Medicare Archives

CHUSA Conversation Guide

Download Reference Document Our friends at ChiroHealthUSA developed this excellent guide to speaking to patients about various fee-related circumstances in the office. Here you will find helpful scripting to assist you with the conversations necessary around finances. Download, review and save this helpful reference in your financial training materials. CHUSA Conversation Guide

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Answering Patient Questions About the ABN Form

Patient ABN FAQs Medicare will only pay for covered services they consider to be reasonable and necessary (under section 1862 (a)(1) of the Medicare law). Although each doctor has the best interest of the patient in mind when determining a plan for his/her chiropractic care, Medicare will not pay for chiropractic care deemed “maintenance” according…

The Voluntary ABN & the Patient

Patient Education Scripting Before rendering services OTHER THAN spinal chiropractic manipulative treatment (CMT), chiropractic providers may notify Medicare beneficiaries that Medicare will not pay for these services when ordered or delivered by a chiropractor. This could confuse some beneficiaries (patients) since they may be used to other providers that do cover exams, X-rays, and therapies….

Explain the Mandatory Medicare ABN to Patients

As you’ve learned so far in this course, there is a distinct difference between the mandatory and the voluntary Advance Beneficiary Notice (ABN) for Medicare patients. Before going on with this module, please ensure that you have properly completed modules 1-3 in this course for the best execution of your ABN processes. In module 2…

The Mandatory ABN & the Patient

Patient Education Scripting If you think that Medicare will not cover a service, chiropractic providers must present and explain the ABN to patients before performing any otherwise-covered services. Encourage the patient to ask questions and review all their options with them to help them make an informed decision. Because the language of the ABN might…

Patient Education on Excluded Services

By the end of the first visit with a Medicare patient, you should outline the projected out-of-pocket costs to the patient. Because Medicare only covers spinal adjustments, when medically necessary, all other services ordered or delivered by a chiropractor are patient responsibility. If the patient has the type of secondary or supplemental coverage that may…