tci Medicare Compliance & Reimbursement - 2008 Issue 6
Imaging: Chiropractor-Requested X-Rays No Longer Valid
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Article Overview
This article covers a Medicare payment policy update involving chiropractic-related imaging and the elimination of an exception that had allowed certain x-ray ordering and billing arrangements. It is relevant to chiropractors, radiology practices, and billing professionals who handle Medicare claims tied to imaging services. The discussion focuses on the policy background, CMS rationale, and the practical billing implications of the change.
Why This Topic Matters
The article helps readers understand a Medicare rule change that affects how chiropractic-related x-ray claims are handled and whether they can be billed under Medicare. It is useful for practices that need to stay current with CMS coverage and billing policy updates.
Article Sections
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Medicare’s chiropractor exception expires
Introduces the Medicare policy change and explains that a longstanding exception was removed effective at the start of the year.
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Background on the former exception
Provides historical context for the exception and the earlier Medicare requirement that made it necessary.
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Why the exception was removed
Summarizes CMS’s stated rationale and the comments submitted about the significance of x-ray access in chiropractic care.
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Billing impact for practices
Describes the practical effect on billing workflow and how practices may need to adjust their Medicare claims handling.
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CMS source reference
Points readers to the Medicare Physician Fee Schedule Final Rule for the agency’s explanation of the policy change.
What You Will Learn
- The background of a Medicare chiropractic imaging policy change
- How CMS explained the removal of an exception related to x-ray ordering and billing
- Why the update matters for chiropractic and radiology billing workflows
- Where to find the cited CMS final rule for additional policy context
Who Should Read This
- Chiropractors
- Radiology practices
- Medical billing professionals
- Medicare claims staff
- Practice managers
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