Web page link

https://mnchiro.com/

Membership Fees

Other discounts available for part-time and non-practicing members.

Member benefits

• Education and professional development
• Volunteer opportunities
• Advocacy work
• Practice resources
• Member guide: https://mnchiro.com/wp-content/uploads/2023/03/Membership-Guide-2022-2023-1.pdf

Mentorship program

• MCA NextGen – a community for early career chiropractors
• MCA Sports Council – a community for chiropractors with athletes at all levels

Website to apply for license: https://mn.gov/boards/chiropractic-examiners/ 

• License fee: $250
  • $33.25 for background check

• Fingerprinting and background check required

NBCE Requirements:

Parts I*, II*, III* and IV*, PT: Required – PASSING SCORE IS 375

NBCE Acupuncture accepted.

NBCE SPEC required.

STATE SCOPE OF PRACTICE:

Contact State for precise definition by state law.

Scope: Chiropractic recognizes the innate recuperative power of the body to heal itself without the use of drugs or surgery by identifying and caring for vertebral subluxations and other abnormal articulations by emphasizing the relationship between structure and function as coordinated by the nervous system and how that relationship affects the preservation and restoration of health; Chiropractic services include the evaluation and facilitation of structural, biomechanical, and neurological function and integrity through the use of adjustment, manipulation, mobilization, or other procedures accomplished by manual or mechanical forces applied to bones or joints and their related soft tissues for correction of vertebral subluxation, other abnormal articulations, neurological disturbances, structural alterations, or biomechanical alterations, and includes, but is not limited to manual therapy and mechanical therapy; diagnostic services including clinical, physical, laboratory, and other diagnostic measures, including diagnostic imaging that may be necessary to determine the presence or absence of a condition, deficiency, deformity, abnormality, or disease as a basis for evaluation of a health concern, diagnosis, differential diagnosis, treatment, further examination, or referral; Therapeutic services include rehabilitative therapy, and all of the therapeutic, rehabilitative, and preventive sciences and procedures for which the licensee was subject to examination. When provided, therapeutic services must be performed within a practice where the primary focus is the provision of chiropractic services to prepare the patient for chiropractic services, or to complement the provision of chiropractic services; Acupuncture is permitted only after registration with the board which requires completion of a board-approved course of study and successful completion of a board-approved national examination on acupuncture; A licensed chiropractor may engage in the practice of animal chiropractic diagnosis and treatment if registered to do so by the board, and if the animal has been referred to the chiropractor by a veterinarian.

Synopsis taken from FCLB.org

CONTINUING EDUCATION:

• Annual renewal 
• $200 renewal fee
• 20 hours per year, may be distance/virtual
  • 3 hours in x-ray or advanced imaging
  • 1 hour in professional boundaries 
  • 2 hours in acupuncture if registered to provide acupuncture 
  • 6 additional hours if registered for animal chiropractic services

Step by step instructions

https://www.nata.org/sites/default/files/apply_npi_instructions.pdf

Step by step instructions

https://sa.www4.irs.gov/modiein/individual/index.jsp

Note: This is your tax ID number as a practitioner

TYPE OF BUSINESS BREAKDOWN

Note: The difference between an LLC and a PLLC is that all members of PLLC are required to be designated professionals.

What is an Associate?

An associate receives pay from the office by which they are employed. If you are an associate who will be dealing with vendors for selling goods, you should consider getting an EIN.

What is an independent Contractor?

An independent contractor receives pay from their patients and insurance companies directly. If you are an independent contractor, you need an EIN.

• NCMIC – https://www.ncmic.com/malpractice-insurance/how-to-apply-online/

• OUM – https://www.oumchiropractor.com/quote/apply

• ChiroSecure – https://www.chirosecure.com

• PRI – https://www.pri.com/who-we-serve/chiropractors

• General Liability Insurance – https://generalliabilityinsure.com/small-business/chiropractic-insurance.html

• ChiroFuture – https://chirofutures.org/online-quote/

• SDN Insurance – http://sdnins.com/chiropractor.html

• CoverMD – http://www.covermd.com/chiropractor-malpractice-insurance.aspx

• Insureon – https://alliedhealth.insureon.com/resources/cost/chiropractic

• MBS Insurance Services – https://www.mbsinsure.com/solutions/malpractice-insurance/

• USA Business Insurance – https://www.businessinsuranceusa.com/chiropractor-professional-liability-insurance

• CM&F – https://www.cmfgroup.com/professional-liability-insurance/chiropractic-assistant-insurance/

• MACARIO Insurance Group – https://www.macarioinsurance.com/who-we-cover/all-classes-of-business/

• Chiroprefered – https://chiropreferred.com/find-the-right-coverage

Claims Made

A policy providing coverage that is triggered when a claim is made against the insured during the policy period, regardless of when the wrongful act that gave rise to the claim took place. (The one exception is when a retroactive date is applicable to a claims-made policy.)

Occurrence

An occurrence policy covers claims resulting from an injury or another event that occurs during the policy term. Coverage depends on the timing of the event. A claims-made policy covers claims that are made during the policy period.

Tail Coverage

An addition to a claims-made policy. It extends coverage for incidents that happened during the time you had your policy, but a claim was not filed until after your policy expired or was canceled. Tail coverage is another name for an extended reporting period.

Note: $1 Million/$3 Million is the minimum plan required in order to participate with some Insurance Companies.

As of this writing, most private insurance companies rely on the Council for Affordable Quality Health Care (CAQH) to verify your credentials. You will also need CAQH credentialing for some of the government supplemented participations as well. Others will use Availity for your credentialing, however as of this writing that is becoming less common. Keep in mind, you only need one account on either of these, and then will give permissions to each insurance company you are working to participate with to access your information and to be verified as a provider.

• • Availity: https://www.availity.com/essentials

CAQH: information needed can be filled out here: https://proview.caqh.org/Login/

The following is a quick step by step of what things you should select as a chiropractor and documents/information you may need.

1. NUCC Grouping: Chiropractic Providers
2. Provider type: Doctor of Chiropractic
3. Select your state
4. Social security number
5. Demographics and contact information
6. License number(s) and state(s)
7. Educational information (about your chiropractic school and degree)
8. Board certified: No (chiropractors are not board certified, and do not need to be)
9. You may select directory listings and other searchable tags
10. Practice location(s), including TIN
11. You may add credentialing contact information if you are using a third party, but if you are doing this yourself you may skip this section.
12. Malpractice insurance information: company, expiration dates, and policy numbers.
13. 10 year work history, dates, addresses, etc.
14. Professional disclosures
15. Documents to upload:
    1. Standard authorization release; updated every 120 days
    2. Professional liability insurance verification (proof of insurance)
    3. State license (copy)
    4. W9

Common insurance companies include Aetna, Anthem, Cigna, Medica (a medicaid program), UHC (Optum)

Aetna: https://www.aetna.com/health-care-professionals/join-the-aetna-network.html 

Anthem: https://www.anthem.com/provider/credentialing/ 

Cigna: https://www.cigna.com/health-care-providers/credentialing/join-medical-network 

Medica: https://partner.medica.com/providers/join-our-provider-network 

UHC (viaOneHealth) https://www.uhcprovider.com/en/resource-library/Join-Our-Network.html 

Medicare Enrollment:
https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/Downloads/cms855i.pdf

Medicare Revalidation: PECOS:
https://www.youtube.com/embed/PaLEWx0JGPw?rel=0&autoplay=0

Tips For Medicare Audit/Record Request Tips
https://www.acatoday.org/Practice-Resources/Medicare/Medicare-Audit-Record-Request-Tips

Type Of Audit And Record Requests
https://www.acatoday.org/practice-resources/medicare/medicaretpe/

Targeted Probe And Education (TPE)
http://www.acatoday.org/MedicareTPE

Medicare Training For The Chiropractic Office
https://learn.acatoday.org/products/medicare-training-for-the-chiropractic-office

How To Bill Secondary Insurance Plans
https://www.medicare.gov/supplements-other-insurance/how-medicare-works-with-other-insurance

Which Insurance Pays First
https://www.medicare.gov/supplements-other-insurance/how-medicare-works-with-other-insurance/which-insurance-pays-first

MinnesotaCare 

• Manual spinal manipulation to treat subluxations determined to be medically necessary and accepted by standard of chiropractic care
• X-ray coverage when needed to support diagnosis 
• Acupuncture coverage for pain and other specific conditions
  • One evaluation per year, 24 spinal manipulative treatments (no more than 6 per month)
• Coverage details: https://www.dhs.state.mn.us/main/idcplg/Dental-Services-Overview.doc?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_008952

• Covered in part of a worker’s compensation medical benefits treatment parameters 

Legislation: https://www.dli.mn.gov/business/workers-compensation/work-comp-medical-benefits-treatment-parameters