The Intent of the ABN This module provides a high level overview of exactly what the Advance Beneficiary Notice (ABN) form is. It outlines proper implementation for Medicare patients and provides the “why” behind use of the form in the clinic. If implemented correctly,  the ABN form shifts the financial responsibility to the beneficiary when…

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

Not All Medicare Enrollees are the Same A Qualified Medicare Beneficiary (QMB) is a person for whom the government helps to cover certain health care costs that may include premiums, deductibles, and copays. The Qualified Medicare Beneficiary (QMB) program is a Medicare Savings Program that helps qualified individuals meet some of the out of pocket…

Chiropractic’s Unique Medicare Relationship As you study the important topic of Medicare, it becomes immediately obvious that Medicare is a little different in the world of Chiropractic than in other areas of healthcare. The main reason is that Medicare only covers the three spinal manipulation codes for chiropractic care. All other services in the office…

Chiropractors Must Be Enrolled in Medicare Part B to See Part B Patients The rules are clear. A doctor of chiropractic must be actively enrolled with Medicare Part B in order to accept and treat a Medicare Part B patient for treatment of either a spinal adjustment or an excluded service. The mandatory billing requirements…

Many Services Are Available Through the MAC Although Medicare is a Federal program, providers generally interact with the designated Medicare Administrative Contractor (MAC) for their jurisdiction. MACs act on behalf of the Center For Medicare and Medicaid Services (CMS) in many capacities in Part B Medicare. What you’ll learn in this module This module outlines…