NewsFlash

October 2023

Fulcrum's Symposium was held on October 26th, 2023!

A special thank you to attending providers and Fulcrum's Board of Directors, and the wonderful presenters at the symposium.


Attendees enjoyed hearing how to manage chronic pain, a neurologist's perspective on pain, an NFL's acupuncturist's take on motivational interviewing, and a functional medicine approach to navigating inflammation.


The ChiroCare Centers of Excellence enjoyed an appreciation breakfast with speaker, Dr. Richard Printon, DC, from Hennepin County Medical Center.


Thank you to this year's sponsors - ChiroUp, AMTA, Northwestern Health Sciences University, and MN RETAIN.


Speaker presentation slide decks will be available in early-November please visit Fulcrum Health - Media Room with Partners in Distinction award winners to be featured in November newsflash.

Temporary Coverage Options for ChiroCare Network Providers

Going on vacation?

Need a leave of absence from your chiropractic clinic?


Make plans for the care of your patients.


Here are your options:


  • Refer your patients to another Fulcrum network provider in your area.
  • Close your office and have an emergency number on your answering system.
  • Invite a Fulcrum network provider to cover your office and contact Fulcrum.
  • Locum tenens which is utilizing an out-of-network provider and contact Fulcrum.


If you choose the locum tenens option, coverage must be 60 days or less. If an extension beyond 60 days is necessary, the provider must become credentialed and contracted with Fulcrum Health. This provider must complete a Temporary Relief Application request by contacting credentialing@fulcrumhealthinc.org and follow proper billing practices.

6-View Plain Film X-rays

Claim edits pertaining to the substantiation of 6-view Plain Film X-rays will require a clinical records review before claims are processed.


For dates of service on or after 1/1/2024, reimbursement for CPT codes 72052 and 72114 will be denied and records will be required for clinical review to determine necessity and appropriate coding.


Please review Fulcrum Health’s Clinical Policy (CLINUM104) on Fulcrum's Provider Portal, under the Clinical Policies tab, for more information. 

Incentive Payment for Quality ChiroCare Providers

Still time to submit your 2023 outcomes! 


Fulcrum offers an incentive for CCoE clinics AND Gold tier providers for submission of clinical outcome information.

 

This Quality Reward financial incentive for submitting your initial and subsequent clinical outcomes, demonstrates the value and quality of your care. Keep track of your submissions via your quarterly digital scorecard.

 

More information and important details are available in Fulcrum's Provider Portal under the Quality Rewards tab in the Gold Tier section of the Learning Hub. 

Correct Email Address? Changes to Clinic and/or Provider Information? Let us Know!

The federal No Surprises Act requires health plans to verify the accuracy of provider contact information every 90 days. Fulcrum will provide more information about this requirement and what it means for you and for Fulcrum in a future communication.


Currently, your provider agreement with Fulcrum requires you to immediately notify Fulcrum of any change in your or your clinic’s demographic information, including, but not limited to name, address, phone, fax, email address, and taxpayer identification number.


Fulcrum’s Provider Portal offers a quick and electronic method for reporting changes.  Simply select the Demographic Updates tab on the home page.

We appreciate your continued partnership!