Medicare’s Rules for Records Requests

Medicare continues to request records in order to determine if a claim is payable. However, they have very specific rules and regulations that they are required to follow in requesting the records and reporting the findings. In this webinar Dr. Short will show you:  Who can review your records  What needs to be in the request for records  How long you have to respond to a request for records  How to respond to a request for records  How they are required to report the results of the review You can obtain the notes for this webinar by subscribing to my e-mail updates at http://www.chiromedicare.net/mailing-list-signup/ (the link to the notes will be in the final welcome e-mail) or by following the link provided in my e-mail update. They will be available by the Monday prior to the webinar presentation.

Medicare Overpayments and the 60 Day Rule

Sometimes overpayments happen and you are responsible to identify and repay those overpayments. Dr. Short will explain what overpayments are, why they happen, how to identify them, and what responsibility you bear in this whole process. In this webinar you will learn:  What are overpayments…

Billing and Documenting for Therapeutic Exercises versus Therapeutic Activities

Chiropractors treat, among other things, issues with the musculoskeletal system. Active therapeutic procedures are accepted as effective ways to treat many common conditions and therefore can be billed and generate revenue for a clinic. Two common CPT codes that might be used in a chiropractic setting include:

Medicare Improper Payment Report (2021)

The Medicare Improper Payment Report does not measure fraud, but rather, it estimates the payments that did not meet Medicare coverage, coding, and billing rules. The estimated Medicare FFS payment accuracy rate (claims paid correctly) from July 1, 2019 through June 30, 2020, was 93.74%, which is up slightly from last year. The estimated improper payment rate (claims paid incorrectly) was . . .

CMS Finalizes Major Changes to ACO Program

Back in August of 2018, as part of the Medicare Shared Savings Program (Shared Savings Program), CMS proposed some sweeping changes for Accountable Care Organizations (ACOs). There has been some controversy over these changes which require ACOs to move to two-sided models. In this Final Rule which was scheduled to be published in the Federal Register …