Osteopathic Manipulation Qualifying Course

Osteopathic Manipulation Therapy (hereafter OMT) is a treatment modality identified by the American Medical Association and defined by a specific CPT ® code when reported as a service on a patient. In this manner, it is no different than other CPT ® codes reported for services rendered for a patient on a given CMS claim form.

During our seminars, you will be educated on certain OMT techniques. You will recognize that many of those techniques have parallels with what we traditionally do as chiropractors. This is just the tip of the iceberg on what you will learn, and you will leave with a firm understanding of legality and compliance (along with a bunch of reference materials and documents for your office)...so the answer is an unequivocal YES!

One of the goals of the seminar is to eliminate the "subjectivity" of what we do as chiropractors. Chiropractors waste a lot of energy arguing about philosophy or whether or not we move "bones" or "joints" and the like. This will always have value from an entertainment perspective, but little functional use when communicating with an insurnance company. We keep discussions and the presentation "objective" with a lot of factual information and legal concepts supporting what we do. You will notice that during our seminars, we cite a lot of federal legislation, state statutes, state scope of practice laws, "black letter law," and some case law (even a U.S. Supreme Court decision!). We do this to show you how supportive the law really is for chiros to perform OMT.

ERISA stands for Employee Retirement Income Security Act of 1974. This is a very important law because it established protocols for how insurance companies adjudicate claims on behalf of patients. There are many protective clauses in ERISA that govern the actions of a Fiduciary (health insurance carrier) in claims payments. If you know how to use them and know how to apply those clauses in an assignment of benefits (and designation of an authorized representative). Several of our clients have used these forms to stop insurance company audits in their tracks. However, without this in place, you could be a "sitting duck" when an insurance company comes knocking on your door for an audit.