Managing Medicare Modifiers 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 billing…
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Download Infographic This colorful and informative infographic highlights the key elements of ABN usage and facts and figures that are important in this training topic. Review it and determine which elements may be issues for which additional training in this course are necessary. Advance Beneficiary Notice Infographic
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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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Medicare modifiers are possibly the most important component in accurate Medicare billing. Understanding and using the right modifier for each situation will reduce delays in payments and lower the number of denied claims. Modifiers provide context for the story of the patient’s experience in the office and clarify important payment considerations necessary for processing. These…
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Download Support Tool The terms incident, burst and full episode were coined by us here at KMC University as a way for providers to consider the length of an episode of care. When sitting down to document the initial visit of a new episode, consideration of the potential length of the episode can be put…
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Recognize the Differences Between Active and Maintenance Care One of the most difficult concepts for providers to grasp is the fine line that exists between the necessity of active treatment and when the care would be deemed maintenance. This distinction is critically important because declaring a visit to be medically necessary, therefore billable to and…
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