Can You Opt out of Medicare
The recent changes in health care have prompted talk of doctors choosing to opt out of the Medicare program. Is this a viable option for you as a chiropractor? Ignorance of the law is no excuse as they say.
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Medicare: Understanding the Difference Between Non-Participating and Opting-Out
When it comes to chiropractic and treating Medicare patients, the time has come to make some big decisions for you and your practice. In the final 6 weeks of every calendar year, chiropractors may elect to be Par or Non-Par providers. Don’t confuse this with the ability to opt out of Medicare, a luxury not afforded to chiropractors and a select few other health care providers (Noridian Healthcare Solutions, 2018).
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Are Chiropractic Physicians Able to Opt-Out of Medicare?
Chiropractic Physicians are not allowed to opt-out of Medicare. However, in an attempt to avoid the regulations, billing requirements, and documentation requirements, some chiropractic physicians attempt to find the loopholes in this prohibition.
Read MoreOpting Out of Insurance and What You Need to Know
Do you know the difference between being a non-participating provider and opting out of insurance? This week we cover that topic. Watch the video to learn more!
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Can You “Opt Out” of Medicare?
To avoid the regulations, billing requirements, and documentation requirements, some chiropractic physicians try to find the loopholes in this prohibition.
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Opting Out of Medicare
The struggles of treating Medicare patients varies from low reimbursement rates to when a patient should sign the ABN form.
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Network Discounted Personal Injury
The doctor submits claims to the auto liability carrier for the usual charges for service. The doctor also happens to be a network provider for a health insurance network. The auto liability insurer has made an agreement with the health insurance network to “lease” its network and gain access to the discounts agreed to by providers who are members of the network.
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Don’t Be Confused About Medicare
I am always surprised by the amount of misinformation out there when it comes to Medicare and chiropractic care. The truth is that Medicare is not that complicated. The rules are pretty clear-cut on what we can and cannot do. Although they have one of the lowest reimbursement rates, there are still benefits to seeing Medicare patients in your practice. How knowledgeable are you when it comes to seeing Medicare patients?
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