The “Ladder” of Medicare It’s important to understand the hierarchal relationship between the Office of Inspector General (OIG), The Centers for Medicare and Medicaid Services (CMS), the Medicare Administrative Contractor (MAC), and the Doctor of Chiropractic (DC). OIG: Since it was established in 1976, the Office of Inspector General of the U.S. Department of Health…

What is Medicare? Get started with your Medicare education by reviewing this brief, high-level training video on Medicare. Medicare coverage is quite different in Chiropractic than in allopathic medicine and here we cover the most important details of how Medicare works as a payer class in your practice. Then, study the visual of all four…

EOBs! ERAs! Paper! Electronic! So many things to keep track of when receiving payments from payers. Not all the “mail” to be managed will come from the post office. Sometimes, checks will be automatically deposited into the practice’s checking account, and electronic EOBs, called Electronic Remittance Advices (ERA), will be sent to explain the payment….

Understanding 3rd Party EOB’s FAQS Q: When reviewing my EOB, I saw that on most of the lines of service the carrier did not pay the full amount stating that a provider discount was applied. There was one line however, that was paid in full. Why? A: The provider discount applies if the amount you…

Download Support Tool Whether the item that is returned from a payer includes a payment, is electronic, or even a denial or processing toward a deductible, everything you should need to know is found in the Explanation of Benefits (EOB). This very helpful tool provides an example of an EOB with many different notes and…

Personal Injury and Workers’ Compensation EOB’s may look different from state to state. Some of the information on the EOB will differ from other payers. This brief training outlines what PI and WC EOBs look like, and what to look out for when posting them. Because these cases sometimes involve other liability, after posting payments…