ROAD TO PRACTICE:
Georgia
1. Join State Association
Georgia Chiropractic Association
Web page link
Membership Fees
Rates including student and new-graduate options
Member benefits
- Health Insurance discounts
- Compliance tools
- X-ray certification for CAs
- Legislative support
2. License Requirements
Website to apply for license: https://sos.ga.gov/how-to-guide/how-guide-chiropractor#How%20To%20Apply
- License fee: $200
- Application fee: $75
- Jurisprudence exam open book. https://sos.ga.gov/sites/default/files/forms/12%20Form%20-%20Georgia%20Jurisprudence%20Examination.pdf
- Fingerprinting and background check NOT required
NBCE Requirements:
Parts I*, II*, III* and IV*: Required – PASSING SCORE IS 375
NBCE Acupuncture NOT accepted.
NBCE PT NOT accepted.
NBCE SPEC required for license by reciprocity options.
STATE SCOPE OF PRACTICE:
Contact State for precise definition by state law.
- Scope: (See O.C.G.A. §43-9-16 for the definition in Georgia law. The law can be found at www.sos.ga.gov/plb/chiro) The term chiropractic as used in the chapter of the Georgia Law means the adjustment of the articulation of the human body, including ilium, sacrum and coccyx, and in the use of electric, X-ray photography for diagnostic purposes. Doctors of Chiropractic shall have the right to adjust patients according to specific chiropractic methods and shall observe public health regulations, sign health certificates, reporting to the proper health officers the same as other practitioners. Doctors of Chiropractic shall not prescribe or administer medicine to patients, perform surgery, nor practice obstetrics or osteopathy
Synopsis taken from FCLB.org
CONTINUING EDUCATION:
- 20 hours per year (10 may be distance learning)
- Breakdown: 15 hours clinical sciences, 4 hours risk management or ethics
- Accepts PACE
3. Getting Your NPI Number
(New Practioner Identification) Number
Step by step instructions
https://www.nata.org/sites/default/files/apply_npi_instructions.pdf
4. Obtaining an EIN
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
Business Structure |
Ownership |
Liability |
Taxes |
Sole Proprietorship |
One person |
Unlimited personal liability |
Personal tax only |
Partnership |
Two or more persons |
Unlimited personal liability unless structured as a limited partnership |
Self-employment tax (except for limited partnership), Personal tax |
Limited Liability Company (LLC) |
Two or more persons |
Owners are not personally liable |
Self-employment tax, Personal tax or Corporate tax |
Professional Limited Liability Company (PLLC) |
Two or more persons |
Owners are not personally liable |
Self-employment tax, Personal tax or Corporate tax |
Corporation – C Corp |
One or more persons |
Owners are not personally liable |
Corporate tax |
Corporation – S Corp |
One or more persons, but no more than 100 and all must be US citizens |
Owners are not personally liable |
Personal tax |
Corporation – B Corp |
One or more persons |
Owners are not personally liable |
Corporate tax |
Corporation – Nonprofit |
One or more persons |
Owners are not personally liable |
Tax-exempt, but corporate can’t be distributed |
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.
5. Obtaining Malpractice Insurance
Malpractice Insurance Providers
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NCMIC – https://www.ncmic.com/malpractice-insurance/how-to-apply-online/
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ChiroSecure – https://www.chirosecure.com
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General Liability Insurance – https://generalliabilityinsure.com/small-business/chiropractic-insurance.html
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ChiroFuture – https://chirofutures.org/online-quote/
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SDN Insurance – http://sdnins.com/chiropractor.html
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CoverMD – http://www.covermd.com/chiropractor-malpractice-insurance.aspx
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Insureon – https://alliedhealth.insureon.com/resources/cost/chiropractic
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MBS Insurance Services – https://www.mbsinsure.com/solutions/malpractice-insurance/
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USA Business Insurance – https://www.businessinsuranceusa.com/chiropractor-professional-liability-insurance
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CM&F – https://www.cmfgroup.com/professional-liability-insurance/chiropractic-assistant-insurance/
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MACARIO Insurance Group – https://www.macarioinsurance.com/who-we-cover/all-classes-of-business/
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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.
6. Participating with Insurance Providers
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.
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- 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.
- NUCC Grouping: Chiropractic Providers
- Provider type: Doctor of Chiropractic
- Select your state
- Social security number
- Demographics and contact information
- License number(s) and state(s)
- Educational information (about your chiropractic school and degree)
- Board certified: No (chiropractors are not board certified, and do not need to be)
- You may select directory listings and other searchable tags
- Practice location(s), including TIN
- 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.
- Malpractice insurance information: company, expiration dates, and policy numbers.
- 10 year work history, dates, addresses, etc.
- Professional disclosures
- Documents to upload:
- Standard authorization release; updated every 120 days
- Professional liability insurance verification (proof of insurance)
- State license (copy)
- W9
Common insurance companies include Aetna, Alliant Health Plans, Anthem, Cigna, Oscar, UHC (Optum), CareSource
- Aetna: https://www.aetna.com/health-care-professionals/join-the-aetna-network.html
- Alliant Health Plans: https://alliantplans.com/providers/provider-enrollment/
- Anthem: https://www.anthem.com/provider/credentialing/
- CareSource: https://www.caresource.com/ga/providers/education/become-caresource-provider/
- Cigna: https://www.cigna.com/health-care-providers/credentialing/join-medical-network
- Oscar: https://www.hioscar.com/joinournetwork
- 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
Medicaid Participation
- Coverage may apply with prior authorizations
- Medicaid booklet indicates this is a non-covered service – link (downloads)
- Multiple worker’s compensation sites indicate participation with chiropractic care as an option for patients.
- Fee schedule: https://sbwc.georgia.gov/publications-and-forms/publications/fee-schedules/medical-and-dental-fee-schedules