Original Medicare vs. Medicare Advantage To expand on your knowledge of Medicare Part C (Advantage) plans, also known as replacement plans, this resource calls out various facts to be aware of as you develop your Medicare education. Remember, these plans replace Part B Medicare, and depending on the type of plan, the provider may need…

Navigating Medicare Benefits If you have had the opportunity to work in a hospital, nursing home or private primary physician practice you will soon realize that Medicare coverage and benefits is quite different in the world of chiropractic. There is a narrow focus on what is considered covered services and many rules surrounding excluded services….

Different Types of Medicare Coverage Don’t be fooled into thinking that just because Medicare is a national program, it’s all the same for every patient. Seamless and simple Medicare reimbursement starts with understanding the options and plans you’re working with. In this brief training, we expand on the basics of these Medicare types.   Refer…

Medicare benefits are administered directly by the government, whereas Medicare Advantage (MA) plans are managed by commercial or private plans. When navigating the world of Medicare Advantage plans it is vital that your front desk, billing and treating doctors have a solid understanding of the many aspects of regulatory compliance that surrounds these plans. In…

Download Reference Documents Aetna FDR Guide BCBS FDR Toolkit Cigna FDR Guide Medical Mutual FDR Guide CMS DEI Strategic Plan Sample Waiver Form  

Know the Rules Providers who have mastered the rules and regulations surrounding traditional Medicare are often surprised to find that Medicare Advantage plans have their own set of rules. These are not optional. It is vital that a clinic locates these resources and requirements on each payer’s provider portal. We have listed some of these…