Newsletter

A Medicare Alert
Pre-paid Treatment Plan in Medicare

  Nearly every presentation I am asked if seniors can pre-pay for their care in a chiropractic office. There are a number of chiropractic coaches and practice management programs telling Doctors of Chiropractic how to collect fees for services weeks ahead of the actual service date.

  It is against the law to receive pre-payment for services from your Medicare patients.

  The rules for the Advance Beneficiary Notice (ABN) make it perfectly clear… on all Medicare patients, the Doctor must make an ssessment each and every visit so he/she can inform the patient TODAY if they believe those service will be payable by the Medicare carrier…..

Or not payable by the Medicare carrier.

If not payable by the Medicare carrier, the Doctor MUST inform the patient PRIOR to that serve so the patient can make an informed consumer decision whether to take financial responsibility for the non-payable service or… simply leave without receiving that service.

And, that is impossible to do on pre-paid services.

IF YOU ARE A PARTICIPATING PROVIDER, OR A NON-PARTICIPATING PROVIDER… makes no difference. Collecting money for services in the future for this patient is illegal. If you have been doing this in your office…. I strongly suggest ending that procedure today! If your coach or a management service has advised you to do this procedure… they need to review the “ABN” rules or have them give me a call for clarification.

  If you do not have information from our program AND DO NOT KNOW HOW TO “DOCUMENT” By “Federal Standards”…. Or use the “ABN” correctly...you are in a dangerous position with Medicare…. Contact us if you have concerns about using MEDICARE CORRECTLY.

Chiropractic Medicare is an excellent program…. as long as you know the rules and apply them wisely.

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Keep in mind, Medicare is the only insurance type program that if done incorrectly is fraud, a felony, a fine and/or jail.

 

 


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