Category Archives: Tips & Hints

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Come here anytime to learn more about ChiroPulse software solutions. Please use the Search box & Article Tags/Categories (on the right) for instant help & new ideas for your office.  If you have a problem or need assistance click TROUBLESHOOT / CONTACT US from the top site menu as well as REFRESH, or INSTALL or LICENSE ChiroPulse365 🙂



MIPS Quality Payment Program 2017 Participation & Consideration

Important takeaways for your office regarding Merit-based Incentive Performance System (M.I.P.S.) meaningful use (formerly PQRS & EHR) starting January 1, 2017.   Printable View Printable View

Exciting news for many for small/medium sized offices! You will no longer be penalized by bureaucracy. EHR certification is no longer mandatory and even better is the addition of a participation threshold that removes this Meaningful Use burden from many practitioners.

M.I.P.S. explained – click image for more info

  1. Simply put M.I.P.S. (formerly PQRS, EHR, Meaningful Use, etc) incentives and penalties do not apply to many offices/Drs. This includes new Medicare practitioners and offices/Drs who treat less than 100 unique Medicare patients per year AND bill $30,000 to Medicare based on the Medicare allowed amounts. You can run the in ChiroPulse to see if you met that threshold over the past few years to help determine if M.I.P.S. applies to your office in 2017.
  2. PQRS reporting ends 12/31/2016 so report thru 12/31/16 as it effects 2018 payments.
  3. Merit-based Incentive Performance System (M.I.P.S.) reporting/collecting starts 1/1/2017 (MIPS is a formula that includes Quality Measures, Cost, Improvement Activities & Advancing Care Information (EHR use) and possible payment adjustments begin 2 years later.
  4. EHR certified software & use is no longer directly rewarded, nor are you penalized for not using EHR certified software. EHR use counts for a portion of your MIPS score (25%) but you can still gain an incentive payment if your score is 70 or above which is attainable with the other three components. You can submit a hardship application to Medicare to opt out of EHR Certified software utilization via simple explanations (such as ChiroPulse office software not being EHR certified 2017) and have that portion of your score assigned to one of the other areas. The important takeaway is that the simple lack of EHR software certification & 100% meaningful use does not cause financial penalty to your office.

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ChiroPulse365 Solo

Printable View Printable View ChiroPulse has been used by Chiropractors world-wide for over 20 years! An interesting dynamic we’ve seen is how each of your offices has a slightly unique way of scheduling, billing, documenting patient care, etc. No two offices are exactly alike!

Summer 2017 we will be offering Chiropractors another tool for your practice to support your doctors & workers… ChiroPulse365 Solo.

The heart of CP365Solo is streamlining & simplifying the ChiroPulse365 experience for a majority of your ChiroPulse computer time… specifically when you are not running billing tasks. Here are a few examples of who will benefit…

+ The current ChiroPulse DrNotes/Scheduler (network PC/tablet) user who benefits from a combined & streamlined scheduler & notes window.

+ The doctor with one-PC or several PCs who wants to quickly work with patient files & review the schedule while having their patient info immediately visible without jumping in and out of windows and screens.

+ The doctor (solo-practitioner or with a partner/associate) who finds him/herself at the office without enough front-desk personnel (or perhaps no front-desk staff). Modern offices face difficulties – along with their workers –  balancing personal matters such as having to leave early for child/elder care, arriving after the office opens or not always being able to “stay late” for the last patient or two late stuck in traffic! CP365Solo can help you out!

+ Or maybe your office has flexible hours or “always open” service to patients. Do you have a “home office” 15-minutes away or even a “home office” in your home!? No matter the scenario CP365Solo will improve your practice & patient care by allowing immediate access to your patient data so you can treat & reschedule with ease.

CP365Solo reinvents our “ChiroPulse Travelcard” by surfacing even more patient information to the doctor & staff. You’ll see more patient info, more visit info, more insurance info – as well as your schedule – while bolstering performance (wired and wireless) in comparison to DrNotes/Scheduler or CP365. The goal is to allow you to quickly review your patients and their important info, see upcoming scheduled appointments, post charges & payments/copays quickly, reschedule patients, print walkouts and handle your office/patient workflow efficiently! Plus lets not forget how easy it is to enter soaps & narratives.

Using the Travelcard Solo…

Simply find a patient or click on the schedule to view the information shown below in Travelcard…

  • Claims & ICDs – immediate review & one-click edit
  • Patient ID/photo (age/DOB, gender, mobile, home & work phone #s)
  • Complaint – immediate review & one-click edit
  • Careplan – immediate review & one-click edit
  • Soap, History, Keywords & Meds – – immediate review & one-click edit with search
  • Chiro & Patient Info – immediate review & one-click edit with search
  • Flags always visible & one-click edit with search
  • Future appointments –  one click away
  • # Visits on this claim visible
  • # Visits linked to the insurance timeframe is visible
  • Copay 1 & 2 visible
  • Last x-ray date visible with one-click edit
  • Last visit date & CPT visible
  • SCHEDULE – always visible mini view of the schedule with ability to hide prior appointments except pending, waiting & treating.
  • Add appointments, new patients & clone existing patients when they walkout.
  • Add visits/charges/payments/copayments
  • Mark appointments kept, waiting, rescheduled, cancelled or no-show
  • Menu buttons for OFFICE, WALKOUT & CLINICAL let you quickly find vital tasks that are less frequently used.
  • Launch ChiroPulse365 (full office notebook) and Scheduler as needed.

more info coming soon…

ERA 835 Electronic Payments

Start to finish – Instructions for using ERA 835 Electronic Payments in ChiroPulse365.

Step 1 – Sign up with your clearing house or insurance carrier to receive ERA 835 files. This entails filling out a few forms which can be obtained from your carrier/clearinghouse. The process takes anywhere from 2-8 weeks. Please note that most clearinghouses charge for this service so it may be beneficial to contact your insurance carrier directly to find out how to receive their ERA’s at no additional cost.

Step 2 – Enter the Payor ID and 835 Payer ID for each insurance carrier. Continue reading

ICD Select/Find/Replace universal search (Claim Wizard)

ChiroPulse features an enhanced ICD Selector/Finder in Claim Wizard to make ICD-10 selection easier than in the past. As before you can type in the name or code and press Enter/Find.

Now it features universal search by code or description allowing you to OMIT certain text also making finding ICDs easier. The search also finds partial matches, making it easier to look up the code you need. Continue reading

ICD-10 Setup & Use for your Office (10/1/2015 go date)

Updated 10/28/2015. During the ICD-10 “go live” timeframe, please refresh ChiroPulse immediately (when prompted or check the Live Notes are of the login page) to make sure your office has the latest ICD-10 enhancements and logic.  Printable View Printable View

Helpful companion article:  ICD-10 Frequent questions click here.


Processing Electronic Payment 835 ERA files

An exciting add-on service is available to ChiroPulse365 subscribers which lets your office automatically input payments quickly into ledger via Electronic Payment 835 ERA files.  This is a huge time-saver for your office staff!  You can obtain the Electronic Payment 835 ERA (Electronic Remittance Advice) file from your clearinghouse/carrier and now quickly import hundreds (or thousands!) of line-item “payment” entries into the Ledger of many patients very quickly. This is not only much faster than manual entry of this payment data but the input is 100% accurate with no typos or mistakes.

The Electronic Payments add-on is available in “pre-release” to select users at NO COST! To gain early access please use the form at the bottom of this page. Upon full-release of the “Electronic Payments Add-on” all ChiroPulse365 subscribers will be given free unlimited-use of this add-on for a number of days. We know demand is high for this feature but we want to get it 100% right so during the pre-release time we’ll be sorting out a few more regional clearinghouses & carriers.  Printable View Printable View Continue reading

Email notifications from Scheduler & more

ChiroPulse has Microsoft Outlook (Office365 or Office 2013) support to make it hassle free (see info below) to send email seemlessly, including calendar events. This article highlights the email notification options for patients & doctors regarding scheduler. Use “preferred options” “e-mail setup” tab to configure your email setup. Once completed you can email patients & doctor from scheduler. We highly recommend using Outlook/Office365.

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CMS-1500 HCFA Claim Form (02-12) Readiness w/ 12 ICDs

ChiroPulse365 (refresh x.1401+) is ready for the new CMS-1500 2014 (02-12) paper form that most carriers will be accepting 4/1/2014. This form (and “plain text EDI file) adds some new fields & qualifiers that applies to paper/print.  All PIN/Overrides are available as used before with prior claim forms (print & electronic). Three “invoices” typically apply:

  1. Paper Printed: CMS-1500 Form 2014 (Revision 02-12)
  2. Electronic Submission: Plain Text 2014 (typically requires one-time “mapping” by your clearinghouse)
  3. Electronic Submission: ANSI837 5010 EDI format (fields and qualifiers to not apply to this format) Continue reading