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For more information on how to bill Chiropractic Medicare please visit http://www.chiropracticmedicare.com/



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Helpful Chiropractic Medicare Links

CMS Forms such as the Medicare Applications CMS 855i for Physicians and Non-Physician Practitioners (for the DC's NPI), CMS 855B for Clinics/Group Practices and Certain Other Suppliers (for your corporation NPI)

http://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/CMS-Forms-List.html
https://pecos.cms.hhs.gov/pecos/login.do (Forget paper, apply electronically!)

PQRS or Physician Quality Reporting System information

https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/downloads/2012PQRS_SatisfRprtng-Claims_Final508_1-13-2012.pdf

COMPLIANCE PROGRAM GUIDANCE FOR MEDICARE FEE-FOR-SERVICE CONTRACTORS

http://www.cms.gov/Medicare/Medicare-Contracting/Medicare-Administrative-Contractors/Downloads/compliance.pdf

http://www.cms.gov/Medicare/Medicare-Contracting/Medicare-Administrative-Contractors/ComplianceProgramGuidance.html

EHR Incentive Program information

https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/downloads/Beginners_Guide.pdf

Determine if your software is certified for the EHR Program

http://oncchpl.force.com/ehrcert

Medicare Benefit Policy Manual Chapter 15 (Section 30.5 Chiropractor's Services)

http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/bp102c15.pdf

Has the 4010 to 5010 transition confused you or your office staff with rejected claims, unreadable reports, and/or error messages? The following are some helpful websites with information as to WHY WHY WHY???!!

http://www.ama-assn.org/resources/doc/washington/4010-to-5010-claim-data-reporting-comparison.pdf

http://www.wpsic.com/edi/5010-Readiness.shtml

https://www.cms.gov/Versions5010andD0/Downloads/2nd_National_Provider_Education_Call_HIPAA_Versions_5010_and_D0.pdf

The ABN or Advanced Beneficiary Notice of Noncoverage link to the form

http://www.cms.gov/BNI/02_ABN.asp

The ABN or Advanced Beneficiary Notice of Noncoverage information

http://www.cms.gov/MLNProducts/downloads/ABN_Booklet_ICN006266.pdf

Who is the Medicare Carrier for your state? Follow this link to the interactive map:
http://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/provider-compliance-interactive-map/index.html