Medicare Archives

A Brief Overview of PART

The essence of medical necessity in Medicare is being able to prove that a subluxation exists, since the only coverage for chiropractic treatment is manual manipulation of the spine to correct a subluxation. The subluxation can be identified by x-ray or through documentation using the acronym PART. This brief tutorial outlines the components of PART…

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Qualified Medicare Beneficiaries (QMB) Reference Documents

Download Reference Documents This page contains helpful tools that provide a deeper dive into the topic of Qualified Medicare Beneficiaries. Here we list timely tools to review, download, and save in your Medicare training documents Cost-Sharing for Medicare Advantage Plans List and Definition of Dual Eligibles Dually Eligible Beneficiaries Under Medicare and Medicaid Prohibition Billing…

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Chiropractic Specific Medicare Guidance from CMS

Download Reference Documents Medicare publishes helpful documents and alerts to keep providers in the know about important topics. On this page, we list timely tools to review, download, and save in your Medicare training documents. First, Medicare has compiled the most common misconceptions about Chiropractic care under the Medicare Part B program, and misinformation that…

Medicare Enrollment Tips and Tools

Download Reference Documents Medicare publishes helpful documents and alerts to keep providers in the know about important topics. On this page, we list three important tools to review, download, and save in your Medicare training documents. First, general enrollment tips are provided for your reference. Next, an important alert is shared that relates to providers…

Maintain Active Enrollment

Providers MUST Maintain Active Enrollment with Medicare Doctors of Chiropractic may not opt out of Medicare. In order to see Medicare patients, providers must maintain active enrollment with the Medicare Administrative Contractor (MAC) in their jurisdiction. This is called revalidation. In accordance with 42 CFR §424.515, in order to maintain billing privileges with Medicare, a…

Help! I’ve Fallen Out of Medicare

Medicare requires providers to revalidate their enrollment every 5 years. Sometimes, when a provider is not actively billing Medicare, their enrollment can become inactive. This short training outlines some of the pitfalls to be aware of and what to do about them.