Medicare Archives

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…

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ABN Delivery Requirements

ABN Compliance Whether you are using the ABN form in a mandatory or voluntary fashion, Medicare has set forth specific rules about how it should be delivered to patients. The following details explain Medicare’s requirements that must be implemented by individual physician offices. When appropriate, an ABN should be delivered to beneficiaries and/or their representatives…

Patient Education & Medicare Benefits

The Medicare Brochure At KMC University, we love the Medicare brochure published by our friend Bill Esteb at Patient Media. This simple brochure does wonders for explaining how chiropractic works with Medicare. Not to be confused with standard brochures that may be placed in a rack in your office, this brochure needs to be purposefully…

Advance Beneficiary Notice (ABN) Reference Documents

Download Reference Documents When “the horse’s mouth” speaks, we should listen. These Reference Documents are the standard guidance directly from Medicare that outline the rules and the guidelines to follow. We encourage providers to refer to this information when there are questions about proper use of the ABN form. If you hear information contrary to…

Medicare Modifiers & ABN Implementation

Medicare Modifiers for ABNs Certain modifiers are required for reporting when a mandatory ABN has been signed. Be sure to review this image called KMC University’s Guide to Medicare Modifiers for an at-a-glance review of the most important modifiers used in chiropractic billing. This valuable resource explains the various modifiers used to help describe Medicare…

Voluntary ABN Resources & Templates

Voluntary ABN Template Letter The following three options for voluntary advance notice for Medicare beneficiaries has been discussed in this module: using the official form (please don’t); language that you can use on your official letterhead to personalize a notice; and a form created by KMC University and our good friend, Bill Esteb, available through…