Web page link

https://fcachiro.org/

Membership Fees

Member benefits

• PAC support
• Insurance and legal help desk
• Foundation: research and scholarships
• Regional events
• Classifieds 
• Collaboration with The National (held in FL)

Website to apply for license: Link to apply: https://floridaschiropracticmedicine.gov/

• License fee: $305
  • +$95 for laws and rules fee
  • +$100 application fee
• Jurisprudence exam administered by NBCE (Florida Laws and Rules Examination)
  • Tip – complete exam before applying for license to avoid paying additional fees to send your exam transcript to the state
• Fingerprinting and background check required

NBCE Requirements:

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

NBCE Acupuncture, required if practicing.

• Details on acupuncture licensing: https://floridaschiropracticmedicine.gov/licensing/acupuncture-certification/

NBCE SPEC accepted in some reinstated/lapsed licenses, or disciplinary cases.

STATE SCOPE OF PRACTICE:

Contact State for precise definition by state law.

Scope: May examine, analyze and diagnose the human living body and its diseases by the use of any physical, chemical, electrical, or thermal method, and use the X-ray for diagnosing, and may use any other general method of examination for diagnosis and analysis taught in any school of chiropractic recognized and approved by the Florida State Board of Chiropractic Examiners. Chiropractic physicians may adjust, manipulate, or treat the human body by manual, mechanical, electrical or natural methods, or by the use of physical means, physiotherapy (including light, heat, water, or exercise) or by the oral administration of foods and food concentrates, food extracts, and may apply first aid and hygiene, but chiropractic physicians are expressly prohibited from prescribing or administering to any person any legend drug, or from performing any surgery, except as hereinabove stated or from practicing obstetrics.

Synopsis taken from FCLB.org

CONTINUING EDUCATION:

• Biennial, renews March 31 on even numbered years
• 40 hours per renewal
  • 20 hours per year, 10 hours may be at a distance
• First renewal, exempt from CE requirements of renewal
  • 6 hours record keeping/documentation
  • 2 hours in ethics and boundaries
  • 1 hour prevention of medical errors
  • 1 hour risk management/FL rules/laws
• Three hours HIV/AIDs training
• Accepts PACE

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, AvMed, Cigna, Health Alliance, Molina Health (Medicaid) UHC (Optum)

• Aetna: https://www.aetna.com/health-care-professionals/join-the-aetna-network.html 
• Anthem: https://www.anthem.com/provider/credentialing/
• AvMed: https://www.avmed.org/media/nwicatb0/credentialing-application.pdf 
• Cigna: https://www.cigna.com/health-care-providers/credentialing/join-medical-network 
• HealthAlliance: https://healthalliance.org/documents/19 
• Molina Health: https://www.molinahealthcare.com/providers/fl/medicaid/home.aspx
• 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

• Florida Medicaid includes diagnosis and treatment of joint misalignments

• • Includes x-rays

• NP Exam and 23 established visits per year

• Statutes: https://ahca.myflorida.com/medicaid/medicaid-policy-quality-and-operations/medicaid-policy-and-quality/medicaid-policy/medical-and-behavioral-health-coverage-policy/primary-and-preventive-care-policy/chiropractic-services

• Covered through a Medical Doctor’s referral or prescription
• Billing submitted to the Office of Worker’s Compensation Programs https://www.dol.gov/agencies/owcp