Collecting from Medicare Patients for Covered Chiropractic Manipulative Treatment (CMT) Services Because Chiropractors are one of three service providers that are not permitted to opt out of Medicare, when a Medicare patient receives an AT modifier-worthy spinal adjustment, the provider must submit the bill to Medicare on the patient’s behalf. The amount to be collected…
Medicare Limiting Charge Provisions
Limiting Charge Provisions for Non-participating Medicare Providers A limiting charge defines how much non-participating providers can charge Medicare patients. Chiropractic covered services (98940, 98941, and 98942) rendered by non-participating providers (those not accepting assignment) are still billed to Medicare. The patient must wait to be reimbursed by Medicare. The provider is only allowed to charge the…