Web page link

https://www.scchiropractic.org/

Membership Fees

Discounts for joint spouse rates.

Member benefits

• Advocacy support
• Access to general counsel
• CEUs
• Coding desk book and software discounts
• Local community and networking
• Health insurance
• Events like golf outings, trade show, and shuck and shoot tournament

Website to apply for license:  https://llr.sc.gov/chiro/

• $300
• Jurisprudence exam with initial application (75% or better, may retake after 24 hours if applicant fails)
• Fingerprinting and background check NOT required
• Application requires passport photo, notarized residency status

NBCE Requirements:

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

NBCE Acupuncture NOT accepted.

NBCE SPEC for disciplinary cases or impairment review.

STATE SCOPE OF PRACTICE:

Contact State for precise definition by state law.

• 40-9-10

(a) “Chiropractic” is defined as that science and art which utilizes the inherent recuperative powers of the body and deals with the relationship between the nervous system and the spinal column, including its immediate articulations and the role of this relationship in the restoration and maintenance of health.

(b) “Chiropractic practice” is defined as the spinal analysis of any interference with normal nerve transmission and expression, and by adjustment to the articulations of the vertebral column and its immediate articulations for the restoration and maintenance of health and the normal regimen and rehabilitation of the patient without the use of drugs or surgery.

(Contact State for precise definition by state law)

(1) Limitation of Practice. Committing any act outside the limitation of practice in this State defined as follows: Persons licensed by the Board shall be limited in their practice to the care a performance of therapeutic or hygienic treatment of patients, the performance of such procedures as are normally followed in giving chiropractic physical examinations, the x-ray of patient and such other procedures as are generally used in the practice of chiropractic. Such other procedures as are generally used in the practice of chiropractic shall be limited, however, to the use of diagnostic and therapeutic procedures, the adjustment and manipulation of articulations and treatment of inter-segmental disorders for alleviation of related neurological, muscular, and osseous joint complex aberrations. Patient care shall be conducted with due regard for environmental, hygiene, sanitation, rehabilitation, and physiological therapeutic procedures designed to assist in the restoration and maintenance of neurological and osseous integrity. None of these diagnostic or therapeutic procedures shall include the use of drugs, surgery, cauterization, desiccation, or coagulation of tissues, rectal examinations, gynecological examinations, obstetrics, catherization with a needle, injection of dyes for radiological procedures, lumbar puncture to obtain spinal fluid, treatment of cancer or x-ray therapy.

Synopsis taken from FCLB.org

CONTINUING EDUCATION:

• $360 renewal fee
• Renew: Biennial. September 30 (even years)
• 18 hours per year (36 per renewal)
  • 2 hours in SC rules and regulation
  • 2 hours risk management to include boundaries 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, Ambetter, Anthem, BlueChoice, Cigna, Molina, UHC (Optum)

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

Ambetter: https://www.ambetterhealth.com/en/sc/provider-resources/join-our-network/ 

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

BlueChoice Health Plan: https://www.bluechoicesc.com/providers/provider-training-and-faqs/provider-credentialing-faqs
Cigna: https://www.cigna.com/health-care-providers/credentialing/join-medical-network 

Molina: https://www.molinahealthcare.com/providers/sc/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

• Medicaid coverage for manual manipulation of the spine to correct subluxation shown on x-ray.
• 6 visits per fiscal year
• One procedure per visit, one visit per day
• Spinal regions only (98940 – 98942)
• 2 x-rays per beneficiary per fiscal year (72040, 72070, 72080, 72100)
• Handbook: https://www.scdhhs.gov/internet/pdf/manuals-archive/Physicians/Section%202.pdf

• Billable and covered for patients to select their own providers for work related injuries
• Limited to one office visit per week (exam code)
• Treatment may be more frequent as needed
• May be subject to independent medical review
• Handbook: https://wcc.sc.gov/sites/wcc/files/Documents/Header/Medical_Fee_Schedules/Pages%20from%20Full%20Commission%20Report.%201.25.2021.pdf