Managed Care Contract Cover Sheet

Download Support Tool When building a verification process, it is necessary to learn about the different payers. A staff member can do that each time they call and verify, or they can create an insurance binder that documents the contract requirements and restrictions. Each payer outlines their preauthorization and precertification requirements. If it includes chiropractic…

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Understanding Discount Medical Plans (DMP)

It’s no secret that KMC University loves ChiroHealthUSA…and the safe and legal options it provides for practices that wish to offer discounts to uninsured, underinsured, or partially insured patients. Get to know this great company by watching this short video from our friends at ChiroHealthUSA. Then download, save, and review the Support Tool that illustrates…

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FAQ-Medicare Collections

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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Discounting for Federal Patients

Implications of Discounting for Federal Patients The Patient Solicitation Anti-Inducement Provision Section 1128A of the Social Security Act, enacted as part of the Health Insurance Portability Act (HIPAA), provides for the imposition of civil monetary penalties against any person that offers or transfers to a Medicare or Medicaid beneficiary any remuneration that the person knows…

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. Click here to learn more.