Please utilize this list of compiled resources for chiropractors.
2017 Medicare Fee Schedule
Fee For Service Advance Beneficiary Notice of Noncoverage
Click here for the link.
Medicare Parts A & B Appeals Process
Click here to download.
Medicare 25-Visit Review Tips
After the patient's 25th visit in a 12-month period, Medicare will automatically deny the visit, forcing DCs to file an appeal and send in records to substantiate the medical necessity. Read more.
Tips for Complying with a Medicare Review
Many doctors of chiropractic
have probably received a request for records on one or more Medicare
patients from CAHABA, the contractor/payor for Medicare in Georgia. It is vitally important to all of us that you comply with this
request and that your records meet the required standards to properly
document the medical necessity of your treatment. These reviews are
mandated by CMS to all local carriers to assure claims are properly
paid. If your records do not substantiate your care, the claim may be
denied, or if already paid, you may be required to refund the money. Read more