Newsletter

Chiropractic Medicare
Fees, Documentation & Florida Requests

Updated: January 10, 2011
Dear Doctors and Staff,

So far NO Medicare carrier has finished testing and have fees posted for 2011. All Chiropractic Medicare fees should increase our last years fees by 2%. As a participating provider, you may bill your Medicare carrier your normal fees. However, they will not be processed until the new fees are posted, about 1/15/11.

As a non-participating provider, you may collect from your Medicare patient at the time of visit, the limiting charge, from last year. However, you must wait until your carrier has posted the new fees to bill the Medicare carrier (approx. January 15th). Both participating and non-participating providers may collect the $162.00 deductible at time of visit.

DOCUMENTATION: We are certain to see an increase in audits in 2011. I receive so many phone calls from fellow Chiropractors with an audit that are in trouble. I again ask you.....If you have not attended one of our programs, or purchased our DVD, please consider doing so NOW! The DVD identical to our live presentation, with the same booklet of examples. If you or your staff have Chiropractic Medicare questions, you are welcome to call and speak with me in person for assistance. Please do not wait until it is too late!

FLORIDA MEDICARE REQUEST: The Florida Medicare carrier will deny all Medicare claims when the diagnosis in Item #24 begins with a subluxation. If you have any of the denial EOB's due to using subluxation first in Item #24 on the claim, please mail copies to me or call me 618-395-3162.
BOTTOM LINE: If you wish to learn how to do Chiropractic Medicare correctly, including "documenting" by federal standards, please consider ordering our Chiropractic Medicare DVD and booklet. It explains piece by piece every important step in doing and billing Chiropractic Medicare so there are no limits for the chiropractic adjustment. If you are audited you will have done Medicare correctly and win your audit. You and your staff will be very happy you have this important and mandatory information. I promise it will make a difference in your understanding of Medicare and how you bill Medicare.
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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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I promise you will be more than satisfied that you made the right decision to purchase this information or attend our presentation. Please give me a call if you have questions. 1-618-395-3162

Best regards,
Dr. Gary R. Street


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