Can a chiropractor participating in the demonstration choose which services to submit claims to Medicare for under the demonstration, while billing the patient for other demonstration services?
Per a Centers for Medicare & Medicaid Services (CMS) FAQ, the answer is: “No, chiropractors who choose to participate in the demonstration must submit claims to Medicare for all of the services they provide to beneficiaries. They cannot choose which services to submit claims for while charging Medicare beneficiaries for other services.” For a list of the services which may be submitted to Medicare for reimbursement under the demonstration project, please review the Medlearn Matters article on the demonstration project.
Related Questions
- After reviewing a patients file, it was determined there were services that were not performed and billed to Medicare in error. How should I refund the money to Medicare?
- If a chiropractor currently provides services under Medicare, are they required to participate in the Medicare chiropractic demonstration?
- We submit with another Medicare payer (ie, United Government Services, GHI Medicare) does this migration affect us?
