United Healthcare/Optum Medicare Advantage – Woe’s No More

Our phones are ringing off the hook with offices just like yours. It may seem like the micro-managing bus has arrived at your office and is on a tour for all the chiropractic offices in America. Don’t feel alone! We are helping practices like yours navigate the new clinical submission requirements and decipher all the details. It may not be as daunting as you think it is… let us show you how! What’s going on…

HelpDesk FAQs

September 10th CE Webinar – Compliant Documentation for Adjusting Multiple Spinal Regions

In the world of documentation compliance, chiropractors who routinely adjust the full spine are often challenged by the requirement that documentation and coding must match exactly. Our members enjoy one hour of continuing education credit (in participating states) per month, and we foot the bill! Unfortunately, it’s not included in your level of membership, but we’d be happy to provide you with more information on how you, too, can enjoy this and many other benefits…

Webinars

HUMANA Requires Pre-Authorization Effective August 29, 2024

Not sure if it is required for your procedure code? Check out the Prior Authorization Search Tool We consider that KMC University members are under our care and protection, which includes keeping them up to date on important changes, updates, and news that can affect their reimbursement and compliance. This content is meant for members. We’d love to help you come under our umbrella of care and protection with membership. Click here to learn more.

Payer Updates

Should your Medicare patient receive an ABN on their first visit?

Should your Medicare patient receive an ABN on their first visit? The answer may surprise you… We consider that KMC University members are under our care and protection, which includes keeping them up to date on important changes, updates, and news that can affect their reimbursement and compliance. This content is meant for members. We’d love to help you come under our umbrella of care and protection with membership. Click here to learn more.

HelpDesk FAQs

Optum/UHC Providers- New Submission Requirement

On September 1, 2024, UHC is implementing a change to United Healthcare & AARP Medicare Advantage plans. Chiropractors will be required to submit a Patient Summary Form (PSF) for certain members. All details are available in the Optum Provider Operations Manual which can be found at: We consider that KMC University members are under our care and protection, which includes keeping them up to date on important changes, updates, and news that can affect their…

Payer Updates

Time to Update Your QMB Resources 

CMS released a revised Beneficiaries Dually Eligible for Medicare & Medicaid resource that may impact provider billing of Medicare patients who are considered as Qualified Medicare Beneficiaries (QMB). We consider that KMC University members are under our care and protection, which includes keeping them up to date on important changes, updates, and news that can affect their reimbursement and compliance. This content is meant for members. We’d love to help you come under our umbrella…

Payer Updates