Newsletter
May 13, 2013
Chiropractic Medicare
Mandatory Revalidation
Many fellow Chiropractors across the states are receiving a Provider Enrollment Revalidation Request from your Medicare Carrier. They are asking us to immediately submit updated Provider Enrollment Paper Application 855 form or Review, Update and Certify information via the internet-based PECOS System.
The Patient Protection and Affordable Care Act, Section 6401, says all new and existing providers must be reevaluated under the new screening guidelines. Medicare requires all enrolled providers and suppliers to revalidate enrollment information every five (5) years. Upon the CMS request to revalidate it’s enrollment, the provider has 60 days from the postmark date of your official letter from your carrier to submit complete enrollment information using one of the following methods:
1. Internet-based Provider Enrollment, claim, and Ownership System (PECOS). https://pecos.cms.hhs.gov.
2. Paper Application Form CMS-855. http://www.cms.gov/MedicareProviderSupeEnroll.
The new Electronic Funds Transfer (EFT) authorization form CMS-588 is now required to be part of the revalidation package. (for both participating and non-participating providers.)
CMS-588 form can be found at http://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/Downloads/CMS588.pdf.
Have questions in regards to doing Chiropractic Medicare correctly, or becoming Medicare Compliant? Give me a call at (618) 395-3800. Learn the correct way to "Document The Chiropractic Necessity of Care." WE WILL DO OUR BEST TO HELP YOU.
Showing posts with label PECOS. Show all posts
Showing posts with label PECOS. Show all posts
Tuesday, May 14, 2013
Friday, November 25, 2011
Are YOU Knowing the Correct Way to Chiropractic Medicare Compliance? ~Newsletter 11/25/11
Newsletter
November 25, 2011
Chiropractic Medicare Compliance, HIPAA and
Knowing the Correct way to do Medicare
Dear Doctors and Staff,
Having spent hours, this and last month, working on documents, forms, data, office policies,and reports necessary to become Medicare Compliant in 2012, it should be completed and ready to go by November 30th.
Two points of interest:
1. After going through ALL the "stuff" required by federal law - I can't imagine very many offices will prepare this themselves.
2. The fee we have set to sell this program is worth every dime!
The manpower, critical thinking and production of the Chiropractic Compliance Program material is staggering, let alone, understanding and producing all the different office policies for all the different categories each office must produce. If done correctly, the implementation of the Medicare Compliance Program, with self-audits and all the policies, will have a positive effect on the Chiropractic Error Medicare Rate.
Those Chiropractors that do not go through or implement this program will stand out like a sore thumb and I am sure will be in prime position for audits from their specific Medicare carriers.
There are three (3) specific areas we chiropractors must understand and implement in our practices:
1. Learning the correct way to do Chiropractic Medicare ("The Basics" Chiropractic Medicare DVD and Booklet)
2. Protecting patient Personal Health Information (Chiropractic HIPAA book and CD)
3. Chiropractic Medicare compliance with written policies to prevent fraud and abuse in the Medicare program (Chiropractic Compliance Program book and CD)
The most profound problem we Chiropractors face is the lack of knowledge of how the Chiropractic Medicare actually functions and what is specifically needed to "document" the Chiropractic necessity of care. (Not S.O.A.P. notes) If you become Medicare compliant, as mandated by 2012, and still make errors in "documentation"....you have gained nothing.
Recommendation:
For those D. C's and staff that have attended our seminars, or have purchased our Chiropractic Medicare DVD, consider ordering our NEW Chiropractic Compliant CD & book. You are on the safe road for Chiropractic Medicare Compliance!
For those D.C.'s that do not have, or know about "The Basics" Chiropractic Medicare DVD or our Seminars, we have put together a bundle so you can get all the important information at a very good cost. Please call me for more information 618-395-3162 or 800-MY-CHIRO.
Regards,
Dr. Street
November 25, 2011
Chiropractic Medicare Compliance, HIPAA and
Knowing the Correct way to do Medicare
Dear Doctors and Staff,
Having spent hours, this and last month, working on documents, forms, data, office policies,and reports necessary to become Medicare Compliant in 2012, it should be completed and ready to go by November 30th.
Two points of interest:
1. After going through ALL the "stuff" required by federal law - I can't imagine very many offices will prepare this themselves.
2. The fee we have set to sell this program is worth every dime!
The manpower, critical thinking and production of the Chiropractic Compliance Program material is staggering, let alone, understanding and producing all the different office policies for all the different categories each office must produce. If done correctly, the implementation of the Medicare Compliance Program, with self-audits and all the policies, will have a positive effect on the Chiropractic Error Medicare Rate.
Those Chiropractors that do not go through or implement this program will stand out like a sore thumb and I am sure will be in prime position for audits from their specific Medicare carriers.
There are three (3) specific areas we chiropractors must understand and implement in our practices:
1. Learning the correct way to do Chiropractic Medicare ("The Basics" Chiropractic Medicare DVD and Booklet)
2. Protecting patient Personal Health Information (Chiropractic HIPAA book and CD)
3. Chiropractic Medicare compliance with written policies to prevent fraud and abuse in the Medicare program (Chiropractic Compliance Program book and CD)
The most profound problem we Chiropractors face is the lack of knowledge of how the Chiropractic Medicare actually functions and what is specifically needed to "document" the Chiropractic necessity of care. (Not S.O.A.P. notes) If you become Medicare compliant, as mandated by 2012, and still make errors in "documentation"....you have gained nothing.
Recommendation:
For those D. C's and staff that have attended our seminars, or have purchased our Chiropractic Medicare DVD, consider ordering our NEW Chiropractic Compliant CD & book. You are on the safe road for Chiropractic Medicare Compliance!
For those D.C.'s that do not have, or know about "The Basics" Chiropractic Medicare DVD or our Seminars, we have put together a bundle so you can get all the important information at a very good cost. Please call me for more information 618-395-3162 or 800-MY-CHIRO.
Regards,
Dr. Street
Wednesday, November 16, 2011
IPSCA Medicare Compliance Seminar in Moline, Illinois (Dec. 8th)
On Thursday, December 8th, 2011, the Illinois Prairie State Chiropractic Association (IPSCA) is holding a seminar in Moline, Illinois. Dr. Street will be there to speak on Chiropractic Medicare Compliance.
IPSCA website: http://illinoischiropractors.org/
Link directly to the form below: http://illinoischiropractors.org/uploads/Medicare_Compliance.pdf
IPSCA website: http://illinoischiropractors.org/
Link directly to the form below: http://illinoischiropractors.org/uploads/Medicare_Compliance.pdf
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Wednesday, November 9, 2011
No Out-of-pocket, PECOS, CMS-855i, Fees
Newsletter
November 9, 2011
Chiropractic Medicare
Dear Doctors and Staff,
1. No Out-of-pocket Expense - Medicare
2. CMS 855i or PECOS
3. Medicare Fees
1. It is against the law to practice No Out-Of-Pocket expense in Medicare. If you are a participating provider, you have signed a contract with the Federal Government that you will "accept assignment" on ALL Medicare patients. The Medicare reimbursement of 80% always comes to the doctor. However, the doctor MUST collect the other 20% from either the patient or the patient's supplemental insurance. Only accepting the 80% of what Medicare pays is called No Out-Of-Pocket expenses, which is a breach of Medicare law.
2. CMS 855i Application or PECOS must be completed by All Chiropractors. If you have not gone on line and completed PECOS or downloaded CMS 855i off the CMS website and completed...DO IT NOW! If you do not, there will be NO Medicare reimbursement in the near future.
3. Our Medicare fees have been posted for 2012. All have been decreased by about 21%. We again wait on Congress to move on this issue, the same as earlier this year. With any luck, we may have our fees restored with minimal increases over 2011.
November 9, 2011
Chiropractic Medicare
Dear Doctors and Staff,
1. No Out-of-pocket Expense - Medicare
2. CMS 855i or PECOS
3. Medicare Fees
1. It is against the law to practice No Out-Of-Pocket expense in Medicare. If you are a participating provider, you have signed a contract with the Federal Government that you will "accept assignment" on ALL Medicare patients. The Medicare reimbursement of 80% always comes to the doctor. However, the doctor MUST collect the other 20% from either the patient or the patient's supplemental insurance. Only accepting the 80% of what Medicare pays is called No Out-Of-Pocket expenses, which is a breach of Medicare law.
2. CMS 855i Application or PECOS must be completed by All Chiropractors. If you have not gone on line and completed PECOS or downloaded CMS 855i off the CMS website and completed...DO IT NOW! If you do not, there will be NO Medicare reimbursement in the near future.
3. Our Medicare fees have been posted for 2012. All have been decreased by about 21%. We again wait on Congress to move on this issue, the same as earlier this year. With any luck, we may have our fees restored with minimal increases over 2011.
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