Collecting From Medicare Patients for Covered Services

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…

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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…

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.