Medicare Benefits & Limitations To become proficient at knowing exactly how the ABN form should work, one must fully understand the difference between covered and excluded under Medicare for chiropractic treatment. Then, and only then, can we apply the proper use of the Medicare ABN Form. Review this image that described the three categories of…
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What is a Covered Chiropractic Service? Per the Medicare Benefit Policy Manual for Chiropractic, “Coverage of chiropractic service is specifically limited to treatment using manual manipulation (i.e., use of the hands). Additionally, manual devices (i.e., those that are hand-held with the thrust of the force of the device being controlled manually) may be used by…
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ACA & CPT Code 97010 Code 97010 is often misused and overbilled. The most common reason is that it is difficult to establish and prove medical necessity for this service, and very often, the documentation does not include appropriate rationale for using this code. Below you will find what the American Chiropractic Association (ACA) has…
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