Compliance and Risk Management
Kelly Brinkman, DC, MCS-P, CPCO
4 hours - on demand training
Module One: The ABC's of the ABN
Doctors fail a Medicare audit for only two reasons and of them is the misuse of the ABN form. This course module will show doctors how to access and fill out the form on the CMS website, review the directions and learn common mistakes that doctors make that cause the form to be invalid. In addition, doctors will learn how to administer the form, when and why the form is needed, when it is not needed and for what type of Medicare patient the form is required. A review of how to access the most current CMS fee schedule for doctors will be provided so that the form is accurately filled out as well.
Module Two: Timed Codes and Billing Units
This course module will review which modality and rehabilitative codes are considered timed versus untimed codes, how to document these services and a few red flags associated with these codes. In addition, doctors will learn how to bill the units associated with untimed and timed codes using the Medicare 8 Minute Rule. Many examples will be shown with a few exercises for doctors to test themselves. The CMS document regarding how to bill these units will be provided and reviewed.
Module Three: Everyday HIPAA Solutions
This course module will review the Privacy, Security and Breach Rules as they apply to the doctor in a small office. The Notice of Privacy Practices (NPP) form will be reviewed and dissected to show the required elements and how these apply to doctors and their staff every day in practice. Over 50 examples of HIPAA related activities as they occur in practice will be discussed with solutions provided. Clarity about what a doctor can and can't do in practice will be shared as well as reviewing what is required in a HIPAA compliant medical records request form.
Module Four: Compliance Reminders that affect the Bottomline
One way to avoid a medical records request starts understanding how the claim form can trigger an audit. This course module will provide a brief overview of the ICD-10 guidelines and how these impact a doctor's claim form. Examples of how the diagnosis hierarchy is applied and the corresponding assessment that is documented in the SOAP note. The Medicare short, moderate and long-term diagnosis codes will be reviewed, along with the No Surprise Billing Act, and common mistakes doctors make that may trigger an audit.
Dr. Kelly Brinkman earned her BS degree from Iowa State University in 1983 and graduated from Logan College of Chiropractic in 1990. She has been in private practice in both Illinois and Missouri from 1990 – 2016 and worked on a volunteer medical team on the Pine Ridge Indian Reservation for one summer. She finished both the Insurance Consultant Peer Review program and earned her MCS-P (Medical Compliance Specialist – Physician) certificates in 2009. In 2019 she earned her Certified Professional Compliance Officer (CPCO) certificate from the AAPC.
She has held the position of Clinician and Educational Coordinator at Logan and has been a full-time faculty member since 2016. She currently teaches Clinical Reasoning 1, Jurisprudence, and Documentation and Billing. She has also taught the Cox Flexion Distraction course since 1991 and has lectured for James Cox DC, DACBR through the National College of Chiropractic post graduate department for 7 years in the past. Periodically, she been a lecturer for Logan’s Post Graduate Department teaching both Cox Flexion Distraction and chiropractic compliance seminars over the past 12 years.
To complete this course, the participant will watch the videos included in thefour modules and complete a short quiz (T/F and/or Multiple Choice) after each video. You must watch the entire video and answer the quiz questions before moving to the next module.
PACE states: AK, KS, ME, MO, ND, SD, TN (NV – PACE approved through June 30, 2024)
Approved: AL, HI, KY, MN, NC, TX, WV, FL
Approved: AL, HI, KY, MN, NC, TX, WV, FL
Pending Approval – AR, GA, NM, NY, PA, NV (After June 30, 2024)
No Prior Approval Required: CO CT DC DE IA ID IL (IN – 4hrs Risk Management) MA MD MI MT NE NH NJ OH OR RI SC UT VA VT WA WY
No Prior Approval Required: CO CT DC DE IA ID IL (IN – 4hrs Risk Management) MA MD MI MT NE NH NJ OH OR RI SC UT VA VT WA WY
Approval of this course is not an acknowledgement or ruling by the Board that the methods taught in this course are recognized and approved by the Board as the appropriate practice of chiropractic as defined in 331.010, RSMo.
Meet Kelly Brinkman, DC, MCS-P, CPCO
02:23
Activity Number
OL2024RM01
Doctors fail a Medicare audit for only two reasons and of them is the misuse of the ABN form. This course module will show doctors how to access and fill out the form on the CMS website, review the directions and learn common mistakes that doctors make that cause the form to be invalid. In addition, doctors will learn how to administer the form, when and why the form is needed, when it is not needed and for what type of Medicare patient the form is required. A review on how to access the most current CMS fee schedule, for doctors, will be provided.
Watch the video and complete the quiz to move to the next Module.
Activity Number
OL2024RM01
Release Date:
Mar 15, 2024
Course Expiration Date:
Mar 15, 2025
CE Hours
1.00
This course module will review which modality and rehabilitative codes are considered timed versus untimed codes, how to document these services and a few red flags associated with these codes. In addition, doctors will learn how to bill the units associated with untimed and timed codes using the Medicare 8 Minute Rule. Many examples will be shown with a few exercises for doctors to test themselves. The CMS document regarding how to bill these units will be provided and reviewed.
Watch the video and complete the quiz to move to module three.
Activity Number
OL2024RM01
Release Date:
Mar 15, 2024
Course Expiration Date:
Mar 15, 2025
CE Hours
1.00
This course module will review the Privacy, Security and Breach Rules as they apply to the doctor in a small office. The Notice of Privacy Practices (NPP) form will be reviewed and dissected to show the required elements and how these apply to doctors and their staff every day in practice. Over 50 examples of HIPAA related activities as they occur in practice will be discussed with solutions provided. Clarity about what a doctor can and can't do in practice will be shared as well as reviewing what is required in a HIPAA compliant medical records request form.
Watch the video below and complete the quiz to move on to module four.
Activity Number
OL2024RM01
Release Date:
Mar 15, 2024
Course Expiration Date:
Mar 15, 2025
CE Hours
1.00
One way to avoid a medical records request starts understanding how the claim form can trigger an audit. This course module will provide a brief overview of the ICD-10 guidelines and how these impact a doctor's claim form. Examples, will be provided, on how the diagnosis hierarchy is applied and the corresponding assessment that is documented in the SOAP note. The Medicare short, moderate and long-term diagnosis codes will be reviewed, along with the No Surprise Billing Act, and common mistakes doctors make that may trigger an audit.
To complete the course please watch the video, complete the module quiz, and complete the course evaluation.
Activity Number
OL2024RM01
Release Date:
Mar 15, 2024
Course Expiration Date:
Mar 15, 2025
CE Hours
1.00