The relationship between doctors of chiropractic and Medicare is, well…complicated. On the one hand, Medicare pays doctors of chiropractic about a half-billion dollars per year. On the other hand, Medicare is consistently named as one of the biggest headaches for practicing DCs, with complicated rules and an extremely limited range of services covered. A major initiative of ACA is to expand Medicare coverage for chiropractors, a goal that is thwarted by the discouragingly high rate of errors DCs make when billing Medicare. One recent government report found that chiropractic services had the highest rate of “improper payments” among all outpatient services covered by Medicare. Understanding how to properly bill Medicare is an essential skill for chiropractors to assure compliance with Federal rules, as well as avoiding potentially expensive fines for Medicare miscoding. This session will provide an introduction to Medicare billing basics and advice on avoiding potentially costly pitfalls.
Take Home: It's most likely that on Monday morning you will realize what you've been doing wrong when billing or when not billing Medicare, and take action to correct it.
Learning Objectives: Discuss a brief history of chiropractic coverage in the Medicare program, and potential directions for future progress
Identify the proper Procedure Codes and Diagnostic Codes required for correct Medicare coding
Discuss the potential risks DCs take when treating patients covered by Medicare and not billing Medicare for covered services