Medicare Target

Medicare Mastery | 2-Part Webinar Series

Medicare Fundamental Regulations and
Complicated Compliance in Medicare
Recorded July 9th and Live August 6th | 11 AM to 12 PM MST

Chiropractic documentation gap analysis

Recognize what’s missing to master your reimbursement and collections!

This Documentation Gap Analysis allows us to evaluate the significant components of your current Documentation program. It should take less than 5 minutes to complete.

Take The Billing GAP Analysis

Need more guided help? Work with a KMC coach 1-on-1

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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Dr Alan Sokoloff 1

New Course Available!

This course explains the significant role chiropractic care can play in the sports industry and how a DC can succeed as a Sports Chiropractor. Start your steps to success here!

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There's no need to fear the OIG. We've got your back!

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

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FX Modifier Required for Plain Films

Have you heard of the FX modifier?

On January 1, 2017, the Centers for Medicare and Medicaid Services (CMS) implemented the required use of this modifier when radiology services are provided via plain film, vs. digital. For example, when two views of the cervical spine are taken, the modifier is appended to the x-ray code, like this 72040-FX. The modifier is a pricing modifier, which means a reduction of 20% off the technical component of the films if plain films are taken. If you take digital films, no change to coding is necessary, as this reduction doesn’t apply.

But Medicare doesn’t reimburse for x-rays when ordered or taken by chiropractors

If a Medicare beneficiary asks you to submit your bill for x-rays, you must include the FX modifier if the x-rays were taken on plain films. Of course, Medicare doesn’t reimburse for x-rays when ordered or taken by chiropractors, but as the saying goes: As Medicare goes, so goes the nation.

Effective June 1, 2017, Aetna requires an FX Modifier when billing plain film x-rays. Other carriers will likely follow suit.

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I had Kathy and her team come to my office to do onsite training and it made a huge difference. Well worth it!

Shelly K.