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Join us in celebrating Kathy (KMC) Weidner's 40 years in Chiropractic!

Use coupon code Kathys40 at checkout and get your first month of Library Membership for $40 off!

Offer available to new members only. Expires February 28, 2023.

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Don't miss the January 2023 edition!

We know you count on us to keep you up to date with the most important information in the profession. We have compiled updates, blogs, and news for you into this convenient digital publication.

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New Course! | Fraud, Waste, and Abuse

Each year, billions of dollars are spent improperly because of Fraud, Waste, and Abuse. It affects everyone—including Chiropractic providers and teams.

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The most effective chiropractic OIG compliance programs are scaled according to the size of the practice!

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Sometimes you need more than a self-service, on-demand program and need an expert to analyze your issues, train the corrections, and help you implement the changes, so they stick

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DATELINE:

3 YEARS AGO
IN MEDICARE

BY TEAM KMCU

The new QMB Indicators rolled out on July 1, 2018, and you probably have been busy implementing a process to identify the QMB status of your Medicare patients prior to billing. It seems everyone is focused on not billing QMBs. In fact, some providers have created office policies that direct employees to NEVER bill QMBs for fear of violating Federal Law.

While you were implementing processes to avoid billing QMBs, KMC University researched ways to protect your reimbursements. At KMC University we are aware of how hard you work for your reimbursements, and we never want you to leave money on the table. In an effort to clarify what you can and cannot charge a QMB, we connected with CMS directly. We asked about billing for services that are considered medically unnecessary (such as maintenance care) and other procedures that are never covered by Medicare.

Test your QMB knowledge! Ask yourself,

  • Would you charge a QMB patient for maintenance care?
  • What about statutorily excluded services—the things Medicare NEVER covers—are you able to bill those to a QMB patient?
  • Is there ever a time when it is okay to bill copays to a QMB?

CMS responded to our inquiry and we have added their responses to our Medicare Verification FAQs. You can check it out here.

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