Upon completion of the Clinic Management On-Demand Learning Series, the learner will become knowledgeable on the following topics: 

· Verification of Benefits: Understand the necessary components of a properly executed verification of benefits and know instances when certain special questioning is needed. 
· Appeals: Understand the importance of appeals (including ERISA) and the basic process and follow through needed for optimum chances of overturning a denial. 
· Self-Audits: Be able to apply the information provided in order to help ensure necessary components of medical records are in place and self-audits are performed. 
· HIPAA: Be able to identify whether their clinic is in compliance with HIPAA’s basic changes, and will understand both consequences of a breach and notification requirements. 
· Provider contracts: Be equipped to confidently review and understand essential portions of provider contracts and what questions to ask of payers.

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

This Webinar will provide an overview of the ACA’s Choosing Wisely program, including how the program was developed, the rationale for each of the items on the ACA’s list, an explanation of what Choosing Wisely is and is not, and the significance of this program for the chiropractic profession. 

In the next installment of our Choosing Wisely series, Dr. Andre Bussieres will focus in on ethical use of X-Rays in Chiropractic.  The presentation will:

• review the reasons why some clinicians use radiography routinely for patients with spine disorders, 
• discuss when diagnostic imaging is recommended and when it is not, 
• highlight potential adverse effects associated with routine diagnostic imaging. 

Dr. Elise G. Hewitt

December 11, 2018

From a public health perspective, breastfeeding has a strong positive impact on both infant and maternal health. Studies now show chiropractic care may help improve a baby’s ability to breastfeed. This class will empower doctors of chiropractic to effectively manage infant patients with suboptimal breastfeeding.

Dr. Hewitt will describe the benefits of breastfeeding to both mother and baby. Current medical management of suboptimal breastfeeding will be discussed, as will the clinical rationale for chiropractic co-management, with emphasis on spinal joint dysfunction and its effects on the involved tissues and systems. The latest research evidence in this area will be discussed. Elements of the history and physical examination relevant to dysfunctional breastfeeding will be highlighted. Dr. Hewitt will detail patient management including manual therapy techniques, frequency of care, and prognosis. Dr. Hewitt will pepper her instruction with clinical pearls from her 30 years of experience in pediatric practice.

Learning Objectives:

1. Discuss current medical management for babies with suboptimal breastfeeding.
2. Explain how chiropractic care can help infants with suboptimal breastfeeding.
3. List five clues each in the history and examination that indicate spinal joint dysfunction as a possible etiology for suboptimal breastfeeding.

This webinar is for 1 CEU credit, approved in all PACE states except Tennessee.  For more information on PACE and a complete list of state licensing boards that accept PACE, click here.

The following states require the participant to enter the course approval number on their certificate:

• California: View the list of course approval numbers and categories for California approved courses.
• Missouri: View the list of course approval numbers and categories for Missouri approved courses.

In June of 2018 the landmark Lancet Low Back Pain Series was published. Professor Jan Hartvigsen was co-chair for the steering group. In this webinar he will present the content and key points from the series. These include description of what low back pain is and the burden and impact of low back pain on individuals and societies; current recommendations from evidence-based clinical guidelines and the evidence-practice gap that is apparent everywhere; promising new directions in management of low back pain; and finally, a global call to action for individuals, clinicians and decision makers. He will highlight the need for change in the way we deal with low back pain and musculoskeletal disorders and how chiropractors can be important stakeholders in promoting and leading this change.

The following states require the participant to enter the course approval number on their certificate: 

• California: View the list of course approval numbers and categories for California approved courses.
• Missouri: View the list of course approval numbers and categories for Missouri approved courses.

Kids are more than just small adults and their chiropractic treatment needs to be tailored to their unique anatomy and physiology in order to provide safe and effective care. Each part of the patient visit requires special attention to the age and development of the patient. Join Jennifer Brocker, DC, DICCP, president of the ACA Council on Chiropractic Pediatrics, as she highlights the current research on the safety of pediatric chiropractic care and the unique aspects of conducting and documenting a pediatric patient visit, including a narrative history, physical exam and daily subjective-objective-assessment-and-plan (SOAP) notes. After viewing this webinar, registrants will be able to identify and explain the current research on the safety of chiropractic care in pediatrics, describe the unique aspects of the narrative history, physical exam, and SOAP note documentation for a pediatric patient, and more. 

Learning Objectives

• Identify and explain the current research on the safety of chiropractic care in pediatrics.
•  Describe the unique aspects of the narrative history, physical exam, and subjective-objective-assessment-and-plan  (SOAP) note documentation for a pediatric patient.
• List treatment plans for pediatric patients and how they differ from other patient treatment plans.

The following states require the participant to enter the course approval number on their certificate:

• California: View the list of course approval numbers and categories for California approved courses.
• Missouri: View the list of course approval numbers and categories for Missouri approved courses.

In this webinar, Dr. Karen Erickson will explore normal and abnormal posture and it's impact on the female patient throughout her physiological journey. You will learn how to evaluate sitting, standing and sleeping posture as well as how phones and computers impact posture and health. Dr Erickson will elucidate the important role chiropractors can play in the healthcare of our female patients. Chiropractic care and patient education can help avoid downstream consequences of poor posture in girls and women including spinal curvature, spinal pain and degeneration, muscle imbalance, headache, respiratory dysfunction, ligament laxity and bone density.

Women make up the majority of chiropractic patients. As a chiropractor, you are uniquely qualified to identify how posture impacts girls and women throughout their physiological journey. You will learn how female postural distortions from infancy into old age are exacerbated by prolonged sitting, sleeping posture, heavy handbags and backpacks, shoe wear, forward head position, pregnancy and breastfeeding. Postural distortions are further complicated by ligament laxity and loss of bone density. We will also explore the research on the psychosocial impact of posture on women. You will gain comprehensive clinical knowledge to help your female patients correct their posture through chiropractic adjustments, therapeutic exercise, and education.

Learning Objectives

1. Discuss normal and abnormal posture and its impact physically and emotionally on the female patient throughout her physiological journey. 

2. Identify the causes and correction of postural abnormalities in girls and women during sitting, standing, lying, as well as during the use of phones and computers. 

3. Discuss how chiropractors can play a key role in the lives of girls and women by clinically  identifying and addressing postural distortions that would otherwise create downstream consequences on spinal curvatures, spinal pain and degeneration, headache, respiratory dysfunction, ligament laxity and bone density. 

The following states require the participant to enter the course approval number on their certificate: 

• California: View the list of course approval numbers and categories for California approved courses.
• Missouri: View the list of course approval numbers and categories for Missouri approved courses.

One of the biggest challenges doctors of chiropractic face when seeking employment or employing a chiropractor is finding the right fit and determining success. Our presentation aims to provide both employers and potential employees the tools to aid them in this process to create positive, long-lasting relationships.

Learning Objectives:

1. Identify quality potential employment opportunities or employees 

2. Recognize “how the employment process works” 

3. Prepare for employment or taking on an employee

Evidence for chiropractic care in the pediatric population is on an increase, enabling chiropractors to have a vital role in children’s healthcare. This presentation will prepare you to share what doctors of chiropractic have to offer (now and in the future). Highlights include research findings from the largest prospective safety evaluation of chiropractic care for the pediatric population, and a systematic review of manual therapy use for children.

Learning Objectives: 

• Discuss the largest prospective safety evaluation of chiropractic care for the pediatric population
• Discuss a systematic review of manual therapy use for pain and disability among pregnant and post-partum patients. 
• Explain research’s impact on the future of the chiropractic profession and the necessity for grass-root efforts to really grow these efforts profession.

The following states require the participant to enter the course approval number on their certificate: 

• California: View the list of course approval numbers and categories for California approved courses.
• Missouri: View the list of course approval numbers and categories for Missouri approved courses.