COLLECT NEW INSURANCE CARDS FROM PATIENTS AND VERIFY BENEFITS: Insurance carriers issue new cards toward the end of each year. It is common for carriers to change identification and group numbers as well as policy benefits and limitations. DO NOT assume everything is the same simply because the carrier is the same. Medicare cards are [...]
New Medicare ABN Form Required For Chiropractors Effective June 21, 2017, Medicare will require all chiropractors to utilize the newly published ABN (Advanced Beneficiary Notice) form. The changes to the form are minor, however, the consequences for not using the new form are major: use the new ABN form by the launch date or [...]
The ABC's of Medicare Modifiers We get a lot of questions about which modifiers to use when submitting charges to Medicare. Specifically, we are often asked how to indicate whether or not an ABN (Advanced Beneficiary Notice) was given to the patient. These are the top 4 Medicare modifiers we use. GA Modifier: Waiver of [...]
On October 1 of this year the annual code updates will resume, and to a limited extent they will impact chiropractors. The biggest news is that Medicare’s “grace period” is now officially over starting October 1, 2016. In case you forgot what the grace period entails, here’s the deats: you can now be audited and [...]
Yes, I know we are close to the One Year Anniversary of ICD10, but......there's still some lingering questions. One of them....which codes do I use to diagnose subluxations? Is it the M991 series or the M990 series? A recent OIG report about chiropractic says: "Medicare requires that chiropractic claims have a primary diagnosis of “subluxation” [...]
If you take x-rays in your office, there are a number of additions as well as a few deletions to the CPT code set that will affect chiropractors in 2016. Let's take a look at these changes: CPT codes 72010 (full spine X-ray), 72069 (thoracolumbar standing scoliosis study) and 72090 (scoliosis study) have been deleted as [...]