ANSWERED: Common Legal Questions of PA Chiropractors

PCA’s general counsel, Jason B. Martin, Esquire will be hosting a lunch and learn for PCA members.  This will be a 1-hour recorded presentation by Mr. Martin.  The presentation will focus on legal matters affecting all chiropractors in Pennsylvania.  Topics include insurer medical and reimbursement policies, Act 6, insurer audits, and chiropractor responsibilities under the Pennsylvania Chiropractic Practice Act.  This lunch and learn will be followed by live full day presentations in the fall of 2023 as part of the PCA Coding and Compliance Institute. 

AGENDA 

•  Auto Accident Cases – Peer Reviews and Appeals under Act 6.
  Learn how to get paid even when you receive a negative peer review.

• Summary of current medical and reimbursement policies for Highmark, UPMC and IBC.

•  Billing/Documentation
  Issues targeted by insurers (e.g., treatment plans, billing E/M with CMT, signature requirements, Provider NPI’s on CMS-1500)

• Current delegation law in Pennsylvania

• Advertising
  (e.g. weight loss, vitamin-D)

• Credit Card fees

• Co-pays/Deductibles/Time of Service Discounts

• Balance billing

• Social Media do’s and don’ts

• Inappropriate contact with patients