Episode Transcript
WEBVTT
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Hello everyone, welcome to another episode
of catch up with Cairo touch. I'm
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your host, Dr Brian Blast and
my guest today is Cathy Widner of KMC
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University. Most doctors in the profession
know her as Cathy Mills Chang. Cathy
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is one of the chiropractic professions leading
billing, coding and compliance experts. She's
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dedicated her career to making sure Chiropractic
is central in the healthcare arena, with
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its doctors earning the respect and financial
rewards that are deserved. This dedication is
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no more apparent than in KMC University, for what she is the founder and
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CEO. Happy New Year, Cathy. Thank you so much for joining me
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today. Oh It's my pleasure.
Thank you so much for inviting me.
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It's been a long time since we've
kind of gotten me on and had a
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nice casual conversation like this, so
thanks for joining us. Before we get
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into kind of the meat of you
know, the topic today and kind of
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your expertise, can you just give
our audience a brief, one minute synopsis
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of who you are what you do, just in case there are a few
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Docs a listening that don't know anything
about you. Sure, given I guess
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this coming February I will be telling
me my tredy eight here in Chiropractic.
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This is my my aunt trey,
was as a chiropractic assistant and I served
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in that capacity for many years until
I moved to New York with my family
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at that time and it was the
practice administrator for a large collection of pretty
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much the largest chiropractic group practice in
that state. And then another government move
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moved us to Washington DC where I
became assistant director for Insurance for the ACA.
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After that and a move to Denver, which is the area where I
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live now, I worked with breakthrough
coaching, which is a overarching practice management
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firm, and in two thousand and
eight I kind of decided that I loved
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the reimbursement and compliance aspects of things
and decided to launch camps university. I
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do live in highlands ranch, Colorado
with my husband, Michael, and we
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have a couple of acid hounds that
we like a lot and we are a
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team of twenty two people around the
country with the Large Online University of training
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and resources and things of that nature
in the areas that we focus in.
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Yeah, that's amazing. It's quite
quite the career already. Thank you.
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Thanks for doing that for our profession, because anyone that guy goes to conferences,
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I'm sure, has seen you speak
on your so knowledgeable. That's why
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Cairo touch partners with you, because
we like the partner with the best,
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and you are definitely the best when
it comes to building, coding and compliance.
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So thank you for all your work. My pleasure. We could also
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just put Geezer under my eventually,
you earned your status after a long time.
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So the main thing that we want
to discuss today are really just kind
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of billing and coode is your it's
your real house billing, coding compliance.
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So resolutions for the New Year.
Can you give our audience a few helpful
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hints regarding any changes that are taking
place here in two thousand and twenty one?
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Yeah, there's some big ones actually
that are probably already on most people's
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radar. But we are having the
first change in evaluation and management codes since
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one thousand nine hundred and ninety seven
that are in effective effect of January first
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of two thousand and twenty one.
It's been something that's been in the works
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for a long time and just has
never gotten across the line, but then
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the way that the codes are calculated. So there's a series of machinations and
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Algorithms based on bullet points and all
these sorts of things that determine the level
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of code that was actually provided.
It's why coders are hired in the medical
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profession to read the documentation and make
them into a code. And so they've
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simplified this down to where we no
longer calculate history and examination, but rather
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all the coding will be based on
either time or pure medical decisionmaking. So
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it's a lot more involved than I
can talk about here, but it's a
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big change. We've certainly done some
public training. We have that training available
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on our site. We've certainly done
that for your care touch users on some
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of our monthly webinars along the way
to get everybody prepared. But it doesn't
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excuse the provider from still doing a
medically necessary history and examination, but we
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no longer will use the components of
that to create our code. So that's
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a big, big, big,
big change. I love. When we
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did our training I created twelve kind
of case examples to six for medical decisionmaking
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in six four for time to help
doctors figure out when it's appropriate to use
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time and when it's appropriate to use
the MDM. The good news is doctors
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can use either one. I could
use one, you know, on a
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new patient at nine in the morning
and it may make more sense to use
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time for calculation on the new patient
at eleven in the morning. So we
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really hope that doctors and team members
will learn this. I feel like it's
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a doover because so many doctors never
learned the true details of em coding and
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how to get to a code.
We sort of guessed, if you will,
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and so I love the idea that
we have the opportunity to kind of
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really learn this and do it right. The second thing I would say really
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goes along with the new Medicare advance
beneficiary notice that expired in March of this
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year. was kind of, you
know, push down the road because of
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covid and the the things that were
going on. They were going to make
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it effective October, I'm sorry,
August twenty four, but instead they have
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pushed it out to January first.
So there is a new abn form that
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must to be used effective January first
and a new set of rules that come
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along with what's called a qualified Medicare
beneficiary and that's the beneficiary that's getting some
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additional assistants, perhaps a Medicaid that
could be duly ensured. But there are
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very particular rules that have been in
place around these patients and one of those
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things, for example, is that
the the doctor cannot charge coinsurance or deductibles
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or things like that. And what's
interesting is even if Medicaid in your state
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does not include Chiropractic, if they're
a qualified medicare beneficiary, qmb, you
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still cannot collect even for maintenance care. So it's a very precarious rule.
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We've been training our clients on this
for probably the better part of six months
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because it's going to be a big
deal and and honestly, other than you
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know, just the day to day
stuff. Those are the three big things
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that that we're really focusing on as
we come into the new year. But
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those, there's actionable points are that
chiropractors need to be able to take away
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from exactly what you just said.
So there's things I have to do.
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You have to go get that new
ABN form exactly right abso that if you're
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using the CT forms, APP and
Cairo touching, you need to change that
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form or you are just using a
paper form for whatever reason, you need
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to have that form. Well,
the great news is that we worked with
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you all and your team at Cairo
touch to get that new form in over
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the summer when it came out,
and the the templates have been updated for
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your users for quite some time,
because that's one of the advantages of being
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a Cairo touch user. We keep
you on the cutting edge. That's exactly
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it. So you want to make
sure that you are staying up to your
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compliance measures and thinking about, okay, as a Cairo touch shoos or even
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as a chiropractor in general, that
they are following the you know, the
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information that you're putting out there,
because you do stay and the forefront of
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it to make sure that you compliant
it. We keep saying it all the
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time, but we kind of get
in is as humans. We get into
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our patterns right there and and so
you want to make sure that, oh,
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something new is coming out, I
probably should update kind of how I
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do things in the office. So, if you're not a Cairo touch user,
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get that form. It's free.
You just go download that. You
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can google it. Well, What's
interesting is we recently did a survey with
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such a large, you know,
following base and such, gathering it all
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these years. And you know,
one of the things we're so incredibly proud
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of is that of all the words
that people think of when they think of
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km's university, and I'm so honored
that this was, I mean like ninety
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eight percent overwhelming is accuracy. So
they know that. You know, people
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will run around from Free Webinarre to
free Webinar and try to manage their risk
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and manage their reimbers and and that's, frankly, you know, it's not
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a great idea because you don't know
who you're getting that from. And and
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so we really have made it our
purpose and it's one of our core values
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to serve the profession in that way, and I'm so honored that what we
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it is literally our pledge. We
insist on accuracy for your protection and so
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you know you're going to get the
right answer, and so I'm honored that
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that the profession does see us in
that light. Well, your company does.
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I mean your company comes in and
they do audits, right, they
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do consult you do consulting work for
chiropractors. Like you look at their practice
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and see kind of where their deficient. So that's that's your business. Yes,
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that being said, what would use? This is something I always think
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about when I think about you.
I always wonder this. What would you
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say are the biggest mistakes to you
see doctors making? I don't know that
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I can say one thing, but
but I I think that we consistently state
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these three things. So we are
absolutely documentation experts. That is part of
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the reason why we assist with updating
those macros and helping, you know,
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with some of the pieces to make
them as easy to use as we can,
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with the care touch software. But
doctors assuming that you don't have to
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include personal information or that you that
the macro or the computer can do all
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of your documentation for you. So
not enough patient specific personalized information added to
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the note on a daily bit visit
is absolutely one of those things. I
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think the second thing that I could
could just do a broad brushstroke on is
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that, and maybe it comes from
my history, but that that doctors need
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to value their chiropractic assistants and they
need to invest in their learning. We
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have some that call us for help
and we say who, we've got this
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great module you can do on this. Well, my doctor doesn't want to
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pay for that and I think about
the doctors that invested in me when I
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was a young sea and would I
be where I am today if they didn't,
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because I learned so, so much
from the training that I was given.
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We're going to be launching some see
a certifications in in two thousand and
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twenty one. We're excited about that, so that the sea can really take
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on more for the doctor and be
more of an assistant to the doctor.
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Probably the last thing I would say
we see our mysteryimbursement opportunities. So shortcutting,
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not understanding enough about the coding or
the the service that you're providing,
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and you know they're things that you
could and should be doing that maybe you
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don't know until someone does that practice
performance profile like we do and says,
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we'll wait a minute. You know, we like to see ten percent of
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this in a practice that's doing that
and you're at one percent. Is there
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a reason for that? You know
so. So those are probably the three
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things that stand out in my mind. Can that being said, on the
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reimbursement side, can Cairo touch hope
with that, like can our software help
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you get reimbursed? I think it
can because you know, from a reimbursement
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perspective, if well, and and
I'll put my tongue in my cheek and
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use and say this, one of
the other challenges, along with training for
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a proper properly training a sea to
do the job that's necessary to run the
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business for the doctor. Think about
how we see people who maybe never did
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their Cairo touch training properly or they
shortcut it or they rushed it, and
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so they don't even know all the
features that it has are all the ways
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to use it. So for me, I will ask particularly a Caire touch
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user, you know, to pull
a report on x, Y and Z
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so that I can analyze something,
and they act as though they've never heard
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that before, when I know it's
been done in training. So I think
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it's important the data that Cairo touch
gathers for you and the way that it's
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been created data is invaluable and I
love the types of reports. When we're
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working one on one with a client
and kind of a handson environment, we
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know what reports to pull and those
that have been you know, took their
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training seriously, I would say,
and and I know that it's a drink
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of water from a fire hydrain,
but it is honestly so valuable to know
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all of the components that you have
in front of you. That's a great
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point. I do these demos every
single day for the past six years.
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So people don't use the the reports
enough. I feels, just like you
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do. You get about eighty five
of those reports in Cairo touch. Go
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in and start filter from creating your
favorites. You know I mean doing it
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on a monthly do not a weekly
basis. Just a great tip. One
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of the best things you can do
as a coding report, and we all
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of a coding audit. It is
one of the components of mandatory compliance anyway
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that doctors should be doing. But
I would do start with looking at your
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chiropractic manipulative treatment codes, the three
codes, and pull a report monthly or
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annual are trailing twelve months, and
see how many of each you did and
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look at those ratios and if you
find your Nin hundred and eight nine four
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ones are over about sixty percent,
then the question comes, will your documentation
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match that? Because if we know
that from readlooking or software, I guess
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who else knows that? The payer
knows that you are branded. You know,
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Dr Brian as somebody who you know, uses the crap out of a
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nine hundred and eighty nine forty one, and they could go well, we
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know the odds say that you're not
going to have the right documentation, so
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let us audit you. So that
is it's better he who has the most
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information wins, and Cairo touch really
makes it easy for doctors to know that
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and self audit. Yeah, that's
wonderful wisdom that people need to understand and
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utilize in the practice. So that
being said, let's touch on a few
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things before we wrap up here that
you mentioned. We run a monthly billing
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incoding elebinar series with you part of
Cairo touch. You can go to Cairo
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touchcom, slash resources and get all
this information. So thank you for doing
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that, because you are helping the
profession. You're helping our client base.
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Also. Where can they go on
your website? Is it just KMC UNIVERSITYCOM
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to get more help? Can you
kind of lead our sure, well,
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if you're if you're user, there's
like we created that Webinar series a while
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back. It's called billing and coding, but we do cover just about any
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question and the idea behind that were
really was that somebody could come once a
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month, save up their questions that
they would love to ask support or love
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to ask me and come and ask
any question. And for a long time
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Lawrence and Marty and I would have
to dig questions out of people. We've
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kind of got a prime now they
know what to do. Plus we start
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with a topic, kind of we
call it a pump primer, so to
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speak, and that's where I've talked
about these new em codes and different things,
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to kind of give up some valuable
information but also to kind of get
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juices flowing on different questions. So
go to that. That is a wonderful
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thing and if the time doesn't work, go back and listen to it inside
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the the care touch website. For
US Care Touch uosers get special pricing on
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our our discovery consultations. You know, not unlike a chiropractic visit. Somebody
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could just come in our office and
lay down on table and get adjusted right,
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they could do that, but that's
not going to get them what they
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really need. So we do something
called a discovery consultation. KMC UNIVERSITYCOM is
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absolutely the way to reach us.
There's no doubt about that. Or to
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call our toll free number which is
on our website. But we really love
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the opportunity to start with a discovery
consultation, kind of filling out some questions
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and needs analysis, and it's very
inexpensive for care touch uosers, only forty
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nine dollars, and should there be
something that you need, we always apply
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that forty nine doors toward it.
So it's very easy to work with us,
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but first and foremost, get on
that. Webinar once a month.
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Yeah, we really honestly. Our
whole goal is to help doctors. We
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want to protect you, we want
to help you get reimbursed more right.
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We're giving you all these resources to
do it. It's just on you to
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not take that action. You Bet. Any final thoughts, parting words of
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wisdom for the audience before we rock
and roll? Well, I will tell
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you that, you know, I've
seen it all. I've been around a
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long time. I've seen the good, the bad and the ugly and I
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know that this too shall pass.
That is absolutely something that we've seen.
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But you know, we are at
an unprecedented time in our profession with the
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opioid crisis and an opportunity for patients
to be able to get in and see
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doctors of Chiropractic in this fashion,
and I can tell you that positioning your
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business to be prepared for that has
never been more important, and I hope
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that you'll let people like Cairo touching
Kams University help you do it. That's
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amazing, it really is. Thank
you again for everything. Thanks for coming
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on sharing your perspective on this topic
with US my pleasure. Thank you so
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much for inviting me, Dr Brian, and thank you to our listeners for
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tuning in to catch up with Cairo
touch. You can always find more episodes
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of catch up with Cairo touch on
spotify, on itunes and you go to
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Cairo touchcom podcast. I'm your host, Dr Brian Blast, and I wish
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everyone listening a healthy and prosperous two
thousand and twenty one
