Chiropractic Maintenance Care

Updated: March 7, 2011
Dear Doctors and Staff,

Chiropractic Medicare was put together by Chiropractors in 1972-73. They did an excellent job of preserving the Chiropractic principles, even though the Medicare Carriers have done their best to twist it around so they can deal with us like other health care disciplines.

The only service payable for Chiropractic is the reimbursement for the correction of the vertebral subluxation. Not the "treatment" of pain or any other symptoms. For years, the Medicare Carriers have lead us down the "Yellow Brick Road" of treating patients symptoms, so when the symptoms are gone they want us to call the adjustment "maintenance care."

The consumer (our patient) gets cheated when the Chiropractor stops using the "AT" modifier because the patient's symptoms have decreased or are gone, even though they still are being adjusted for the payable service of correcting a vertebral subluxation because they still have subluxations.

The pressure is upon the Doctor of Chiropractic to learn the correct way to "document" the Chiropractic Necessity of Care if there is a vertebral subluxation. Not doing so, cheats the consumer, your patient, from Chiropractic reimbursement. Chiropractic maintenance is a patient that is checked, has NO subluxation, and is NOT adjusted.

When a patient is checked, has a subluxation and is adjusted, that is the primary job we Chiropractors perform and is a payable service in Medicare as long as the doctor "documents" the Chiropractic necessity of care. It is the Doctor of Chiropractic's responsibility to prove the subluxation, "document", and do it all correctly. If we Chiropractors do the job correctly Medicare is an excellent Chiropractic program.
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.

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. 618-395-3162

Best regards,
Dr. Gary R. Street

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