Secret Income for Auto Accident Cases

When a vehicle is rented, the person renting the vehicle can purchase insurance from the rental company or use their own insurance. At the time of the rental, the person or persons who will be operating the vehicle are identified (or designated) to the rental company. If your patient has been injured by a rented […]

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Fees for Copying Records

All office records, test results, x-ray films etc. are the property of the clinic. The doctor is required by law to maintain the records for a period of time after the course of treatment has expired. Patients may request and are entitled to copies of their records but not the originals.  This includes x-rays! Typically, the […]

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New Medicare Card: 0 not O

The Medicare Beneficiary Identifier (MBI – which replaces the patient’s social security number) uses numbers 0-9 and all uppercase letters except for S, L, O, I, B, and Z. These letters have been excluded to avoid confusion when differentiating some letters and numbers (e.g., between ‘0’ and ‘O’). You should start using the new MBI […]

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CMT And E&M On The Same Visit

The chiropractic manipulative treatment (CMT) includes a pre and post service evaluation. The insurance companies, to their advantage, interpret this to mean that the “pre and post service” constitutes an Evaluation and Management service. When a CMT and E&M occur on the same visit/day, they will generally pay the least expensive service (the CMT) and […]

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Paper Claim Printing Standards

Insurance companies use optical scanners to read paper claim forms and convert the information on them into an electronic format. This prevents the claim from having to be keyed into the computer by hand. Scanners can read approximately 2500 claims per hour and they have a 97 to 98 percent accuracy rate. Claims must meet […]

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Medicare Initial Treatment Date

When completing claims for most insurances, item 14 is for the date of onset – the date that the patient’s problem began and this date should be qualified with the qualifier 431 – Onset of Current Symptoms or Illness (The only other valid qualifier for item 14 is 484 – Last Menstrual Period) And item 15 is used […]

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Indicating Assignment on the Claim Form

A short definition of assignment is, “who gets the money | insurance check | EOB.” The insured is the beneficiary of the insurance. In order for you to receive the insurance payment from the insurance company, you need permission from the insured (or other authorized person usually the spouse or parent). Accepting Assignment The insured […]

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VA Claims

Chiropractic services are part of the standard Medical Benefits Package available to all eligible Veterans. However, there are a few rules you need to be aware of when filing claims to the VA. In general, since this is a government program, the claim should follow many of the Medicare rules: The type of insurance indicated […]

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Rejected Superbills

Superbills are a mainstay of the cash practice. They contain information that the patient can use file their own insurance claims. A major problem with a superbill is that since they are simply a printout on plain paper which means that they could be reproduced and fraudulent claims then submitted by the patient. That’s why […]

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Option 2 on the Medicare ABN

Any time that you reasonably expect that Medicare will not pay for the adjustment, you should have the patient sign an Advance Beneficiary Notice or ABN. Option 2 on the ABN form only applies to non-covered services. Since the only covered service for chiropractic is the adjustment, this is the only service that is generally listed on […]

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