Medicare

30 Visits for Medicare

By Kathy Mills Chang - May 9, 2013

  Q: If a patient goes over the 30 visits for Medicare, do we continue to bill Medicare or turn them to time of service? A: According to Medicare, they don’t have a “cap”, they have a “screen”. If a patient’s care is still truly medically necessary you can continue to send it in to [...]

Correct Use of Medicare ABN for Chiropractic

By Johann Marron - May 7, 2013

  These are all the crazy and incorrect things we’ve heard about how doctors and CAs in Chiropractic are taught to use the Medicare ABN form: • Get it signed on every single visit• Get it signed on every single visit that there is an adjustment• Get it signed to explain why Medicare doesn’t cover [...]

Did You Receive Your Comparative Billing Report (CBR) Yet?

By Kathy Mills Chang - April 10, 2013

  Now that many providers have received not only one CBR in 2011, but now another in 2013, some of the shock has worn off. We know that the increased focus on protecting the Medicare Trust Fund from fraud, waste and abuse has caused some carriers and CMS to pump up providers’ education regarding proper [...]

How Much Can You Charge a Medicare Patient for Chiropractic Maintenance Care?

By Kathy Mills Chang - April 3, 2013

  This is the $64,000 question for which there is no correct, referenced, written down, documented answer. KMC University teaches the following three opinions….see what you think! Opinion #1: It Depends on What You Are Charging During the Time it’s Active Treatment: If you are billing active treatment out at your full fee, and then let [...]