Newsletter
November 6, 2012Chiropractic Medicare & Compliance
Just a small reminder:
No matter where I speak, in the Eastern States or Western States, North or South...I still run into fellow Chiropractors who do not seem to be aware that it is a federal law as per Social Security Act (Section 1848(g)(4)) that when they adjust a Medicare patient, it is mandatory claims submission in a reasonable amount of time (one year or less).
If you have no Medicare number and/or have not
completed a CMS 855i application, you are not qualified to
file a Medicare claim to a Medicare Carrier. This also means you
are not qualified to take care of a Medicare patient. If you are adjusting
Medicare patients and not billing Medicare for your patient, you have
breached the federal law and may be fined up to $10,000.00 per adjustment.
The simplest of all rules in Medicare is being overseen by a
surprising number of chiropractors. If you know any that are not billing
Medicare, please confront them, as you may save them big dollars and
embarrassment.
We all must keep in mind that our seniors in the Medicare
program pay premiums each and every month. It is our job to document and
bill Medicare so correct reimbursement is part of the normal Medicare process.
NOTE: We must know how to do Medicare to
keep out of trouble and make sure our seniors are reimbursed. We also must become Medicare
Compliant to stop fraud and abuse. Your compliance in your office
should be nearly completed by now. For the required seven (7) categories we must respond to by creating a Medicare Compliance Program and procedures in your practice, follow this link: http://www.cms.gov/Medicare/Medicare-Contracting/MedicareContractingReform/Downloads/compliance.pdf
No comments:
Post a Comment
Note: Only a member of this blog may post a comment.