Download Support Tools Three Payment Options for Medicare Maintenance Care  

Getting Paid for Non-Covered Maintenance Care Medicare doesn’t automatically cover all spinal adjustments coded as 98940, 98941, and 98942. The adjustment must be medically necessary to be covered. Treatment that seeks to prevent disease, promote health, and prolong and enhance the quality of life falls into another phase of treatment called maintenance care. Likewise, treatment…

Download Reference Document Important Modifier Factoids  

Although Medicare doesn’t cover excluded services, it may be necessary to obtain a proper denial so that a secondary payer will cover those costs. This Mini-Class outlines the most important modifiers needed to ensure clean denials of excluded services.

Medicare Coding Modifiers in Chiropractic Reimbursement of a claim by Medicare (and subsequently by secondary payers based on Medicare’s decision) is determined by proper modifier usage. Spinal CMT Codes 98940, 98941, and 98942 must have the proper modifier attached to them to provide Medicare with a clear explanation on whether or not it is active…