CMS Clarifies Medical Necessity Requirements
Share this page: On December 23, 2015, the Centers for Medicare and Medicaid Services (CMS) released a new instructional video describing their policies and procedures for establishing medical necessity of chiropractic care.1 The video was released on the heels of a...
Billing & Coding for Wellness Services
Share this page: Question: Dr Kotlar, “Do insurance companies pay for wellness services?” Answer: Yes, some carriers pay for wellness exams, preventive medicine services and maintenance care. Here are a few examples: 1. Preventive Medicine Exam – New...
Speed, Communication and Relationships
Share this page: Speed, Communication and Relationships The new economy driving the healthcare marketplace today is forcing chiropractors to transform the way that they do business on many levels. There is no question that times have changed. Many doctors who were...
Are Your Medicare Notes Functional?
Share this page: Many are seeing increased denials of care for medical necessity in Medicare. A closer look at the reasons for the denials reveals a change in Medicare’s interpretation of medical necessity and progress in care. The evolution of their interpretation...
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Why is the Discount Challenge prize amount $15,024? Because that is the average “per-occurrence” fine for Medicare inducements. That’s not $15,024 per patient, that’s not per provider, that’s PER VISIT. Stinks, doesn’t it? To us, the prize amount is worth the investment if we can help our profession better understand proper discounting.