Estimate Patient Responsibility with Confidence

Most patients want to know three things:  1) What’s wrong with me? 2) How long will it take to fix it? and  3) How much is it going to cost?  Confidently estimating what the patient’s portion of the care will cost is a key element in the patient accepting the care plan and being able...
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FAQs-Personal Injury Verification

Frequently Asked Questions- Personal Injury Q: What is a personal injury?  A: A serious, harmful act to a person or persons as a result of someone else’s negligence. Q: What does Personal Injury cover? A: Medical expenses, lost wages, accident-related injuries, and funeral expenses. Q: Do I collect money from the personal injury patient after...
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The Silent PPO Sting

Have You Been Stung by a Silent PPO? Have you ever submitted a claim to a personal injury carrier and then received a payment from a completely different party? Or you submitted a claim, and the payment comes at a discounted rate as if you were in network with a health plan? If you answer...
OOPS, this page contains content reserved for KMC University members. We’d love to welcome you to the KMC University family because there is an amazing amount of helpful content in the trainings and resources of the KMC University Library. Click here to learn more.

The Window to Coverage and Benefits

Coverage and Benefits For a clinic to run efficiently, the staff must be familiar with the terms Summary Plan Documents (SPD); Summary of Benefits and Coverage (SBC); Payer Medical Review Policy (MRP); Payer Reimbursement Policy; Policy Guidelines; Payer Clinical Guidelines, and the Provider Manual. The mini-class titled MRP-What Does It Mean to Me? provides a...
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Commercial Health Insurance Verification Mastery

This tutorial provides tips and tricks for the clinic to master the verification process. The staff member will learn how to use the verification template for gathering information that can assist with reimbursement. We even provide a peek at the many resources a clinic can find online via payer portals that help the clinic avoid...
OOPS, this page contains content reserved for KMC University members. We’d love to welcome you to the KMC University family because there is an amazing amount of helpful content in the trainings and resources of the KMC University Library. Click here to learn more.

Medicare Basics Reference Documents

Download Reference Documents The Medicare beneficiary’s ID number changed in recent years. These publications outline the important aspects of why the identifier changed and how to recognize and use this important number associated with your patient including the details behind the assignment of the Medicare Beneficiary Identifier (MBI). For those who are new to chiropractic,...
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