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No Surprises

NEW COURSE! | Be Compliant with the No Surprises Act

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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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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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When is My Patient Required to Sign a New ABN?

When is my Patient Required to Sign a New Advance Beneficiary Notice (ABN)?

There is a widely held misconception among chiropractic practices that patients who are Medicare beneficiaries are required to sign a new Mandatory ABN at the start of each new year. Contrary to that popular belief, there is no need to automatically initiate a Medicare patient’s signature on a new Mandatory ABN form as part of your paperwork procedures at the beginning of a new calendar year.


Has your practice implemented this procedure, regardless of the Medicare patient’s treatment status? Terminate this process immediately and follow the guidelines outlined below.

Medicare requires that the Mandatory ABN form be completed before the first spinal Chiropractic Manipulative Treatment (CMT) is rendered for maintenance, wellness, palliative, and/or supportive care. That signed ABN remains active until either of the following takes place:

  • A new condition or active treatment is initiated. The current ABN would be rendered invalid because the active treatment CMT would likely meet Medicare’s medical necessity guidelines and be considered eligible for payment; or
  • It has been 12 months since initiation of the current mandatory ABN. A new, updated ABN would be required to continue the maintenance care, and then that ABN would be good for up to 12 months or until the beginning of another episode of active treatment.

Since all patients are on different treatment protocols, there is no reason to automatically require every patient to sign a new ABN at the beginning of each year. This constitutes improper use of the ABN. Please stop this practice!

Wondering about proper use of the Voluntary ABN form, for services Medicare never covers? Click HERE for more information.

Need more guidance on Medicare? Give us a call at (855) TEAMKMC or schedule your FREE 15-minute Solution Consultation today:


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If you are looking to invest in your practice in the best possible way with the best possible people, KMC University is the way to go. They are thorough, extremely knowledgeable, and truly go above and beyond to provide technical and emotional support through what can be an exceptionally tedious process with reimbursement, documentation and compliance. Whether you need to brush up on your HIPAA guidelines and policies, or you are completely starting from scratch, they will give you the tools and show you how to use them.

Neomi Hunt, M.S.