NOTICE: Chiropractic Medicare FEE Change! Effective March 1, 2003 the chiropractic adjustment fee for service 98940, 989412 and 98942 have officially increased across the board in the United States. If you have not received the Chiropractic Medicare fees for your state local, do NOT bill Medicare until you have contacted your Medicare Carrier for the new fee schedule. If you are a participating provider in the Medicare Part B program, remember, you can only collect fees for 20% of your new fee and/or the deductible at time of the adjustment. If your claim is denied by Medicare and you did have the patient sign the ABN, now you can collect from your patient what Medicare did not pay. Be very careful.... do not collect from the patient any amount above the fee set for you as a participating provider in the Medicare program. Thanks to HIPPA, if audited, and you collected a fee from your patient above the amount set by Medicare, the fine is up to $10,000.00. As a non-participating provider in the Medicare program, you must never collect at time of service a fee for the adjustment from the patient above the maximum allowable amount. And remember, if the Medicare carrier decides to deny payment to your patient, and the patient signed an ABN in your office, the patient can not come back and ask for their money back. If you did not have the patient sign the ABN, the Medicare carrier will note on the denial EOB telling the patient they may return to your office for a refund. It is extremely important for a non-participating provider in the Medicare program to understand that they NEVER bill the Limiting Fee to the Medicare carrier... as the limiting fee is only billed for a Medicare patient who has another payer other than Medicare. Need More Important information to keep you out of trouble.... and show you how to document the medical necessity of care so there are NO limits in Medicare for the chiropractic adjustment! As chiropractors.... we MUST know the mandatory rules if we have one or more patients over the age of 64! We can NOT afford to make mistakes in Medicare... There have been more audits on Chiropractors this past two (2) years than the entire time we have been in Medicare, since July of 1973. If you and/or your staff would like to learn the mandatory rules we chiropractors must follow.... in an interesting and very informative video with a Chiropractic Medicare booklet of examples is available...... Call 1-800-692-4476 to order by phone.... There are decisions you need to make for 2003 so you don't make the same mistakes! (even if your claims have been cut in 2002, after receiving this important information, you can document correctly by "Federal Standards", re-file the claim and get paid.) Gary R. Street, D.C., Ph.C., F.I.C.A., F.P.A.C., L.C.P.(HON) a "Chiropractic Medicare Specialist" "There are NO limits in Medicare for the Chiropractic adjustment!" If you are being "cut" in Medicare for the adjustments your patients need... then this Medicare information will make you and your staff very happy! call 1-800-692-4476 to Order the Chiropractic Medicare Video and Booklet... it will make a total difference in the way you do Medicare in your office and the payment of Medicare claims. It also includes Chiropractic Medicare Booklet of reference materials and Medicare "documentation" that you have never seen! call 1-800-692-4476 to order! The chiropractic Medicare video and booklet is available for $95.00 plus $4.00 postage. or.....Print and Mail this to: "The Basics" Chiropractic Medicare 400 South West Street Olney, Illinois 62450 To FAX (618-395-8111) or email chiroad@otbnet.com Dr. Name ____________________________ Address _____________________________ City _____________State ____ Zip ________ Telephone # __________________________ Fax Number: _________________________ ___Visa ___MC ___ Discover Credit Card# ______________________________ Exp. Date: ______________ ___ Mail Video $95.00 plus $4.00 postage = $99.00 Want to See Dr. Street's Vitae? Call 618-395-3800 and request his vitae faxed to you!