Chiropractic Medicare Notes
Ending 2010

Updated: December 27, 2010
Dear Doctors and Staff,

The window for becoming a non-participating provider closes in five (5) days. If you wish to become a NON-participating provider, that certified letter must be post-marked in December or you will be on another one year contract as a participating provider.

FEES: Our fees will probably change a little in 2011 due to the Relative Value Scale - this should increase a small percent. We will not know the amount of the exact fee schedule until a couple of weeks into 2011. The Fee Schedule will be established by your Medicare carrier and then tested throughout their software for errors. Then the fees will be posted on each carriers website for each local in each state.

When receiving your fees from the carrier web site, scroll to about page 248 and find 98940, 98941 and 98942. The fees without the pound (#) signs will be the fees for your office services. The 98940, 98941 and 98942 with the # sign are the fees set for your local if you adjust a Medicare patient outside of your office, as nursing home, etc.

PARTICIPATING PROVIDERS: Continue billing your Medicare carrier your normal fees. The Medicare carrier has the responsibility to pay you the correct amount when that cycle occurs.

NON-PARTICIPATING PROVIDERS: You may see patients, adjust patients and collect what you believe is the limiting charge. However, you cannot bill Medicare until the specific fees are posted by your Medicare carrier. If you have collected from your Medicare patients at time of visit above the NEW limiting charge set by your Medicare carrier, you will need to refund the difference back to your patients.

PAR OR NON-PAR PARTICIPATING - We all must do Medicare correctly - We must remember "documentation" is NOT just S.O.A.P Notes - documentation is a "Document" and that is why it is call documentation. If you have our materials or been to one of our presentations you know exactly how to document in Medicare.
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. 1-618-395-3162

Best regards,
Dr. Gary R. Street

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