Sample Compliance Documents

Download Reference Documents To best assist your team members in locating the required payer portal documents we have provided samples to download. Sometimes when you can see an example it makes it easier to locate similar documents on payer portals. It also can help familiarize team members with the different terms that payers might use…

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Medicare Advantage Compliance

Providers who have mastered the rules and regulations surrounding traditional Medicare are often surprised to find that Medicare Advantage plans have their own set of rules. These are not optional. It is vital that a clinic locates these resources and requirements on each payer’s provider portal. We have listed some of these below to assist…

Oops, your level of membership doesn’t include access to these full training courses. Please reach out to the HelpDesk to learn more about accessing these trainings and resources. Click here to learn more.

MA Verification Form

Download Support Tools This tool has been customized to capture all the important questions that staff need to be asking when verifying Medicare Advantage plan benefits. Never again will your staff hang up the phone and wish they had asked a question that they overlooked or forgot. By utilizing this tool and carving out time…

Oops, your level of membership doesn’t include access to these full training courses. Please reach out to the HelpDesk to learn more about accessing these trainings and resources. Click here to learn more.

Part C Verification Process

With the addition of Medicare Advantage plans, Medicare verification is not as easy as it used to be. KMC University has provided a customized verification form that is tailored to the needs of the clinic. We provide the questions so your team members can gather the information they need for proper billing and reimbursement. This…

Medicare Part C- The Advantage Plans

Medicare benefits are administered directly by the government, whereas Medicare Advantage (MA) plans are managed by commercial or private plans. When navigating the world of Medicare Advantage plans it is vital that your front desk, billing and treating doctors have a solid understanding of the many aspects of regulatory compliance that surrounds these plans. In…

Oops, your level of membership doesn’t include access to these full training courses. Please reach out to the HelpDesk to learn more about accessing these trainings and resources. Click here to learn more.

What is Medicare Advantage?

The Part C of Medicare According to www.Medicare.gov, a Medicare Advantage (MA) Plan (like an HMO or PPO) is a Medicare health plan that qualified beneficiaries may choose as part of their Medicare package. These plans are very similar to traditional Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs) and Private Fee for Service (PFFS)…

Certified Chiropractic Clinical Assistant Training is now available as part of Library Membership! This official training is for those who wish to certify through the Federation of Chiropractic Licensing Boards (FCLB). The KMC University Library is an online resource for chiropractors and their teams that provides access to a vast array of educational materials and resources related to Medicare, documentation, billing, coding, compliance, and the business aspects of running a chiropractic practice. It can help chiropractors and their teams stay up-to-date on the latest regulations and best practices, as well as save time and money by avoiding costly mistakes. Click here to learn more.