A Chiropractic Assistant should have a basic understanding of the different PARTS of Medicare. It is not just Part A and Part B. This quick tutorial will help you understand the C and D of Medicare. Refer to the image below to solidify your knowledge of the four parts of Medicare. *NOTE: In the tutorial,…
Medicare Replacement Plans
Download Infographic To expand on your knowledge of Medicare Part C (Advantage) plans, also known as replacement plans, this resource calls out various facts to be aware of as you develop your Medicare education. Medicare Replacement Plans Note: If the provider is not enrolled in the patient’s Part C plan, the provider may feel they…
What is Medicare Advantage?
Medicare Advantage (MA) Plans 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) plans….
Different Types of Medicare Coverage
Don’t be fooled into thinking that just because Medicare is a national program, it’s all the same for every patient. Seamless and simple Medicare reimbursement starts with understanding the options and plans you’re working with. In this brief training, we expand on the basics of these Medicare types.
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…
Medicare Advantage & FDR
First Tier, Downstream, or Related Entity FDR is a Centers for Medicare and Medicaid Services (CMS) acronym for First tier, Downstream, or Related entity. A First Tier Entity is any party that enters into a written arrangement (acceptable to CMS) with a Medicare Advantage (MA) organization to provide administrative or health care services to a…