Use Modifiers To Get Paid Properly
by Marty Kotlar, DC, CPCO, CBCS • President of Target Coding • Question: Dr. Kotlar, are CPT code modifiers necessary, and do they really help you get paid faster? Answer: The answers are definitely YES and YES! Federally funded...
Medicare Part C May Pay for Maintenance Manipulation
by Mario Fucinari • DC, CPCO, CPPM • Typically, Medicare does not pay for maintenance care. Specific plans within the Part C Medicare Advantage plans may cover maintenance care. The plans are AARP® Medicare Advantage, UnitedHealthcare® Dual...
Adding A Physical Therapist to Your Chiropractic Practice
by Mark Sanna, DC, ACRB Level II, FICC • President & CEO Breakthrough Coaching • Multidisciplinary practice, once considered a rare phenomenon, is now a marked trend in the healthcare industry. Market forces and decreases in...
New Advanced Beneficiary Notice in Effect for Medicare on June 30, 2023
by Mario Fucinari • DC, CPCO, CPPM • An updated Advance Beneficiary Notice of Non-Coverage (ABN) form CMS-R-131 was approved by the Office of Management and Budget (OBM) with an expiration date of January 31, 2026, to be used for Medicare patients....
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Why is the Discount Challenge prize amount $15,024? Because that is the average “per-occurrence” fine for Medicare inducements. That’s not $15,024 per patient, that’s not per provider, that’s PER VISIT. Stinks, doesn’t it? To us, the prize amount is worth the investment if we can help our profession better understand proper discounting.