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South Dakota
Law and Ethics of Chiropractic Practice
Description:
This course will explore a range of
topics existing under the umbrella term "ethical practices." We'll be
looking at questions and concerns related to ethics and the lawful practice
of chiropractic in a number of areas including: billing practices,
documentation, time/patient complexity related billings, and up-coding
practices. Case studies will be utilized as a teaching tool after the
preparatory foundations of ethical practice have been discussed.
Goals:
1. Inform Doctors about the ethics
and penalties associated with filing false documentation regarding services.
2. Explore what “Chiropractic
Fraud” means as this terminology relates to code stuffing, over utilization,
up coding related to patient/doctor interaction, double billing, etc.
3. Delve into what constitutes
ethical of billing practices.
4. Case presentations, which
document fraudulent conduct, will be used to present the realities of civil,
administrative, criminal penalties related to fraudulent activities.
5. Regulation Z of Consumer
Protection Act or Truth in Lending Act (Applies to collection of patient’s
medical payments)
Requirements:
Two hours of participation and
successful completion of an examination related to the course materials.
Evaluation:
Written test – 20 questions
constructed with multiple choice, true/false and fill in the blank items.
Learner must score 75% (15/20 correct) to receive certificate of completion.
Course Schedule:
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HOUR |
Topic |
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ONE |
Introduction to ethics as it
relates to chiropractic practice. Identification of the characteristics
of ethical behavior. Examination of controversy related to billing
procedures, rights of healthcare consumers, and effects of greed among
healthcare participants. Appropriate procedures and practices related to
business practices associated with medical insurance companies and
managed care. |
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TWO |
Case studies using actual
fraudulent chiropractors will be used to present types of fraudulent
activity and the penalties that are associated with participation in
these activities. |
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