Tag Archives: Acupuncture malpractice Insurance

Why Google Reviews Matter to HIPAA – Perry Barnhill

Click here to download the transcript.

Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors. Due to the unique language of acupuncture, there will be errors, so we suggest you watch the video while reading the transcript.

Good morning. Good afternoon, everybody. Welcome to Fearless Acupuncturists. This is Dr. Perry Barnhill, and today we’re gonna talk about Google reviews and how to respond to them properly. Properly go to slides.

Click here for the best Acupuncture Malpractice Insurance

Again, this is Dr. Perry Barnhill and I wanna welcome to the webinar on how to respond to Google reviews in a HIPAA compliant way, such that you keep yourselves outta trouble. That’s the goal. We wanna respond to reviews properly and legally in a positive way, and at the same time keeping ourselves out of trouble with any kind of HIPAA violations.

All right, here we go. So why do Google Reviews matter? We know these reviews impact our online reputation. They’re very important. We know it builds positive engagement with potential patients, even existing patients we know patients check reviews out all the time. As a matter of fact, we check reviews out and Google reviews on primary, people we go to see, doctors we go to see.

Get a Quick Quote and See What You Can Save

So it’s really important. It builds. Engagement with the SEOs and compliance with HIPAA is very crucial, as we all know in all patient communications, especially public facing communications such as Google reviews. So understanding HIPAA in online interactions, and let me just go over a little bit of HIPAA overview.

As we know, HIPAA protects. Patient health information, just the acronym PHI Protected Health Information and PHI includes all kinds of things that can identify the patients. Things such as their name. We know that’s pretty basic. Their IP address, their face. There’s so many things that it can be related back to the patient.

It is protected health information and violations. I know you hear about this a lot, but this is true. Violations can result in big fines and it can damage your reputation. Okay, so here’s what we want to do. We want the dos and the don’ts and responding to reviews. Now the dos, we want to keep our responses generic and professional.

We wanna focus on customer service, not their acupuncture care. Now, the don’ts, we never want to confirm or imply that the reviewer is a patient in our office. We don’t wanna mention any details about their care, including anything regarding about their family members. Like just be very safe about it and just don’t do anything like that.

Alright, so creating a safe response to positive reviews. And here’s an example. Dr. Joe and his team are fantastic. They always make me feel comfortable. Here would be a sample response. Thank you so much for your kind words. We strive to provide a comfortable and welcoming experience for everyone who visits our office.

Now, how do we handle negative reviews? Let me give you an example here. I had a disappointing experience with the wait time at Dr. Sally’s office, and here’s a good response. We always appreciate any feedback. We take concerns like this seriously and would like to learn more. Please contact our office directly so we can address this issue.

So one thing to notice is we’re not referring back to you or any way that can imply that this patient even came to our office. These are very generic responses, but these are the responses that we need to have in order to stay compliant, navigating complex reviews. Here’s an example of a review. The whole family.

Love seeing Dr. Steve. Here’s an example. Response. We love taking care of families. Here’s the key. I didn’t directly say we take care of your family. We love taking care of families as just a generic response as compared to I. We love taking care of your family. So that’s the distinction there. And again, this response is safe.

’cause it doesn’t reveal or directly imply that we’re taking care of their family. We just love taking care of families. So here’s some common mistakes to avoid. Just re going over the skin, acknowledging that the patient or their family members in any way confirms their status in our office, providing any additional information about their care, even if they mention it first.

Don’t, just don’t respond to it in that way at least. And here’s another thing, and I see this often, don’t engage in back and forth discussions that might inadvertently disclose more details. And where I see a lot of providers getting themselves in or potentially hot water, they have this back and forth almost argument about the care or the wait time or whatever it was in the office.

So don’t even go there. Alright, HIPAA compliance and best practices. Always thank the reviewer without confirming any details. Keep your responses focused on general customer service. Encourage offline communications for specific concerns. Where we said, Hey, please contact our office. Don’t go there online and in front of everybody.

Train your team. Also, this is so important. Train your team and how to handle reviews in a compliant MA manner. I would suggest that if you have team members responding, make sure before they respond. They get back with you and you approve that response before it goes out. Handling potential HIPAA violations.

This is what we don’t want to have to deal with, but if we accidentally disclose PHI take that review offline immediately, get rid of the trail. Consult with your compliance officer for guidance. Ask to see what you should do from there. Report the incident to necessary authorities If required, however, ask first.

Don’t just start reporting things to hipaa. If you don’t know for sure if it was a violation, ask someone like myself. Ask someone like Dr. Julie. Find out first before you go reporting things. So here’s some final tips for success. You wanna respond promptly. Thoughtfully and you want to regularly review your HIPAA policies related to online interactions, and this is where I say you need to train the staff.

It’s part of the training, it’s part of the requirements we have for hipaa. We have to train the staff on how to respond to situations like this, for example, and encourage our satisfied patients to leave positive reviews and then bury the bad reviews with good reviews. Remember protecting patient privacy.

It’s not just a legal requirement, it’s commitment to the trust your patient’s place in you. So some next steps here, you can all go to and download this HIPAA compliance checklist. You can go to this, the website here, or you can scan the QR code, check out this list. If you go through this list and you can’t safely mark all those boxes, you’re not in compliance with hipaa and we don’t wanna be there.

You don’t have to be there. It doesn’t have to be complicated, it doesn’t have to be confusing, but it’s a process. So make sure you are, because if you’re not, the consequences are what we don’t wanna talk about. You don’t have to be in that boat. If you want, you can schedule a demo with us. You can go to fearless acupuncture.com.

There’s a demo there. You can scan the QR code. You can go to our website@ww.fearlessacupunctures.com or always feel free to contact me at Dr. perry@betterhipaablueprint.com. And again, thank you so much, the American Council acupuncture Council. It’s a mouthful. A CN. How’s that for allowing us to provide you with this webinar?

And in the meantime, everybody have an amazing day.

Click here for the best Acupuncture Malpractice Insurance

Get a Quick Quote and See What You Can Save

Acupuncture and Mental Health Issues

Does acupuncture help patients suffering from mental health issues?

Research is currently looking at mental health issues like depression and anxiety, especially in terms of how these issues affect overall health.

Since chronic pain has often been linked to depressive symptoms, research is looking at the impact of acupuncture for addressing both a person’s pain and their depression.

A 2020 study published in the journal Frontiers in Neurology found that migraine sufferers who had acupuncture treatments had a lower risk of depression and anxiety.

Healthcare continues evolving to less-invasive, natural, and drug-free methods, with acupuncture now being a first-line complementary healthcare choice.

Remember, the American Acupuncture Council (AAC) offers an unparalleled track record in acupuncture risk management.

There is a reason acupuncturists have trusted AAC with their business for 50 years.

Not an American Acupuncture Council member? Get a Quick Quote and find out how much you will save! Click here!

VA Community Care – Send the Money Back! Sam Collins

Click here to download the transcript.

Hey, guess who? It’s acupuncture time. It’s Sam Collins, the coding and billing expert for chiro, for acupuncture for you, if you will, the profession as well as the American Acupuncture Council. I’m gonna speak to you directly as a network service today because a lot of you, and this means those of you who are network members with me, have gotten some letters recently that said, Hey.

Click here for the best Acupuncture Malpractice Insurance

We paid you money for the va, we want it back. This is very similar to what went on last year. So I wanna talk about how we can go to dispute this, ’cause I’m getting several of you with some really big requests for recoupment. So let’s go to the slides and let’s talk about what is going on. And this is coming directly from the va, which is VA Community Care.

Get a Quick Quote and See What You Can Save

And again, it’s the care for veterans. You have to be enrolled. And remember, if you’re on the East coast, you will be enrolled through Optum Health. If you are in the West Coast, and now when I say West Coast, let me say Texas and west of Texas, you’re gonna be through Tri West. But it’s happening in both areas.

And what it’s relating to is you’re getting letters that are coming to you saying, Hey, we paid you money. We shouldn’t have. We want it back, pay us back. And if you don’t, we’re gonna take it out of future payments. So we wanna talk about how do you really respond to this, what’s gone on and what we need to do.

Part of it I’m gonna say to you is, this is why I hope that many of you are network members with me, because you would’ve avoided this whole thing had you known. Been part of that. We did go through that last year a bit. So many of you’re getting letters similar to this one. Try West. I’ll leave this one small.

But what this does is it’s just saying the purpose of this letter is to inform you that pricing information, allowable reimbursement on claims previously paid you has been adjusted, given the correct payment is lower. We want some money back in this case, $388. Now that’s not very much, but I don’t like paying anything back.

When I do not have to. So let’s talk about what has gone on specifically and what is the issue that’s happening. How do you overpay it? Let’s face it, fees paid for the VA pay at your state, Medicare allowable. So how could to be wrong? I had someone that sent me a letter and said, Hey, Sam. I went through all my pricing and this is what they paid me before.

How could this be possibly overpaid? There could be two issues here. One of them is called the multi procedure payment reduction, and what this refers to is that secondary services on a claim now I’m not talking acupuncture exams, but therapies by example. If you’re billing a therapy, the first therapy is paid at a hundred percent of its normal rate.

But then each subsequent therapy on the same day is reduced what’s called the practice expense ratio. And what this refers to as the practice expense of a service goes this way by example, let’s say I’m gonna do massage for an hour. I have to do a certain amount of setup for that room. That’s the practice expense.

That practice expense doesn’t have to be done. If you think of it, if I set it up for the first 15, do I reset it up for the next? We don’t. So what they’re doing is reducing that portion of it. Now that practice expense comes out to about 15%, 20%. So it’s not a big amount. Let’s say the code is worth 30.

The multi procedure prov reduction would be that it would be paid probably at about 26 or roughly about 15, 20% difference. So not a big difference, but nonetheless a difference. Now, that’s something they should have been doing and they didn’t, so that’s really on them. My pushback is gonna be at least parsing on that.

However, for acupuncture, the biggest issue is not that, because those would be small potatoes. We’re talking three, $4. It is the use of 9 7 0 3 9 and 9 7 1 3 9. So when you get this letter, what you wanna do is verify with them, how are you indicating it’s overpaid? Is it overpaid because of the procedure reduction portion or is it being overpaid because I use 9 7 0 3 9 and 9 7 1 3 9 for cupping.

Please be aware. Since February of last year of 20 24 9 7 0 3 9 and 9 7 1 3 9, were no longer part of the standard episode of Care for Acupuncture, which meant you could no longer use it. I’m hoping some of you go, oh yeah, I remember when that happened, and you were no longer to use that code. Now, of course, if they were allowing it and they were.

Prior to this change 2024, they were allowing you to bill 9 7 0 3 9 for cupping. And frankly, many of you were getting paid 45 to $50 for it. So if someone’s willing to do that, I’m willing to take it. However, let’s keep in mind, let’s think about that logically for a second. Cupping is a much simpler service than acupuncture.

Yet you are getting paid more for cupping than acupuncture. So you can look and go that doesn’t make sense. However, because they allowed it, I’d say, go ahead. Technically, you should have not been using it after last year. Realize here is the newest list of codes I. Allowed for acupuncture with the standard episode of care since February of last year, and you’ll notice immediately none of the 9 7 0 or 9 7 1 3 9 7 0 3 9 or 9 7 1 3 9 is included.

They were removed. Now the pushback that I have, if you’re getting a request for a refund, that was prior to February of 23 for the date of service, the standard episode of care, up to that point. Did include it. Therefore, it would be appropriate for them to pay, and the pushback would be, hey, it was allowed at that point.

Now, if you are getting requests after February 23rd, now that’s a whole nother issue. That’s one that, oh, shucks, we should have known. Now, network members with me, you should have well known because I sent out a lot of information. This is why I’m sending this all directly to you as well, not to mention just for everyone, let’s make sure you understand.

If you’re billing the va, these are the codes they allow. They do not allow 9 7 0 3 9 if you are wanting to do a service that is not on this list. You must specifically get authorization from the VA to provide it, or it’s automatically non-paid. Now I will have you notice. Notice the last two codes in each one, the 0 5 5 2 T, and S 89, or excuse me, 0 5 5 2 T is the code for laser.

So they do cover laser. Don’t get excited. It doesn’t pay that much, but it is covered. So bottom line is do not use for cupping any further. If you have been. 9 7 0 3 9 or 9 7 1 3 9. Do not use them. They’re gonna be a problem. And if you get paid, you’re thinking I got paid. They’re gonna come back and take it back.

I. We’re gonna push back on that a little bit, but again, after February of last year, it’s gonna be a little bit harder. So for cupping, what should you do? I’m not saying not to bill for cupping, I’m saying for the va, however, it is only under 9 7 0 1 6, and that code, frankly, is worth between 11 and $15, which truthfully makes much more sense to me.

I don’t think cupping should have the same value as acupuncture. Not to say that cupping doesn’t have value, but is it as much as doing the needling? I think not. So therefore, yes, it’s still payable, but just under that code. Now, if you’re getting issues on the price reductions, that’s what I would still push back on, depending on when they’re implementing.

But remember, that’s gonna be a pretty small amount. If it’s a big amount, I’m almost certain it’s going to be cupping. So make sure you’re pushing back. How can I dispute it? The number one dispute I have, and this is the starting point, but I want always there to be two disputes, is just plain statute of limitations.

Let’s face it, we have only 180 days to bill the va. Does that give them infinite time to recoup, years later? No. Under federal statutes it’s 365 days or one year. Therefore, if they’re making a request to recoup money from you, that is over 365 days or one year. That’s the number one pushback. If you’re a network member with me, please contact me.

We have a dispute letter to that fact for you already formatted that you can send. Hopefully this is encouraging. Some of you, oh, this is why that network is so good anyway. If you’re not a network member, you’re just gonna have to go back and say, Hey, that’s statute of limitations. I would also push back though on this issue case law, there’s case law that’s been around since the nineties that says when an insurance pays something improper and the provider has not done anything.

To make that payment improper. The carrier is the one responsible under federal rules. They may push back on that, but if you recall last year, we were able to dispute that, but I’m expecting the same. So my hope is that given in another month or so, we should see some pushback where they’re going to no longer seek these recoupments, at least the ones prior to 23 or over a year.

My concern for you though, is make sure you understand, do not bill. 9 7 0 3 9. I know you’re thinking they paid me. They can recoup it. We wanna push back. Let’s make sure the claims are correct. If you’re not a network member with me, this is a great time to understand what we do. This is something we’re trying to get you ahead of the curve and not chasing after it.

VA patients are still very good patients. Remember, we got about a 20% increase in the Medicare fees for the first set this year, so that’s a good patient. Just understand the rules. Again, no use of cupping. If you’re not a network member, please take a look. If you’re a network member, please contact me.

Let’s go through. We can do a one-on-one zoom if we need to, but let’s make sure we’ve got some fire to push back on this. Until next time, my friends, I wish you the best.

Click here for the best Acupuncture Malpractice Insurance

Get a Quick Quote and See What You Can Save

Acupuncture for Back & Neck Pain

Is acupuncture helpful for back and neck pain?

Nearly 80% of adults have low back and/or neck pain at some point.

Twelve studies with over 8,000 participants showed that acupuncture was more effective than no treatment for back or neck pain, and data from 10 studies with close to 2,000 participants showed that acupuncture was more effective than sham acupuncture.

The pain-relieving effect of acupuncture was comparable to that of non-steroidal anti-inflammatory drugs.

Healthcare continues evolving to less-invasive, natural, and drug-free methods, with acupuncture now being a first-line complementary healthcare choice.

Remember, the American Acupuncture Council (AAC) offers an unparalleled track record in acupuncture risk management.

There is a reason acupuncturists have trusted AAC with their business for 50 years.

HIPAA – Regarding Reproductive HealthCare

Click here to download the transcript.

Hi everybody. This is Dr. Perry Barnhill with a Fearless Acupuncturist, and today we are gonna talk about something that is so important. There’s some new HIPAA changes that are coming down the pipe regarding reproductive healthcare. A lot of you are very much involved with fertility and reproduction and pregnancy and things like that, so make sure you stay tuned for this.

Click here for the best Acupuncture Malpractice Insurance

Also big thanks to the American Acupuncture Council for having us here. We are pleased to give you the information that you need to have now Slideshow please. Okay, here we go. This is all about strengthening reproductive healthcare under the privacy and the new HIPAA privacy rule. So there’s new requirements.

Just like I said, there are forms, and when I talk about attestation, I am specifically referring to a form that we’re gonna need to have and send out before we send out any information. We’ll get in some details on that and some action steps so you know exactly what it is you need to do. Let’s talk about some of these new changes.

Get a Quick Quote and See What You Can Save

Now, if you’ll remember, maybe you don’t know, but you need to know they are, there are seven new laws for HIPAA in 2025. We’re not gonna get any of these, but they’ve actually added to that, believe it or not. So they have talked about some modifications to the privacy rule. Specifically to better protect reproductive healthcare privacy.

We’re gonna define what this reproductive healthcare privacy is, and a lot of you are involved with this. What it does is this, it prohibits use or disclosure of PHI protected health information. Remember, these are the records we have on our patients, including our intake forms. All righty? So even if some of you may not be involved with this, which I know a lot of you are.

Still, a lot of this information is actually on the intake forms that the patients fill out when they come to the office. So what it does is this prohibits user or disclosure, PHI, solely to investigate or penalize lawful reproductive healthcare. It requires this form I’m talking about, so it requires and obtaining written attestations before we disclose this reproductive healthcare.

Information or records in certain circumstances, or I’ll talk about certain scenarios that you, we will go over and covered entities, which is all of us have to update our notice of patient privacy practices accordingly. What is reproductive healthcare? This reproductive healthcare is a very broad definition, and federal registry. This is some of the stuff that comes from the Federal Registry to help better define what reproductive healthcare is, and it’s a exclusive list. What I’m going to do is, I’m just gonna go through the main things here. You can read all the details behind it, but it’s contraception, it’s management of pre pregnancy, which a lot of your doing.

It’s fertility and infertility again and family planning. It’s still sterilization issues. And sexual health to include many things there. So make sure you understand what this is. Who is affected? Guess what? All of us as healthcare providers are affected. All of us are healthcare clearinghouses are affected, affected health plans.

So all insurance companies are business associates. You know the people that have access to your records, they’re affected. So you need to make sure they’re aware of these things. Also, through your business associate agreements. Here are the situations that require attestation. So I’ll just summarize a little bit.

Reproductive healthcare, if these scenarios occur, meaning these folks ask for records from your patients or from you that you have on your patients and your records re have. Any of that reproductive healthcare definitions on it, or in it, including intake forms. You’re gonna have to send out the form, the attestation form.

So here are the scenarios, or here are some examples of if these people ask for records that contain that reproductive healthcare, you’ll have to send out one of those attestations Health oversight activities. Again, you’re gonna validate that the disclosures are not. Used for punishing lawful care.

That’s how You do it through the attestation statement. Judicial administrative proceedings confirm that the request is not investigative or punitive in nature. The way you do this is through that form, which we’ll talk about here in a second, and also law enforce enforcement requests. So law enforcement, you have to also use this attestation form before you release any of this information, or at least information that has reproductive healthcare in it.

Coroners medical examiners here, again, you’ll have to use this form as well before you release the information. We have a form I should say we, I’m referring to the government. I’m obviously not the government, but we’re talking about a form, they call it the model attestation form. So why not use the form that they actually say we can use, and this is the requirement, it’s the required step we have to do before we disclose reproductive healthcare information or records, and it ensures that whoever’s asking for it.

So those scenarios I just showed you, like the law enforcement, coroners, medical examiners. We send this form to them, they gotta fill it out and send it back to us, and basically saying they’re not gonna do anything or punish them by law for doing the things in the reproductive definitions that I showed you.

Here’s the form, and basically what this form is this, and I know you probably can’t see this on the slides, but the next slide, I’ll have a link for you so you can download this form for yourself, for your offices, and for your staff. But basically, this is the form that we would send out. So let’s say law enforcement, here’s a scenario.

Law enforcement, like I said, in those scenarios, they ask for protected health information from what on. That you have in record of one of your patients. And those records happen to include some of those reproductive definitions in there. So before we send them any information, we have to send this form out and they have to fill it out.

And basically it says that they’re not gonna use any of the information that they acquire from your patient records to punish the patient. Alrighty. Here is the link so you can get this form. I’ll bring the sync up again here a little bit later, but you can just scan it and then I’ll get you right to the link.

Lots of things you gotta do here. So let’s go over some of the main ones. You have to document everything, as always, as you always know, with everything we do in our offices. Hipaa, reproductive healthcare obviously is a big one. In fact, it’s mandatory. We have to keep records of our policy updates, so make sure you keep a record of this.

In fact, keep a record of this for your training log. This could be something you can show your staff, the test station, that form that we have to have. You gotta keep that on file disclosures. And what I mean by disclosures is, believe it or not, every single time that we release information on a patient, we have to record that because patients have a right to come back and say, Hey, I want to see everybody that you ever sent my information to.

So we gotta have that readily accessible. We have to train, we have to educate the staff, and here’s what this looks like. Identifying protected health information that Reque requests or PHI requests that will trigger the use of that form. Kinda like we talked about the reproductive healthcare. Talk to your staff.

Distinguish lawful reproductive healthcare from investigating request. So when those people are asking, and I say those people, the people that I was talking about in those scenarios, ask for reproductive healthcare, PHI on your patients. A testation form goes out, so you have to know how to locate and use the form and document the disclosures, and of course, you have to retain the testation forms to keep copies of everything.

Make sure you train your staff on this. In fact, a lot of officers are deciding and telling the staff. If you have any requests for protected health information from any of those people, let me know so you all can check it over and make sure that attestation form is sent out and then sent back to you before you release any of that information.

You have to update your notice of patient privacy practices. That form the big old packet that we’re supposed to have in our office for all the patient’s rights. Those things have to be readily available for patients. And again, it must reflect. So there’s gonna be changes in there if you had those forms, which you all need to have those prior to 2025.

Guess what? Those forms are no longer good. So you have to get a new, you have to get new notice of patient privacy policies to provide patients with clear and updated information about their rights and how their information is protected. All to align with the updates of the final rule guidelines.

Basically all to align with everything that’s come down the pipe with these new laws. Here’s some next steps for you. Here’s another. Opportunity to download that QR code if you’d like to, so you can go right to it and get that model attestation form, which you have to have. You need to have this in your manuals.

One of the things that we’ve done is we’ve put together a HIPAA compliance checklist. So you can go through, look at this checklist. ’cause a lot of people, they think, oh, I think I’m compliant, or I, maybe I have this form, I have that form, but maybe you’re not really sure. Maybe you didn’t know. You need to do a bunch of assessments and analysises throughout the year.

So we’ve created this form here, just this checklist. You can go through it, check it out, and if you can’t answer these questions or if you’re not doing the things on this form, then guess what? You’re not compliant and you do not wanna be in that position. Believe me, don’t be in that position. Get it dialed in.

Protect yourself. If you’d like to, you can schedule a demo or you can just get started. You can go to this website here. You can schedule demo, go dot fearless provider.com/demo. Of course, you can scan the QR code there to your right. If you just wanna get started with the HIPAA program, we have everything you need for hipaa, all the forms, all the trainings.

We have ’em in videos, we have downloads, we have closed caption, we have transcripts. We have. Everything in there to make it learn as easily as possible for you and your staff, or I’m more than happy to talk to you. You can contact me at Dr. perry@betterhipaablueprint.com. Again, thank you all so much for being here.

We hope you hope the best for all of you. In spite of all these changes. Just make sure you go out there, get the process going, and make sure you have this in play. In the meantime, have an amazing day, everybody.

Click here for the best Acupuncture Malpractice Insurance

Get a Quick Quote and See What You Can Save

Acupuncture and Allergic Rhinitis

Can acupuncture treatments help patients with allergic rhinitis?

Allergic rhinitis causes cold-like symptoms and is inflammation of the inside of the nose caused by an allergen, such as pollen, dust, mold, or from certain animals.

A study published in the European Journal of Medical Research assessed the efficacy and safety of acupuncture for allergic rhinitis and tested the robustness of the effects.

This study concluded that acupuncture may have an advantage over no intervention and sham acupuncture in improving nasal symptoms and quality of life for adults with allergic rhinitis.

Healthcare continues evolving to less-invasive, natural, and drug-free methods, with acupuncture now being a first-line complementary healthcare choice.

Remember, the American Acupuncture Council (AAC) offers an unparalleled track record in acupuncture risk management.

There is a reason acupuncturists have trusted AAC with their business for 50 years.

Not an American Acupuncture Council member? Get a Quick Quote and find out how much you will save! Click here!