tci Medicare Compliance & Reimbursement - 2011 Issue 17
Industry Notes: Chiropractors Aren't Eligible to Order/Refer Services to Medicare Beneficiaries, CMS Says
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Article Overview
This industry note covers a CMS clarification about Medicare ordering and referring eligibility for chiropractors, along with a separate update on remittance indicators used to identify incentive payments under the 2010 Electronic Prescribing Incentive Program. It is relevant to Medicare-participating practices, especially Part B providers and billing staff who track referral eligibility and payment attribution. The article also points readers to CMS guidance for understanding the incentive payment remittance process.
Why This Topic Matters
It helps readers recognize a Medicare policy clarification that affects ordering/referring workflows and identify remittance indicators associated with incentive payments, which can reduce confusion when posting payments and reviewing claims activity.
What You Will Learn
- How CMS clarified Medicare ordering and referring eligibility for chiropractors
- What the article says about Medicare coverage context for chiropractic services
- How CMS is using remittance indicators to help practices identify incentive payments
- What the 2010 Electronic Prescribing Incentive Program references in payment remittance
- Where CMS directs readers for more information on the incentive payment guidance
Who Should Read This
- Medical billers
- Coders
- Practice managers
- Medicare-participating providers
- Chiropractic practices
- Revenue cycle staff
Codes Discussed
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