Billing & Coding:Medicare

Welcome to your billing and coding weekly solutions by H.J. Ross Company where getting your bills paid is what we do best!

There are several ways a chiropractic office can be paid and one of those avenues is Medicare.

Medicare benefits for chiropractic care covers a large segment of the population.

Here are six things to know about chiropractic coverage under Medicare:

1. You must register as a Medicare provider to see a Medicare patient. (You cannot see a Medicare patient if you are not registered as a Medicare provider.)

2. Patients over 65 and anyone permanently disabled for two years or more are Medicare patients.

3. Medicare benefits are limited to spinal manipulation.

4. Medicare has rules of protocol for diagnosis (subluxation as the primary diagnosis with a secondary neuromusculoskeletal diagnosis).

5. Number of visits allowed per year often ranges between 20-40 visits.

6. The payment ranges from about $30-50, with Medicare paying 80% and the patient 20%.

Remember, billing with incorrect chiropractic CPT codes can lead to claim rejections and delays in payments, which can have a devastating impact on generating revenue and keeping you in business. 

If you are experiencing insurance claim denial, staff spending too much time trying to get claims paid, and patients asking why their claims have not been paid then H. J. Ross Company is your solution.

H.J Ross Company stays ahead of the curve on the latest trends and changes in billing and coding by utilizing their direct channel of communication with the insurance companies and organizations that set the guidelines.

There is a reason chiropractors have trusted H.J. Ross Company with their business for over 40 years.