1-13-03 Advance Beneficiary Notice IMPORTANT! If you are still using the Waiver Of Liability forms in you office..... STOP! The Advance Beneficiary Notice (ABN) form HAS replaced the Waiver of Liability form effective October 2002. The reason the "ABN" replaced the Waiver of Liability is because most chiropractors and staff abused the waver of Liability. The ABN is NOT an automatic signed form by your Medicare patients....... The ABN must be kept AWAY from the front desk sign-in sheet...... The ABN form must only be signed by the Medicare patient AFTER the doctor sees the patient..... The ABN form must be presented to the Medicare patient PRIOR to the chiropractic adjustment..... The ABN form can NOT be changed from it's original printing..... The ABN form must have the correct wording IN THE BLANKS to meet mandatory criteria........ The ABN form must be kept in your office FOREVER!!!!!! Due to The health Insurance Portability and Accountability Act of 1996 (HIPAA) most fines in Medicare have been extended from $2,000.00 per incident to $10,000.00..... 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.... The Chiropractic Medicare Video and Booklet is $95.00 plus $4.00 postage as priority mail..... and you have then the privilege of calling Dr. Street with Medicare questions as they arise in your office. To order by Fax.... Print this email and fax the information below to 1-618-395-8111(fax) "The Basics" Chiropractic Medicare Video Order Form Dr.'s Name: _______________________________________________ Address: _________________________________________________ City: _______________________ State: ________ Zip: ____________ Phone #: ________________________________ Fax #: __________________________________ Credit Card: _____ Visa _____MasterCard _____ Discover Card Number: ________________________________________ Expiration Date: ___________________________ Name on Card: ____________________________ Fax to: 1-618-395-8111 or......... Mail to: "The Basics" Chiropractic Medicare Dr. Gary R. Street 400 South West Street Olney, Illinois 62450 If you would like Dr. Street's Vitae... Call 618-395-3800 and we will send the Vitae by fax to you Gary R. Street, D.C., Ph.C., F.I.C.A., F.P.A.C., L.C.P.(Hon) "The Basics" Chiropractic Medicare Workshop Leader and Chiropractic Medicare "Specialist" Quote: "There are NO limits in Medicare for the Chiropractic adjustment. If you or your patients have been denied reimbursement from the Medicare Carrier after 12......25......35......45.... or even 55 visits.... then you need this information! There are NO tricks.... just facts and the correct, honest way to work with Medicare! Call if you have questions...Call Today ----- find out for yourself!