South Dakota Law and Ethics of Chiropractic Practice
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.
Two hours of participation and successful completion of an examination related to the course materials.
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.
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.
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.
- Inform Doctors about the ethics and penalties associated with filing false documentation regarding services.
- Explore what “Chiropractic Fraud” means as this terminology relates to code stuffing, over utilization, up coding related to patient/doctor interaction, double billing, etc.
- Delve into what constitutes ethical of billing practices.
- Case presentations, which document fraudulent conduct, will be used to present the realities of civil, administrative, criminal penalties related to fraudulent activities.
- Regulation Z of Consumer Protection Act or Truth in Lending Act (Applies to collection of patient’s medical payments)
This syllabus is a representation of the requirements for successful completion of the course, containing the objectives, content, organization, and evaluation processes. It is the student’s responsibility to read, comprehend, and act on the syllabus’ objectives, content, and requirements. The faculty teaching this course reserves the right to reasonably alter the sequence of activities, assignment dates, and evaluation and assignment methods or styles. Every effort will be made to inform the class members in advance of such changes. Students are responsible for following the syllabus and any changes instituted by the faculty. Should there be any questions or need for reasonable interpretation of clarification of the syllabus, the student must contact the lead course instructor/syllabus author(s) to obtain answers to the above.
All opinions, viewpoints and recommendations contained in this presentation represent those of the author alone and do not represent the opinions, viewpoints or recommendations of any organization with which the author may be affiliated, including, without limitation, the USOC or/and the ACBSP.