Enrollment vs. Participation Participation in the Medicare program has nothing to do with Medicare enrollment. All chiropractors that treat Medicare patients must be enrolled in the Medicare program. Enrollment requires the completion of the CMS Form 855—the “Medicare Enrollment Application (See Fig. 1).” An annual open enrollment period held the last few months of the…
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Get started with your Medicare education by reviewing this brief, high-level training video on Medicare. Medicare coverage is quite different in Chiropractic than in allopathic medicine and here we cover the most important details of how Medicare works as a payer class in your practice. Then, study the visual of all four parts of the Medicare program.
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QMBs & ABN FAQ’s Q: What is a QMB? Why do I need to know if a Medicare beneficiary is a QMB before billing? A: The QMB (Qualified Medicare Beneficiary) program is a State Medicaid benefit that guides low-income Medicare beneficiaries through Medicare Part A and Part B premiums and cost-sharing (this includes deductibles, coinsurance,…
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Download Reference Document What could be more helpful than having a conversation guide at your fingertips when you need to discuss fees with a Medicare patient. CHUSA’s easy-to-read guide highlights points to discuss and even provides sample scripts for each situation to make it easier to hold these conversations yourself and/or to use to train…
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Medicare Collections FAQs Q: Can we offer Medicare patients our time-of-service discounted fees? A: A reasonable time-of-service discount on services that are patient responsibility doesn’t violate any regulation depending on the amount of the discount, how your policy reads, and other factors. For example, that would include statutorily non-covered services and maintenance care for which…
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Determining what to charge patients when they transition to Non-Medically Necessary Wellness/Supportive or Maintenance Care can be a quagmire of missed steps and opportunities. Let Kathy help you decide which of the three payment options might work best for your office and the patient in these circumstance…oh, and don’t forget to get a signature on…
Oops, your level of membership doesn’t include access to these advanced materials. They are reserved for members working 1-on-1 with our specialists for analysis and training. Please reach out to the HelpDesk to learn more about accessing these materials.
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