State Compliance

Overall State Compliance

Not compliant

Overall Compliance

Not compliant

Licensing

Provider requirements

Continuing Educations Requirements

Credentialing and Insurance

Credentialing

Insurance & Billing Compliance

General and Documentation

General Requirements

Documentation

Other

Office Requirements

Radiology and Imaging

Licensing Requirements

New York State chiropractic registration is current and active

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Services provided and billed fall within the New York State chiropractic scope of practice

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Laboratory testing complies with NYS chiropractic regulations

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Providers performing acupuncture maintain required New York State authorization

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Required mandated reporter training has been completed and documentation is maintained

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Referral relationships do not involve improper inducements or fee-splitting arrangements

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Credentialing Requirements

Insurance credentialing and recredentialing requirements are current

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CAQH provider profiles are reviewed and attested at least every 120 days

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Insurance network demographic and practice information is updated within required payer timeframes

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Continuing Education Requirements

At least 36 hours of NYS-approved continuing education are completed during each three-year registration period

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At least 12 hours of required continuing education includes ethics, law, recordkeeping, and/or patient communications topics

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No more than 12 continuing education hours during a three-year registration period are completed through self-study coursework

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Continuing education certificates and supporting records are maintained for at least six years

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General Requirements

Practice operations and clinical services comply with New York State professional conduct requirements

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Telehealth services comply with NYS professional conduct and standard of care requirements

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Unlicensed staff only perform permissible non-clinical or properly supervised tasks

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Practitioner does not provide services during lapsed registration periods

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Patient interactions comply with NYS professional boundary and misconduct rules

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Office Requirements

Required occupancy permits or certificates are current

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Required local fire and building inspections are current

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Biomedical waste and sharps disposal procedures comply with applicable requirements

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Current New York State chiropractic registration certificate is properly displayed in the practice location

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Patients are appropriately notified and transitioned during closure or relocation of practice

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Radiology and Imaging

X-ray equipment registrations, inspections, and permits are current

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Radiation safety logs and quality assurance records are maintained and up to date

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Radiation safety oversight responsibilities and staff training are formally assigned and documented

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Documentation

Patient records are securely stored and retrievable upon authorized request

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Signed informed consent documentation is maintained for chiropractic treatment and related procedures

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Patient records include complete and accurate documentation of examinations, diagnoses, treatment plans, and services rendered

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Patient records are retained for at least six years from the date of the last patient encounter, or longer when otherwise required by law

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Practice maintains reasonable safeguards for private patient information under New York State law v

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Patients are provided timely access to records and ability to request corrections

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Practice maintains a documented process for patient complaints and resolution tracking

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Insurance and Billing

No-fault billing submissions and supporting documentation comply with New York State requirements and timelines

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Clinical documentation supports medical necessity requirements

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Billing codes and modifiers are used accurately and supported by documentation

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Required prior authorizations are obtained before services are rendered

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Providers treating Workers’ Compensation patients maintain active New York State Workers’ Compensation Board authorization

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Workers’ Compensation reports and claim submissions are completed within required New York State deadlines

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Telehealth services provided to Workers’ Compensation patients comply with New York State Workers’ Compensation Board requirements

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State Compliance

Overall State Compliance

Overall Compliance

Licensing

Credentialing and Insurance

General and Documentation

Other

Licensing Requirements

Credentialing Requirements

Continuing Education Requirements

General Requirements

Office Requirements

Radiology and Imaging

Documentation

Insurance and Billing

What’s Next?

Congratulations!

State Compliance

Overall State Compliance

Overall Compliance

Licensing

Credentialing and Insurance

General and Documentation

Other

Licensing Requirements

Credentialing Requirements

Continuing Education Requirements

General Requirements

Office Requirements

Radiology and Imaging

Documentation

Insurance and Billing

My Settings

What’s Next?

Congratulations!