Patients over Paperwork Initiative: Explained  You most likely have heard of the Patients over Paperwork Initiative by now and may be wondering what exactly it is. To simplify, the Centers for Medicare and Medicaid Services started the initiative this year to reduce the many administrative requirements that were complicating the process of providers working with [...]

2019-07-23T15:43:06+00:00By |Billing, Medicare|Comments Off on

Medical Necessity

Definition of Medical Necessity A physician or clinical provider of care may have a completely different understanding, interpretation, and definition of medical necessity than the patient or a third-party insurance payer. Medical necessity documentation from a physician or provider should include the following: •         Severity of the “signs and symptoms” or direct diagnosis exhibited by [...]

2017-10-06T21:31:07+00:00By |Billing, Medicare|Comments Off on Medical Necessity


Chiropractors may not OPT OUT of Medicare. You can choose to be par or non-par which means you must file your claims per “Mandatory Claim Submission Rule”, you can still be audited, and there is a 5% difference in reimbursement. If you are non-par and accept assignment on the claim form you must report what [...]

2017-09-16T02:20:00+00:00By |Medicare|Comments Off on Medicare
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