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…
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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…
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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
Checking Medicare Eligibility Download Reference Documents Since the Medicare beneficiary’s ID number changed years ago, Medicare has continued to provide resources for streamlining the eligibility checking process in the clinic. Medicare has provided a dedicated site page that outlines the important aspects of why the identifier changed and how to recognize and use this important…
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…
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