We encourage you to stay informed on all sides of the issues that concern you, for there is usually some truth to be found  in every corner of an issue.  But even more, we encourage you to consider voting with the quality of your clinical care and the quantity of your chiropractic services.

Yard signs for your cause or candidate are fine. But even louder should be your voice for the health freedoms of your patients – freedom from toxins in their water, food, and air.  Freedom from misinformation about chiropractic care.  Freedom to be healthy without drugs or surgery.

In addition to our world class expert consulting and coaching, our free articles on our web site or those especially for our clients in our PM/A Members Library, this month we have 3 “kick-gluteus maximus” (management term for kick-ass) webinars.

  • Office Manager Training: How to Motivate Your Team and Keep Them Motivated With Chiropractic Principles and Philosophy. With Phyllis Frase (Date, Time. More info below.)
  • Marketing Manager Training: The New Infomercials For Chiropractors That Work and Are Inexpensive, Fun, And Effective. Learn How. (Date, Time. More info below.)
  • Executive Management: Why You Shouldn’t Manage Your Practice by Statistics…And Why and How you Should. (Date, Time. More info below.)

Attend these webinars and VOTE WITH YOUR CARE.

Think global, but act local and make your voice heard by setting an example of the best health care provided in the best run health care business in your town.

Webinars for June, 2012 from Petty Michel and Associates

================================

OFFICE MANAGER TRAINING

How to Motivate Your Team and Keep Them Motivated

This webinar will provide your office manager with the tools to motivate your team by using the key fundamentals of chiropractic philosophy.

The webinar presenter will be Ms. Phyllis Frase, an internationally known chiropractic team trainer. As a team teacher with the Parker Seminars since 1998, she also has taught across the country at many state conferences, and as far away as the New Zealand Chiropractic College.  She has been a PM&A consultant and coach since 2007.

An outstanding speaker, she is also a hard worker and gives her all to her client’s success.

45 minutes with Question and Answer available. Excellent for all office managers and doctor/owners.

Thursday, June 14th, 12:30 CDT. Registration

 

MARKETING MANAGER TRAINING

The New Infomercials for Chiropractors That Work

Whatever happened to Infomercials? They’re still around and they still work. And you can do them very inexpensively. You just need to know how.

This webinar will give you practical examples and include forms for you to use in producing your own amateur and informational marketing that can help you create more new patients and keep the ones you have.

Ideal for the doctor owner, marketing manager, and anyone involved in practice marketing.

45 minutes with Questions and Answer Available.

Thursday, June 21st, 12:30 CDT Registration

 

EXECUTIVE MANAGEMENT

Why You Shouldn’t Manage Your Practice by Statistics…And Why and How you Should

C.A. Reports have been around for a long time. Every management company seems to require you to report your numbers. But is this a good idea? What are the hidden downsides of doing this?

Even if you have the numbers, what do you do with them? How do you use them. What about ratios? And then there are those financial reports your accountant sends you – like they should. What should you do with these other than just file them?

The fact is, IF you know how to use the numbers of your practice your life will suddenly be much easier. Practice “noise” will dissipate and the time spent as a CEO will be less, AND more effective.

This webinar will give you both the benefits and risks associated with using statistics to manage your business, with follow up materials to use in your office.

A must for Practice CEO’s. We also encourage you to include your office manager to participate in this webinar.

45 minutes

Thursday, June 28th, 12:30 CDT. Registration

Cal Jam Special Offer for Chiropractors

Come on down to Cal Jam 2012!

Our great consultant and coach, Ms. Phyllis Frase, will be speaking at the 5th Annual California Jam, presented by the Dead Chiropractic Society in Costa Mesa California.  Register before January 15th and mention the Promo Code of FRASE for the special discount mentioned in the flier below.

All registration is handled through Cal Jam by calling the number below.

Call Today 949-250-0600

for more information: http://www.caljam.org/