Watch this important Mini-Class that explains the most important modifiers needed for smooth Medicare claims processing for your Chiropractic Manipulative Treatment (CMT) codes… whether active or maintenance!

There are more rules… The only services considered covered under Medicare when ordered or delivered by a chiropractor are the three spinal adjustment codes (98940, 98941, 98942). These codes are only covered when Medical Necessity is met; otherwise the patient would be considered in the maintenance phase of care. When a patient transitions from Active…

Fee Schedule for Medicare Non-Par Providers When a provider chooses to be Non-participating with Medicare, it is not the equivalent of being out of network with other carriers. Unlike the participating provider, a Non-participating provider should only bill Medicare according to the Medicare fee schedule. If actual fees are sent to Medicare, the claim may…

Fee Schedule for Medicare Par Providers All participating providers must be enrolled with Medicare and must bill Medicare on behalf of the beneficiary for all covered services unless otherwise instructed by the beneficiary. Participating providers may choose to send their actual fee to Medicare or to use the Medicare allowed amount as their fee. The…