We congratulate the 2022 Partners with Distinction award winners!

• Imperial Family Chiropractic
• Caron Chiropractic
• SouthWest Chiropractic
• ArrowHead Chiropractic + Rehab
• LSM Chiropractic of Madison East
• Hennepin Healthcare Integrative Health Clinic

To view the webpage honoring all the award winners, please visit Partners with Distinction 2022 – Fulcrum Health Inc.

Fulcrum Health strives to be a leader in maintaining high-quality physical medicine networks and improving the quality of life of our communities by delivering high-value networks.

We are excited to announce additional enhancements to the clinical performance metrics used to determine the tier status of ChiroCare network providers. These additional metrics support providers and clinics in understanding the value of delivering care with the goal of achieving the Triple Aim (patient satisfaction, quality outcomes, affordability)

Provider Tiering assignment

Your 2024 provider tier assignment will now be determined by the sum of average visit utilization plus total services per visit. This will be in addition to the current metrics of the average percent of the 10 and 15 visit cases.

Provider and Clinic performance

Follow your performance by visiting Fulcrum’s Provider Portal to review your scorecard report.

Currently shown on your scorecard are the provider CMT code selection, x-ray utilization, average percent of the 10 and 15 visit cases, and submission of outcome assessments. Starting in April 2023, sum of average visit utilization, and total services per visit will be shown. Additionally, new for 2023 all the above metrics will be shown at the clinic level as well as the existing provider level.

Scorecards are only available to providers when meeting the 15 patient minimum requirement during the review period.

Treatment Plan and Service Expectations

Fulcrum expects providers to recommend services that are patient-centered, medically necessary and designed to reach Maximum Therapeutic Benefit (MTB) efficiently.

Plain Film Radiology Use

The decision to expose patients to plain film radiographs must be supported by information obtained after a thorough clinical examination consistent with the information derived from a patient’s history and presenting complaints. The specific rationale, as well as the study taken, must be documented in treatment notes. Plain Film Radiographs may not be appropriate if recent films have already been exposed and are obtainable. Any radiographs taken must contribute to the treatment plan.

The decision to take Plain Film Radiographs should be determined by:

• The patient’s unique presentation and history
• The patient’s unique exam findings
• A patients lack of measurable and sustained progress (subjective and objective) with a reasonable trial of care.

Which of the following applies to you?  

1. It is my practice to x-ray all new patients regardless of presentation.
2. My documentation will show a patient presentation with history, complaint, and exam findings sufficient to support the rationale for x-rays.
3. The information obtained from the x-ray will be used to enhance my treatment recommendations and outcomes.
4. I take x-rays based on my subluxation philosophy, practice management routine, or technique protocols.

Fulcrum guide responses 2, 3

We are now accepting applications from ChiroCare network providers who believe their clinics meet the Centers of Excellence criteria. The application period is open until March 31, 2023.

Fulcrum is excited to announce that the CCoE Self-Assessment, Application, and Attestation can now be completed online for administrative ease.

Please log into fulcrumproviderportal.com, go to Learning Hub tab and then the CCoE tab to access the necessary documents to apply and take the self-assessment.

If you have completed the CCoE self-assessment and received a passing score of 20 or higher, please consider completing the CCoE application.

Current CCoE's do not need to re-apply. Verification review of records begins February 2023.

We encourage you to take a close look at the CCoE program overview.

If you have any questions about the ChiroCare Centers of Excellence program, please contact Dr. Vivi-Ann Fischer v.fischer@fulcrumhealthinc.org.