Electronic Data Interchange vs Paper Billing Once the Medicare enrollment application is approved, providers are assigned a Provider Transaction Access Number (PTAN) along with an Effective Date. This number is exclusive to Original Medicare Part B and will never be used in conjunction with any other Medicare Plan, such as Medicare Advantage Plans or Railroad…
Oops, your level of membership doesn’t include access to these full training courses. Please reach out to the HelpDesk to learn more about accessing these trainings and resources.
Click here to learn more.
Differences Between Participating and Non-Participating Providers This image provides a snapshot of the difference between Participating Providers and Non-Participating Providers in the Medicare Part B program. This at-a-glance image demonstrates how the obligations are slightly different between the two options. Participation status is a highly personal decision for providers, but it should be noted that…
Oops, your level of membership doesn’t include access to these full training courses. Please reach out to the HelpDesk to learn more about accessing these trainings and resources.
Click here to learn more.
Medicare Enrollment FAQ’s Q: How can a healthcare provider apply for and obtain a National Provider Identifier (NPI)? A: A healthcare provider may apply for an NPI in one of three ways: Apply through a web-based application process. The website to the National Plan and Provider Enumeration System (NPPES) is https://nppes.cms.hhs.gov Give permission for an Electronic…
Oops, your level of membership doesn’t include access to these full training courses. Please reach out to the HelpDesk to learn more about accessing these trainings and resources.
Click here to learn more.
Medicare Provider Options FAQ’s Q: Do I have to enroll in Medicare, or can I see Medicare Beneficiaries (patients) on a cash basis? A: Chiropractors are in a group of three types of providers that cannot “opt out” of enrolling with Medicare. According to the Mandatory Claims Submission Rule you are required to bill Medicare for covered…
Oops, your level of membership doesn’t include access to these full training courses. Please reach out to the HelpDesk to learn more about accessing these trainings and resources.
Click here to learn more.
Chiropractors Singled-Out When it Comes to Medicare Enrollment We are often asked why chiropractors must bill for covered chiropractic manipulative treatment (CMT) services delivered to a Medicare patient. Why are chiropractors singled out and required to have a Medicare enrollment number in order to treat Medicare patients while other types of practitioners are allowed to…
Download Reference Document The Medicare and associated MAC website are a wealth of information for the practice. This Reference Document provides a list of the most common sites billing departments and providers should be aware of. Download and review it and then save it with your Medicare training materials. Medicare Quick Web References
Oops, your level of membership doesn’t include access to these full training courses. Please reach out to the HelpDesk to learn more about accessing these trainings and resources.
Click here to learn more.