CONSULTANT ARTICLES
Highlights of the 2024 ICD-10 Changes
by Mario Fucinari • DC, CPCO, CPPM •Whether you have a cash practice, personal injury, or a hybrid practice, you must keep up with the yearly diagnosis changes. Every year, the ICD-10 diagnosis codes are updated by the World Health Organization (WHO)...
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 Complete,...
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. The...
Is a Medicare Advantage Plan Really Medicare?
by Mario Fucinari • DC, CCSP, CPCO •Have you noticed an increase in the number of Medicare Advantage calling your office? A recent study revealed that in 2023, the average Medicare beneficiary could choose from 43 different Medicare Advantage plans...
Living in the Green
by Carol J. Winkler, DC • President, Federation of Chiropractic Licensing Boards •When it comes to living “green,” one usually assumes a natural lifestyle, organic food, climate change awareness, recycling, and efficient energy consumption. When it comes to...
Seven Steps to Reboot Patient Retention: Post Pandemic Practice Recovery
by Mark Sanna, DC, ACRB Level II, FICC • President & CEO Breakthrough Coaching • One of the challenges that chiropractors and their practice team members confronted as the result of the pandemic was an increase in the inconsistency...
10-Point SOAP Note Checklist
by Marty Kotlar, DC, CPCO, CBCS • President of Target Coding • Question: Dr. Kotlar, I do not think my SOAP notes would pass an insurance audit. How do I know if they’re good enough? What can I do to ensure SOAP note compliance? Answer:...
Use Table Talk to Increase Referrals & Retention
by Mark Sanna, DC, ACRB Level II, FICC • President & CEO Breakthrough Coaching • Patient education is a never-ending process. Your responsibility for patient education begins as a “grassroots” effort. You can’t begin to compete with...
CMS Releases Fee Schedule for 2023
by Mario Fucinari • DC, CPCO, CPPM •The Centers for Medicare & Medicaid Services (CMS) issued a final rule that includes updates and policy changes for Medicare payments under the Medicare Physician Fee Schedule (MPFS), effective on or after...
Do Medicare Advantage Plans Pay for Chiropractic Care?
by Marty Kotlar, DC, CPCO, CBCS • President of Target Coding • Question: Dr. Kotlar, I recently received many Medicare Advantage plan patients coming to my practice. Are Medicare Advantage plans the same as traditional Medicare Part B...
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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.