ROAD TO PRACTICE:
IDAHO
1. Join State Association
Web page link
Application
https://iacp.wildapricot.org/join-iacp
Membership Fees:
Membership Type | Fee |
Student | $50.00 |
1st Year in Practice, Out-of-State, Retired | $150.00 |
Full Membership | $300.00 |
2. License Requirements
NBCE requirements
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Parts I*, II*, III* and IV*: Required – PASSING SCORE IS 375
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Physiotherapy*: Required – PASSING SCORE IS 375
None
License application checklist: https://edopl.idaho.gov/OnlineServices/_/
Application Fee: $200.00
State Scope of Practice
Contact State for precise definition by state law.
The system of specific adjustment or manipulation of the articulations and tissues of the body; the investigation, examination and clinical diagnosis of conditions of the human body and the treatment of the human body by the application of manipulative, manual, mechanical, physiotherapeutic or clinical nutritional methods and may include the use of diagnostic X-rays. Nothing herein contained shall allow any physician to perform surgical operations or practice obstetrics, or direct or suggest to the patient that such patient shall use products required by law to be dispensed on prescription only or is restricted to use by practitioners only. Those holding Clinical Nutrition Certification will be allowed to administer certain listed prescription substances by injection and IV methods.
You must obtain eighteen (18) hours of scientific clinics, forums, or chiropractic study that are approved by the Idaho State Board of Chiropractic, within the previous twelve (12) months before requesting renewal of your license. Your hours may be taken online. Discounted online CE is available for IACP members.
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
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
STATE SPECIFIC INSURANCE CREDENTIALING LINKS:
Aetna: https://www.aetna.com/health-care-professionals/join-the-aetna-network.html
Blue Cross of Idaho: https://providers.bcidaho.com/forms-and-resources/resources/provider-packet.page
Cigna: https://www.cigna.com/health-care-providers/credentialing/join-medical-network
United HealthCare: https://www.uhcprovider.com/en/resource-library/Join-Our-Network.html
Pacific Source: https://pacificsource.com/sites/default/files/2023-10/PRV645_0923_Credentialing%20Application%20Packet%20for%20Providers-OR.pdf
Select Health: https://selecthealth.org/providers/join-our-networks
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
Idaho Medicaid Idaho MMIS Provider Handbook – Chiropractic Overview for Medicaid Services in Idaho
Idaho Medicaid Covered Services – Covered Medicaid Services Under the Idaho Medicaid Program
Idaho Administrative Rules Related to Covered Health Care Services (IDAPA) – Update 2013