Medicare Archives

The Voluntary ABN & the Patient

Patient Education Scripting Before rendering services OTHER THAN spinal chiropractic manipulative treatment (CMT), chiropractic providers may notify Medicare beneficiaries that Medicare will not pay for these services when ordered or delivered by a chiropractor. This could confuse some beneficiaries (patients) since they may be used to other providers that do cover exams, X-rays, and therapies….

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Explain the Mandatory Medicare ABN to Patients

As you’ve learned so far in this course, there is a distinct difference between the mandatory and the voluntary Advance Beneficiary Notice (ABN) for Medicare patients. Before going on with this module, please ensure that you have properly completed modules 1-3 in this course for the best execution of your ABN processes. In module 2…

The Mandatory ABN & the Patient

Patient Education Scripting If you think that Medicare will not cover a service, chiropractic providers must present and explain the ABN to patients before performing any otherwise-covered services. Encourage the patient to ask questions and review all their options with them to help them make an informed decision. Because the language of the ABN might…

Patient Education on Excluded Services

By the end of the first visit with a Medicare patient, you should outline the projected out-of-pocket costs to the patient. Because Medicare only covers spinal adjustments, when medically necessary, all other services ordered or delivered by a chiropractor are patient responsibility. If the patient has the type of secondary or supplemental coverage that may…

ABN Delivery Requirements

ABN Compliance Whether you are using the ABN form in a mandatory or voluntary fashion, Medicare has set forth specific rules about how it should be delivered to patients. The following details explain Medicare’s requirements that must be implemented by individual physician offices. When appropriate, an ABN should be delivered to beneficiaries and/or their representatives…

Patient Education & Medicare Benefits

The Medicare Brochure At KMC University, we love the Medicare brochure published by our friend Bill Esteb at Patient Media. This simple brochure does wonders for explaining how chiropractic works with Medicare. Not to be confused with standard brochures that may be placed in a rack in your office, this brochure needs to be purposefully…