Seaside Chiropractic has chosen to not be a Medicare \t\t\tprovider and not be a participating provider in the \t\t\tMedicare system. Medicare has a long list of laws that \t\t\ta doctor is required to follow in order to get paid by \t\t\tthe Medicare system. For a large organization such as \t\t\ta hospital or a large group of medical doctors it\u00e2\u20ac\u2122s worth \t\t\tthe organizations efforts to pay the legal fees to have \t\t\ttheir documents reviewed on a regular basis, and to have \t\t\ttheir procedures reviewed to make sure they are following \t\t\twithin compliance of the Medicare laws.<\/p>\n
Medicare regulations are long, complex and changing on a \t\t\tregular basis. It would require tens of thousands of dollars \t\t\tper year, I predict, to stay in compliance with these \t\t\tregulations. The benefit that Medicare is willing to pay to \t\t\tour office in return for this work is not enough, in my \t\t\topinion, to make it worth while. This morning I spoke to the \t\t\tMedicare office that provides information to Southern \t\t\tCalifornia doctors. I was told by them that their payment for \t\t\tbasic chiropractic adjustment is $26 dollars.<\/p>\n
Based on previous analysis I have done, I would guess it costs \t\t\tour office somewhere between ten and twenty dollars per claim \t\t\tthat we submit to insurance companies, just for the \t\t\tsubmission of the claim. So unfortunately, the processing \t\t\tof the claim and the legal costs, and the other costs \t\t\tincluding the doctor\u00e2\u20ac\u2122s time, to remain in compliance to the \t\t\tMedicare laws will end up costing the office more than the \t\t\tmoney that Medicare would pay to us if we were to follow \t\t\tall of these steps, in my opinion. So as a result of this, \t\t\tour office has not and will not be a participating provider \t\t\tin the Medicare system.<\/p>\n
Just a final note so you can understand my position on this, \t\t\tI have a good friend of mine who is a participating provider \t\t\tin the Medicare system. My memory of what he told me \t\t\twas that after many years of working with \t\t\tMedicare and doing a good job in helping his patients and \t\t\tcarefully documenting every visit that he saw with his \t\t\tpatients, Medicare did an investigation of his office.<\/p>\n
His story continued that \t\t\tMedicare found that the specific way that he was documenting \t\t\tvisits in his office, was not exactly the way the Medicare \t\t\tregulations required you to do so, as a result of this he was \t\t\tfined many tens of thousands of dollars from the Medicare \t\t\tsystem. If fact, I believe, by the time it was done including \t\t\tfines, penalties and legal costs he had spent well over \t\t\t$100,000 dollars.<\/p>\n
This was not a doctor who was committing fraud, this was not \t\t\ta doctor who was cutting corners, he simply (at least the way \t\t\the described it to me) saw Medicare patients, documented his \t\t\tvisits, billed Medicare and was paid for them, but did it in \t\t\ta way that was not in 100% agreement with the laws of the way \t\t\tyou document each visit that was required by Medicare.<\/p>\n
If you have further questions on this, please contact me or \t\t\tone of my office staff<\/p>\n","protected":false},"excerpt":{"rendered":"
Seaside Chiropractic has chosen to not be a Medicare provider and not be a participating provider in the Medicare system. Medicare has a long list of laws that a doctor is required to follow in order to get paid by the Medicare system. For a large organization such as a hospital or a large group…<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[],"_links":{"self":[{"href":"https:\/\/www.bodyabcs.com\/bwp\/wp-json\/wp\/v2\/posts\/68"}],"collection":[{"href":"https:\/\/www.bodyabcs.com\/bwp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.bodyabcs.com\/bwp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.bodyabcs.com\/bwp\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bodyabcs.com\/bwp\/wp-json\/wp\/v2\/comments?post=68"}],"version-history":[{"count":0,"href":"https:\/\/www.bodyabcs.com\/bwp\/wp-json\/wp\/v2\/posts\/68\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.bodyabcs.com\/bwp\/wp-json\/wp\/v2\/media?parent=68"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.bodyabcs.com\/bwp\/wp-json\/wp\/v2\/categories?post=68"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.bodyabcs.com\/bwp\/wp-json\/wp\/v2\/tags?post=68"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}