Presenter James Cox, DC, reviews the mechanism, diagnosis and treatment of back and radicular pain based on federally funded research. This non-CE program will show the biomechanical changes in the lumbar spine segmental levels when flexion distraction spinal manipulation is delivered. Real-time footage of the spine facet joint and intervertebral foraminal alteration as well as intradiscal pressure measurements, disc space increase and afferentation will also be discussed. 

It's Medicare for Chiropractors 101!  Join Dr. Angela Kennedy for this guide to the fundamentals of Medicare for Chiropractors.  The purpose of this course is to provide doctors of chiropractic and their office staff training on proper documentation for Medicare of chiropractic services. Specifically, attendees will receive guidance on: chiropractic billing and documentation concepts, requirements for demonstrating medical necessity, determining coverage based upon Medicare requirements and addressing various issues that will help decrease claim submission errors.

Number of CEU Credits Offered: 1

ACA has received numerous questions as to the applicability of Section 2706 in many different scenarios. While it has not yet been determined specifically how this provision will be enforced in regard to certain specific payer policies and practices, ACA is steadfastly working to ensure that all the strength originally intended to be held by this provision remains, and that it will remain a bulwark of protection  for doctors of chiropractic for years to come. The information below is intended to add as much clarity as possible and to help providers and their staff to become more familiar with Section 2706.

Session 1: 

Presenters: Hyla Schreurs and Rachel Lips

General Information

• OCR Overview
• Who is Covered by HIPAA (Covered Entities and Business Associates)
• • How the compliance process works

Privacy Rule

• What is and isn’t PHI 
• Permitted Uses and Disclosures
• Incidental Disclosures
• Minimum Necessary Standard
• Authorizations
• Marketing
• Administrative Requirements (Designate a Privacy Officer, Designate Person/Office to Receive Complaints, Provide Training, Develop and Implement Policies and Procedures)
• Covered entities’ duties

Session 2:

Presenters: Hyla Schreurs and Emily Prehm

• Individual Rights (NPP, Access, Amendment, Accounting, Alternative Communications, Request Restriction, Complaints to the CE and OCR)

Session 3:
Presenters: Meghana Shah and Karel Hadacek
Security Rule

• Definitions/General Rules
• What is Covered
• Standards and Implementation Specifications
• Administrative Safeguards
• Physical and Technical Safeguards
• Organization Requirements
• Security Rule Resources

Session 4: 
Presenters: Emily Prehm and Rachel Lips
Breach Notification Rule

• Definition of Breach
• Notification to the Individual, Media, and HHS
• Breach Highlights
• What Happens when HHS/OCR receives a Breach Report

Enforcement

• Compliance Trends/Challenges
• Complaint Process/Enforcement Process
• Recent Enforcement Actions and General Enforcement Highlights
• Compliance Challenges

Breach and Enforcement examples

The webinar by Dr. George Petruska will cover the basics of functional evaluation, beginning with how to establish a functional baseline. Topics include: interpreting functional analysis, the importance of identifying dysfunctional movement patterns, the adverse effect of pain provocation on motor control, and assessing function in loaded and unloaded positions. Participants will learn how to put it all together to design a functional intervention.

The purpose of this webinar is to discuss an evidence-based diagnostic system and exam for low back pain. Low back pain can represent many conditions requiring different management strategies. However, conflicting terminology and poor or unknown diagnostic test validity result in diagnoses based largely on opinion. This webinar series presents and looks at the evidence supporting office-based diagnostic criteria for common neuromusculoskeletal diagnoses.

Number of CEU Credits Offered: 1

The purpose of the Choosing Wisely campaign is to spark thoughtful conversations between patients and their doctors about the best,
most appropriate care. Choosing Wisely is a joint effort between the American Board of Internal Medicine Foundation and Consumer
Reports.
They feature recommendations about health care procedures that are common, but whose usefulness in some cases is not supported
by the evidence. To participate, healthcare organizations develop a list of 5 tests and/or procedures that may be common but for whom
routine use is not necessarily based on the best evidence available. In August of 2017, the American Chiropractic Association (ACA)
released their Choosing Wisely list. This list focuses on the use of x-rays, back braces, physical therapy modalities and psychosocial
assessments for patients who need longer term care.
Since the release of this list, there has been significant controversy regarding the ACA's Choosing Wisely recommendations, including
misunderstandings regarding how they are to be applied in chiropractic clinical practice. The ACA’s Choosing Wisely campaign creates
an opportunity for our chiropractic educational institutions to discuss best practices in spine care, and what constitutes patient centered,
evidence informed management of back pain.
Panelists will begin with a discussion of the Choosing Wisely campaign, and the evidence base that informed recommendations.
Leading experts will supplement the discussion by challenging and exploring various facets of the recommendations. This includes
imaging related questions to consider as part of our chiropractic research agenda, an update of best practices for active care in patient
treatment plans, and perspectives on the extent to which Doctor of Chiropractic Programs should reflect Choosing Wisely
recommendations in their curricula. The goal of this session is to empower attendees with the information and tools necessary to
deliver, and instruct chiropractic students in best practice management of low back pain.

The Choosing Wisely® campaign was developed by the American Board of Internal Medicine Foundation to facilitate informed and collaborative discussions between doctors and patients about the necessity, efficacy and risks and benefits of common tests and procedures. The Choosing Wisely initiative looks to doctors and the societies representing them to underpin these efforts by identifying a “Top Five” list of evidence-based recommendations that draw attention to potentially unnecessary tests or therapies.

ACA’s Choosing Wisely list was developed after several months of careful consideration and thorough review, using the most current evidence about management and treatment options. This panel will discuss the background of Choosing Wisely and the development of the ACA Choosing Wisely statements. Additionally, attendees will hear how the panelists are implementing the recommendations into their practices.

Running a compliant and profitable practice are not two oppositional concepts. In fact, it's important to understand how to produce quality documentation, provide quality care and operate that practice in a way that rewards this effort. From NCLC 2018, this presentation is designed to challenge doctors of chiropractic to make business decisions that drive quality outcomes in patient management and the profitability of the office. If the success of your office is determined by your check book balance each month, then you need to reconsider your approach to running your office.

From NCLC 2018- patients reports of outcomes and experiences (PROMs & PREMs) with care can be used to help improve health outcomes, communication between patient and chiropractor and to transparently promote the use of chiropractic services. This session will present the evidence behind the use of PROM/PREM for the care of individual patients as well as for enhancing development of clinical services.