The American Chiropractor Volume 36, Issue 6 | Page 64

bill. If you provide maintenance care, get anABN signed and
collect cash for the adjustment. Make sure you submit at least
one bill to Medicare each year, though, or you will be placed
on inactive status and land yourself in the same hot water as
you would without an active Medicare number.
The very worst thing you can do is ignore the rules, see
Medicare patients randomly, and ask them to pay cash outside
of the system. We ' re not fans of practices that try to operate
outside the rules because even if patients say that they want to
pay cash, inevitably they or their family members or accountant
will wonder at some point why the bills haven't been submitted.
We have never seen this end well.
Don't want to see Medicare patients? Then don't see them.
However, we beg you to get a registered number as a "nonpar" provider. You just might save yourself tens of thousands
of dollars and a whole lot of heartache.

Kathy M ills Chang is a Certified Medical Compliance Sp ecialist (MCS-P) and, since 1983, has been
providing chiropractors with reim bursement and
compliance training, advice and tools to improve the
financial performance of their practices. Kathy is known as one of
our profession sforemost experts on Medicare and can be reached
at (855) TEAMKMC or info@kmcuniversitycom

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