Greetings Dr.
May 21, 2010 - Issue 5
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 Duplicate Claim Denials: What Are They Costing You? | |
Did you know that 42 percent of all ChiroCare claim denials are the result of a duplicate submission?
We are committed to working with our contracted providers as well as our administrator to simplify our processes and reduce administrative costs for both ChiroCare and you, our provider, where possible. With the ChiroCare savings, projects and initiatives that benefit all of our contracted network providers are funded, e.g. online education courses, NCQA accreditation support, patient outcomes data collection and future marketing initiatives designed to increase patient traffic in your office.
To help reduce the administration costs for your office and ChiroCare, we encourage you to do following:
- Contact your billing service. If you use a billing service for claim submissions, please confirm their standard billing protocols. Many automatically resubmit unpaid claims a short time following the initial submission, e.g. less than 30 days, resulting in unnecessary charges to you as well as increasing ChiroCare's administrative costs. If this is the case, please ask your billing service to adjust their process for ChiroCare claims and resubmit only after they have confirmed a failed delivery.
- Use ChiroCare Connect to confirm claim status. To locate a claim on ChiroCare Connect, do the following:
- Log on to ChiroCare Connect.
Not Registered? It's simple: go to www.chirocaremn.org and select "To ChiroCare Connect, then"Register" from the ChiroCare Connect home page. From there, simply follow the on line prompts. Registration should take less than 5 minutes.
- Select "Patient Status" tab and use the Member Search tool
- Once the appropriate member has been selected, go to Claims (in sub menu bar) to view the status of each claim received.
Please note that when submitting claims through a clearinghouse, it typically takes approximately two business days for ChiroCare to receive the claim.
Please note that, it typically takes approximately two business days until you can view your claim.
- Wait 30 before doing additional follow up on claims received by ChiroCare. Depending on the health plan associated with a claim, the average turn around time will vary from 14 days to more than 30. To inquire about a claim in process, please contact Provider Services at (888) 638-7719 for assistance.
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| ChiroCare Sponsors Online Education Opportunity |
ChiroCare Providers can now obtain free continuing education credits via ChiroCare's web site. By visiting www.chirocaremn.org providers may view three videos and earn up to 4.5 continuing education credits for Minnesota. The videos--clips of ChiroCare's December, 2009 provider education seminar--feature chiropractic neurologist, Dr. Joe Ferezy, and address the following topics: - Stroke and Manipulation: Just the Facts (3.5 regular CE hours available)
- Gender Sensitivity and Sexual Misconduct (1 hour of professional boundaries credit available)
We encourage you to log on and enjoy earning continuing education credits when your schedule allows, and in the convenience of your own home or office. After watching these videos, you may take a brief test and fax or mail your completed forms to ChiroCare. Upon verification of successful completion, ChiroCare will send you a certificate for 2010 continuing education credit(s). Please note that providers who attended and received credits for ChiroCare's 2009 seminar, are eligible to watch the videos and obtain credit in 2010. If you have educational program suggestions and/or topics you think may be of interest to ChiroCare providers, please feel free to contact us at info@chirocaremn.com or 651-389-2006 or 866-714-0524.
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Seminar Feedback
Providers who attended the December seminars provided positive feedback:
Value of Information presented: 9.46
Quality of Speaker: 9.88
Level of Speaker's Knowledge: 9.75
*Values were averaged for the two classes and represent a 10 point scale, 10 being best.
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Get to Know the Board Members: Dr. Richard "Rick" Zarmbinski
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A ChiroCare Board member since 2001, Dr. Zarmbinski lends his voice and energy to several causes that support chiropractors and the chiropractic profession. As a ChiroCare Board member, he participates on several committees including Credentialing, Provider Services, Finance and Recruiting (new Board members and staff).
In addition, he has served on the Board of Trustees at Northwestern Health Sciences University for 20 years, previously as Chair and currently as Treasurer. A past president of the Minnesota Chiropractic Association (MCA), Dr. Zarmbinski has served on the MCA legislative committee for 25 years, chairing it for five. In addition, he is a long standing member of the American Chiropractic Association.
After turning down a scholarship for dental school, Dr. Zarmbinski injured his back while working. When traditional medical treatment and drugs failed, a friend encouraged him to seek chiropractic care. The success of that treatment prompted him to pursue a career in chiropractic.
A 1981 graduate of Northwestern College of Chiropractic, Dr. Zarmbinski has owned and operated A Center for Chiropractic and Acupuncture in Woodbury for nearly 30 years.
His success is further demonstrated with several awards including:
Chiropractor of the year, MCA (2000)
Distinguished Alumnus, Northwestern College of Chiropractic (1999)
Meritorious Award, MCA (1999)
Outstanding Leadership Award, MCA (1998)
Presidential Award, MCA (1989, 1990 and 1993)
In addition to his many chiropractic causes, Dr. Zarmbinski supports his community through participation with the Chamber of Commerce in both Washington and Dakota Counties. He enjoys golf and is looking forward to watching his daughter's graduation from St. Olaf later this month.
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| Are You Maximizing the Benefit of Your ChiroCare Participation? | | As a contracted provider, did you know you are eligible to receive commonly purchased products and services at discount prices? ChiroCare's Discount Purchasing Program was rolled out in March and includes convenient and flexible off site data back up services from CHIPS Computer Services. Through the ChiroCare relationship, contracted providers can obtain these services at a discount of up to 15 percent. If you are looking for an affordable and effective data protection solution, please contact Vern, ChiroCare's CHIPS representative, at (651) 407-8555, extension 711 for additional information. |
Stay Connected Using Social Media
| | ChiroCare is using popular social media sites to share information and spark discussions about timely topics that affect the chiropractic profession. To participate, or simply have access to the information and/or exchanges, you can find ChiroCare on Facebook and Linked In.
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| Holiday Schedule: | | The ChiroCare administrative office, as well as the executive office, will be closed on Monday, May 31st in recognition of Memorial Day. |
Fast Facts
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April 2010 |
Performance Goal | |
Average speed to answer the phone |
18 seconds |
Less than 30 seconds | |
Volume of calls answered within 30 seconds |
92% |
Minimum of 80% | |
Volume of all claims received electronically*
*Per MN Statute 62J.536 all providers in MN are to be submitting claims electronically as of 12/15/09 |
89% |
Minimum of 90% |
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