Chiropractic Medicare Articles & Resources
Medicare is a complex topic. For detailed information on this government program, as it relates to chiropractic services, see Chapter 2 in the ChiroCode DeskBook. The following concepts are covered in the DeskBook:
- Enrollment/Revalidation
- How Medicare Payment Works
- MAC Jurisdictions
- Medicare Coverage of Chiropractic Services
- Maintenance Care vs Active Care
- Advance Beneficiary Notice of Non-Coverage (ABN)
Related topics:
For additional information visit ChiroCode.com. Since 1993 Chiropractors have depended on ChiroCode as a reliable source of information for the Chiropractic community. Because of the dependability and education, ChiroCode has earned much renown. View current and recent webinars, order the ChiroCode DeskBook, (comprehensive go-to chiropractic reimbursement manual) and much more.
Select the title to see a summary and a link to the full article. some articles require a subscription to view.
by Evan M. Gwilliam, DC MBA CPC CCPC CPC-I QCC MCS-P CPMA CMHP AAPC Fellow
by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT
Watch out for New ICD-10-CM Codes
by Wyn Staheli, Director of Content - innoviHealth
MEGA - NCCI Edit Changes - WHO Knew?
by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS
Additional Telehealth Changes Announced by CMS
by Wyn Staheli, Director of Content - innoviHealth
COVID-19 Chiropractic Resources
by Wyn Staheli, Director of Content - innoviHealth
Medicare Begins Covering Acupuncture Services
by Wyn Staheli, Director of Content - innoviHealth
CMS and HHS Tighten Enrollment Rules and Increase Penalties
by Wyn Staheli, Director of Content - innoviHealth
by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT
The OIG Work Plan: What Is It and Why Should I Care?
by NAMAS
by Evan M. Gwilliam, DC MBA CPC CCPC CPC-I QCC MCS-P CPMA CMHP AAPC Fellow
by Wyn Staheli, Director of Content - innoviHealth
by NAMAS
A United Approach
by NAMAS
Medicare Revises Their Appeals Process
by Wyn Staheli, Director of Content - innoviHealth
by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT
Clearing Up Some Medicare Participation Misunderstandings
by Wyn Staheli, Director of Content - innoviHealth
The Impact of Medical Necessity on High Level E/M Services
by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT
by Wyn Staheli, Director of Content - innoviHealth
Understanding NCCI Edits
by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT
Select the title to see a summary and a link to the full webinar information. some webinars require a subscription to view.
Medicare and the ABN for Chiropractic
by Evan M. Gwilliam, DC MBA CPC CCPC CPC-I QCC MCS-P CPMA CMHP AAPC Fellow
Medicare Audit, Do-it-yourself
by Evan M. Gwilliam, DC MBA CPC CCPC CPC-I QCC MCS-P CPMA CMHP AAPC Fellow
Proving Medical Necessity and Functional Improvement
by Ron Short, DC MCS-P CPC
Medicare is required by law to pay for care that is medically necessary. Medicare considers functional improvement to be the primary indicator of medical necessity for chiropractic care. It is up to you, the doctor, to prove functional improvement and medical necessity with your documentation. Dr. Short will show you how to use common practice tools to document functional improvement, medical necessity and maximum medical improvement.Inappropriate Payments Made to Chiropractors – An OIG Review
by Evan M. Gwilliam, DC MBA CPC CCPC CPC-I QCC MCS-P CPMA CMHP AAPC Fellow
In this webinar, Dr. Gwilliam will take you on a fun filled journey through all of the reports created by the Office of the Inspector General based on their reviews of chiropractors. If you can understand what they see, and what advice they give Medicare when dealing with chiropractors, then you will be better prepared to not become their next target. This webinar may feel a little frightening with hundreds of thousands of dollars paid back to CMS, but, by the end, you will know exactly what to do and what not to do.by Evan M. Gwilliam, DC MBA CPC CCPC CPC-I QCC MCS-P CPMA CMHP AAPC Fellow
In this CE webinar, Dr. Gwilliam will continue his discussion from the webinar delivered Dec. 18 about chiropractic manipulative treatment. But this time, it is all about Medicare. If you don't treat Medicare beneficiaries, you should probably listen anyway. Usually whatever Medicare wants is the same thing as all the other payers. Find out the difference between acute, chronic, and maintenance, as well as when to use certain modifiers.How to Report MIPS
by Evan M. Gwilliam, DC MBA CPC CCPC CPC-I QCC MCS-P CPMA CMHP AAPC Fellow
If eligible, you need to start reporting for MIPS by October 2th, 2017. Do you know who is exempt? Are you familiar with the quality measures that apply to chiropractors? Do you understand how to report on the Advancing Care Information or Improvement Activities? Don’t worry, Dr. Gwilliam has done all your homework and, in this presentation, you will get the crib notes containing just what you need to know. You don’t need to feel overwhelmed with Medicare regulations, you just need to know what to do.How to Check NCCI Edits Using FindACode
by Find-A-Code™
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