Chiropractic Medicare Good Bye…. May 2019

Chiropractic Medicare Good Bye…. May 2019

After 35 plus years of providing Chiropractic Medicare information, answers to thousands of chiropractic Medicare questions plus lots of printed materials, DVD’s and CDs to help my fellow chiropractors and their Staff with Medicare…. It’s time to retire.

In doing so, I sincerely “thank” those that have attended “The Basics” Chiropractic Medicare Seminars all over America. It has been fun and exciting, plus, we have been in every major and many small towns in America.

“Thank you” to the Chiropractic Colleges, and Chiropractic State Associations who so kindly gave to me speaking engagements for their membership.

I will be ending my broadcast Chiropractic Medicare E-mail in 30 days, however you may have an interest in some Chiropractic Medicare and Chiropractic History materials before they disappear, especially since none of this information will be available for our profession in the future.

We still have considerable items in stock…. when they are gone, they are gone. These items will do me no good upon retirement so I am making them available to my fellow chiropractors so they don’t go to waste and at a great discounted fee (up to 75% off).

Items Remaining…. for 30 days:

1.) “The Basics” Chiropractic Medicare Program booklet and DVD

2.) “The Basics” Chiropractic Office Fundamentals Book 12th. Edition

3.) Chiropractic Medicare Audits and Appeals DVD and booklet

4.) Chiropractic HIPAA Forms and CD ready to use

5.) Medicare Chiropractic Compliance Book and CD ready to implement

SPECIAL:

Bundle #4.)  Chiropractic Medicare DVD and Booklet, The Basics Office Fundamentals Book, HIPAA book and CD, Par or Non-Par CD. 

Bundle #5.) The Basics Chiropractic Medicare booklet and DVD, and The Basic Chiropractic Medicare Compliance Book and CD ready to implement.

Other Specials… Chiropractic History:

D.D. Palmer’s Early Years, The Discovery of Chiropractic Presentation book and CD (includes a copy of “Sweet Home” New Boston, Illinois Historic Tour)

Zarbuck’s Chiropractic History. Collected Chiropractic History collected and written by Merwyn V. Zarbuck, D.C. including the historic Chiropractic Parallax. A real collectors piece for any chiropractor interest in chiropractic history. 

Super Special: Only place this Chiropractic History collectors item is available!

            First, D.D. Palmer put together small paper booklets called “The Chiropractor” and later B. J. Palmer continued publishing “The Chiropractor” that was used to produce the first Chiropractic Green Books (even though it was red). Those Palmer booklets are now available as Volume I and Volume II., “The Chiropractor” 1904 to 1906. (These will never be available again after 30 days)

“The Chiropractor” D.D. Palmer Volume 1 and “The Chiropractor” B. J. Palmer Volume II 1904 to 1906 

To order:

Call  1-800-692-4476   You may use: Visa, MasterCard and Discover or paypal.

All items will be available for 30 days or until stock is depleted.

Thank you everybody!!

Seminars in Washington and Oregon

Date: Saturday, November 4, 2017

Time: 8:30 AM - 12:30 PM

Location: Portland, Oregon

Location address:

 Radisson Hotel Portland Airport

 6233 NE 78th CT

 Portland, OR 97218

Hotel phone: (503) 251-2000 for direction purposes only

To register or for questions please call: (618) 395-3162

Date: Thursday, November 2, 2017

Time: 8:30 AM - 12:30 PM

Location: Pacific, Washington

Location address:

 Quality Inn & Suites

 415 Ellingson Road

 Pacific, WA 98047

Hotel phone: (253) 288-1916 for direction purposes only

To register or for questions please call: (618) 395-3162

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.

Other Payers on a Medicare Patient

There are specific guidelines we all must know and follow as we see Medicare patients that have another primary payer other than Medicare. (e.g., Workers Comp., Auto Insurance, Personal Injury, etc.)  Keep in mind, we are required to bill Medicare for ALL covered services even if there is another payer.

As a Participating Provider, you may bill your normal PI fees on this Medicare patient to all other payers and collect above the Medicare fees from other payers. 

Non-participating Providers, even though they receive the highest reimbursement from Medicare (i.e. the limiting charge), you must NEVER bill or collect from any payer on this Medicare patient above the limiting charge. (The limiting charge is the amount your Medicare carrier has set for your local.)  Item 10a through 10c on the claim form or in the electronic billing format will tell the Medicare Carrier (and other payers) who is responsible for payment.

Make a copy of the claim to the primary payer other than Medicare e.g., Workers Comp., Auto Insurance, Personal Injury, etc., and also, send a copy of the claim to the Medicare Carrier.  Be sure when billing another payer on this Medicare patient, to have the patient sign an ABN each visit, for both covered and non-covered services and use all modifiers, since Medicare will not pay.  (Example:  98941 AT GA)

The advantage of billing Medicare on this PI claim is if the PI claim fails and your patient loses the case, now Medicare will pay most of the claim because it was billed within the year time limit with all the correct modifiers and fees.
 
Questions? Give me a call today at 1-800-MY CHIRO.

Sincerely,
Dr. Street