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Don't miss the April 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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Telemedicine

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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FWA announcement

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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OIG

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 wanted to thank you for your work with me on the HIPAA program. It is a huge undertaking and I can say with absolute certainty that I could not have done it without your help and all the work that you did behind the scene. I would tell anyone thinking about trying to do it on their own, not to waste their time and money and just sign up for this assistance.

Dr. Malcolm Williams