For 2018 Medicare coverage, open enrollment is in the fall of 2017, from October 15 to December 7. Changes made during this open enrollment period will take effect on January 1, 2018. During this annual enrollment period (AEP) Medicare beneficiaries can make changes to various aspects of your coverage. They can switch from Original Medicare [...]
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 [...]
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” [...]
Medicare Holding 2016 Claims
On October 30, 2015, the CY 2016 Medicare Physician Fee Schedule (MPFS) final rule was published in the Federal Register. In order to implement corrections to technical errors discovered after publication of the MPFS rule and process claims correctly, Medicare Administrative Contractors will hold claims containing 2016 services paid under the MPFS for up to [...]
2013 Medicare Fee Cuts
Well, it's December 28, 2012 and still no final word about whether or not we'll experience a cut in pay from Medicare. If the White House and Congress does not come to an agreement soon, Chiropractors (and other physicians) will face a 26.5% reduction in reimbursement. Now there's not much we can do about that; [...]