Medicare Archives

Collecting from Medicare Patients for Non-Covered Maintenance Care

Collecting for Non-Covered Maintenance Care Medicare doesn’t automatically cover all spinal adjustments coded as 98940, 98941, and 98942. The adjustment must be medically necessary to be covered. Treatment that seeks to prevent disease, promote health, and prolong and enhance the quality of life falls into another phase of treatment called maintenance care. Likewise, therapy that…

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Collecting From Medicare Patients for Services that Medicare Never Covers

Collecting From Patients For Services not Covered by Medicare Although it is not a requirement to formally notify Medicare beneficiaries in writing about the excluded services rendered in your office that are never covered by Medicare, it just makes good business sense to do so. Patients need to be aware of the costs associated with…

Collecting From Medicare Patients for Covered Services

Collecting from Medicare Patients for Covered Chiropractic Manipulative Treatment (CMT) Services Because Chiropractors are one of three service providers that are not permitted to opt out of Medicare, when a Medicare patient receives an AT modifier-worthy spinal adjustment, the provider must submit the bill to Medicare on the patient’s behalf. The amount to be collected…

Medicare Collections Guidance

Medicare billing is very closely scrutinized so it’s important to get it right the first time. Remember, it’s not your decision whether to bill Medicare regardless of whether you’re participating or non-participating…that decision rests with the patient. This course walks you through the importance of using the right fee schedule, billing the right party, and…

Charging for Non-Medically Necessary Wellness/Supportive Care

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…

Anti-Kickback Violations Explained

Surely something as serious as an Anti-Kickback violation could never happen in our small Chiropractic practice! But it does, and more often than you’d imagine. Our friends at ChiroHealthUSA took this difficult concept and made it quick and simple. Review the short video below and determine whether your discounting practices may be exposing you to…