Download Reference Document Misinformation on Chiropractic Services – Medicare MLN

Participation and Non-Participation Participation in the Medicare program has nothing to do with Medicare enrollment. All chiropractors that treat Medicare patients must be enrolled in the Medicare program. Enrollment requires the completion of the CMS Form 855—the “Medicare Enrollment Application (See Fig. 1).” An annual open enrollment period held the last few months of the…

As a Chiropractic Assistant, it is important to obtain a basic understanding of Medicare enrollment and provider status. Is the provider in your clinic participating with Medicare? If you cannot answer that question, you will appreciate this quick tutorial that breaks down the choice your clinic had to make. Afterward, add this to the list…

Railroad and United Mine Workers Railroad retirees are excluded from traditional Medicare. By statute, Medicare Part A and Part B are part of the retiree’s benefits. United Mine Workers of America (UMWA) retirees are required to enroll with Medicare Part A and B but when it comes to filling for chiropractic related claims, you must…

Additional Options Because traditional *Medicare Part B coverage is 80% of the allowed charges, beneficiaries may purchase additional insurance to cover the “gap” or other 20%. Some of these payers also pay for services that Medicare never covers. Sometimes, the beneficiary has this coverage through retirement benefits, and other times they must purchase the plans…

Traditional Medicare Replacement To expand on your knowledge of Medicare Part C (Advantage) plans, also known as replacement plans, this resource calls out various facts to be aware of as you develop your Medicare education. Remember, these plans replace Part B Medicare, and providers are not obligated to join Part C plans in order to…