{"id":2947,"date":"2013-05-20T11:47:05","date_gmt":"2013-05-20T16:47:05","guid":{"rendered":"http:\/\/pmaworks.com\/observations\/?p=2947"},"modified":"2013-05-20T12:27:27","modified_gmt":"2013-05-20T17:27:27","slug":"upcoming-medicare-and-reimbursement-changes-to-survive-and-thrive-study-and-train","status":"publish","type":"post","link":"https:\/\/pmaworks.com\/observations\/upcoming-medicare-and-reimbursement-changes-to-survive-and-thrive-study-and-train\/","title":{"rendered":"Upcoming Medicare and Reimbursement Changes: To Survive and Thrive &#8211; You Need to Study and Train"},"content":{"rendered":"<p align=\"center\"><strong>&#8220;The illiterate of the 21st century will not be those who cannot read and write, but those who cannot learn, unlearn, and relearn.&#8221;<\/strong>\u00a0 Alvin Toffler<\/p>\n<p>&nbsp;<\/p>\n<p><strong>I don&#8217;t see this discussed much<\/strong> &#8211; at least not enough.<\/p>\n<p><strong>It&#8217;s called: STUDY<\/strong>.\u00a0 Study is similar to training, which includes practice, and both require real personal effort and engagement to be effective.<\/p>\n<p><strong>You may want to study more but just don&#8217;t feel like you have the time to do so.<\/strong>\u00a0 It does take time away from other activities. It can be confusing, tedious, and even seem belittling &#8211; sitting down and grinding over information, trying to figure out how something works. Practicing and roll playing can seem even worse.<\/p>\n<p><strong>But the return on your investment is worth it<\/strong>.\u00a0\u00a0 And nowadays, you have to constantly study just to stay up to date, let alone get ahead.\u00a0\u00a0\u00a0 For example, for those of you in the insurance departments &#8211; patient accounts &#8211; 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 &#8220;meaningful use&#8221; and other new terms.<\/p>\n<div><strong>But wait, there&#8217;s more!<\/strong><\/div>\n<div><\/div>\n<div><\/div>\n<div><strong>INSURANCE<br \/>\n<\/strong>I checked in with our resident billing expert, Mr. Dave Michel, and he informs me you have the following headed your way:<\/div>\n<ul>\n<li>June: new CMS 1500 claim form<\/li>\n<li>July: PQRS implementation<\/li>\n<li>Sept 7: WPS to NGS (Medicare administrator change in several Midwest states.)<\/li>\n<li>Oct: new ICD 10<\/li>\n<li>January major provisions of the PPACA and required EFT and ERA<\/li>\n<\/ul>\n<p>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.\u00a0 You have many resources from which to learn, including: association seminars and webinars, the <a href=\"http:\/\/www.cms.gov\/\" target=\"_blank\" shape=\"rect\">CMS website<\/a>, Chirocode.com, <a href=\"http:\/\/www.ngsmedicare.com\/wps\/portal\/ngsmedicare\/\" target=\"_blank\" shape=\"rect\">NGS web site<\/a> for those of you in the Midwest, the <a href=\"http:\/\/pmamembers.com\/?p=4863\" target=\"_blank\" shape=\"rect\">PM&amp;A Members website<\/a> and <a href=\"https:\/\/www.facebook.com\/pages\/Petty-Michel-Associates\/209746691102\" target=\"_blank\" shape=\"rect\">Facebook page<\/a>.\u00a0 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.<\/p>\n<p><strong>FRONT DESK AND OTHER CLINIC DEPARTMENTS<\/strong><br \/>\nThis 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.<\/p>\n<p>The front desk should be experts in customer service, sales for scheduling, and excellent in many other skills.\u00a0 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&#8217;s mother.<\/p>\n<p><strong>YOU ARE PROFESSIONALS<\/strong><br \/>\nThese are high standards, but you are professionals. You don&#8217;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 &#8220;Father Knows Best.&#8221;<\/p>\n<p>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 &#8211; and the third was and is the Information Age.<\/p>\n<p>It is 2013 and your patients are smarter than patients have ever been and expect more.\u00a0 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.<\/p>\n<p>You have to be better.\u00a0 You have to study, learn, train.\u00a0 In a tough economy, patients will go to the best and\u00a0 bypass the rest. You have to be the best.<\/p>\n<p><strong>A NOTE TO DOCTORS<\/strong><br \/>\nThis 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.<\/p>\n<p>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.\u00a0 This is so horribly omitted (or perverted) in many programs as to be either laughable or criminal.\u00a0\u00a0 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.<\/p>\n<p><strong>ONE HOUR PER WEEK<\/strong><br \/>\nStephen Covey talks about how you have to &#8220;sharpen the saw.&#8221;\u00a0 You can cut a tree much faster if the saw is sharp and that sharpening is called training and study.\u00a0 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.<\/p>\n<p>Encourage your team to take at least one hour each week to study some aspect relating to their job.\u00a0\u00a0 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.\u00a0 You can give them a bonus if they give a book report about a book they read in the Lending Library.<\/p>\n<p><strong>YOUR PATIENTS<\/strong><br \/>\nLastly, this also applies to your patients. One of the primary functions of your office should be the training and education of your patients.\u00a0 They need to take responsibility for their own health and in order to do this &#8211; they need to know what you know.\u00a0 Regular care classes, a &#8220;lending library&#8221; and of course, warm &#8220;table talk&#8221; by doctor and staff help.<\/p>\n<p><strong>***<span style=\"color: #ff00ff;\">SPECIAL TEAM TRAINING TELECLASS WITH PHYLLIS FRASE AND DANA PITTNER TUESDAY, MAY 21<\/span><\/strong><span style=\"color: #ff00ff;\">,<\/span>\u00a0<strong><\/strong><\/p>\n<p>12:30pm &#8211; 1:30pm CDT &#8211; &#8220;<span style=\"text-decoration: underline;\">Dialogues and Dilemmas<\/span>&#8221;<\/p>\n<p>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.<\/p>\n<p>Learn how your staff can share and educate your patients on the chiropractic lifestyle.\u00a0 What you can say at the front desk, in therapy, financials, etc.<\/p>\n<p>There is no charge for this teleclass. For active PM&amp;A members, you will find it on you Members site in a few days just in case you missed it.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&#8220;The illiterate of the 21st century will not be those who cannot read and write, but those who cannot learn, unlearn, and relearn.&#8221;\u00a0 Alvin Toffler &nbsp; I don&#8217;t see this discussed much &#8211; at least not enough. It&#8217;s called: STUDY.\u00a0 &hellip; <a href=\"https:\/\/pmaworks.com\/observations\/upcoming-medicare-and-reimbursement-changes-to-survive-and-thrive-study-and-train\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[176,170,169,12,16,7,191,185],"tags":[361,261,377,367,262,373,379],"class_list":["post-2947","post","type-post","status-publish","format-standard","hentry","category-chiropractic-2","category-chiropractic-business-building","category-chiropractic-practice-building","category-motivation","category-reimbursement","category-chiropractic-reimbursement-insurance","category-staffteam-training","category-teleclasseswebinars","tag-chiropractic","tag-learn","tag-michel","tag-petty","tag-study","tag-teleclass","tag-training"],"_links":{"self":[{"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/posts\/2947","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/comments?post=2947"}],"version-history":[{"count":23,"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/posts\/2947\/revisions"}],"predecessor-version":[{"id":2965,"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/posts\/2947\/revisions\/2965"}],"wp:attachment":[{"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/media?parent=2947"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/categories?post=2947"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/tags?post=2947"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}