Medicare Archives

Medicare Enrollment-Are You PAR or Non-PAR

Participation status is a choice that providers make, and is a highly personal decision, but it should be noted that all the regulations associated with Medicare apply regardless of status. This at-a-glance image demonstrates how the obligations are slightly different between the two options.

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CMT Reference Documents

Reference Documents It’s critical to know the rules of the game that you are sitting down to play when billing third-party payers and dealing with CPT® coding. In this section, we’ve provided three excellent reference documents that outline more information about the CMT codes, from three different perspectives. Note the Job Aide from Medicare that…

Cash-Based Practice and Medicare

Seeing Medicare Patients as a Cash-Based Practice The essence of a cash-based practice is collecting most, if not all, payments across the front counter vs. waiting for payment from a third-party payer. Many providers find themselves on the wrong side of the rules by creating various permutations of this concept, sometimes without even knowing they…

CMS Job Aid Chiro Services Fact Sheet

Download Reference Document Medicare publishes helpful documents and alerts to keep providers in the know about important topics. We’ve included the document below that relates specifically to documenting Chiropractic care and medical necessity. This tool relates to the elements of Chiropractic documentation and the rulebook for Medicare policy (The Benefit Policy Manual). CMS Job Aid…

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PART Documentation for Medicare

Download Support Tool For approximately two decades, Chiropractic practice has used PART for objective evaluations of the Vertebral Subluxation Complex. PART can be used in conjunction with the PART Applied to the ROV Objective Documentation webpage or as a stand-alone tool. It deconstructs PART into its components and gives the doctor a selection of options…

PART Applied to the ROV Objective Documentation

PART and ROV The PART process, an examination method intended to quantify the presence of a subluxation for Medicare, has been used for over two decades. The application of PART, as noted below, is critical in the initial visit of an episode of care to formulate the basis for medical necessity. However, when documenting the…