Getting to Know Your Payers  Although most chiropractic clinics do not fall under the obligation related to out of network billing protection laws, all clinics should give serious consideration to their payer relationships. There are portions of the No Surprises Act rule that may require a provider to work directly with the payer in providing…

No Surprises Act Impact  The No Surprises Act surprised many in the healthcare industry. As providers and healthcare facilities were working hard to manage the ever-changing regulations surrounding the pandemic, the ‘powers to be’ were focusing on consumer empowerment. Although price transparency, coordination of care, and patient access to medical records are nothing new, the…

Knowledge is Power Thomas Jefferson used the phrase “knowledge is power” on at least four occasions, each of them when establishing a university. He equated knowledge with “power, safety and happiness.” At KMC University we support that thinking. The proof is in the results. When providers invest in learning about compliance, they lower risk, reduce…

Medicare Coverage Depends on the Type of Medicare Plan  There was a time when a Medicare patient was simply that, a Medicare patient. But since the introduction of Medicare Advantage Plans, Supplemental and Secondary Insurance coverage, providers must now take steps to determine exactly what type of coverage each Medicare patient has. Team members must…

Congratulations you have completed the Medicare Coding & Billing course. Test your knowledge on the basic components of compliant documentation by completing the Medicare Coding & Billing Final Course Assessment

Medicare Maintenance Care The goal of treatment is to return the patient to their pre-injury/incident state of function and hopefully keep the patient pain-free for many years to come. Some doctors recommend wellness or maintenance care to their patients after they have reached their treatment goals. Although maintenance care may be clinically appropriate, it does…