There is growing interest in the association between cervical manipulation and vertebrobasilar artery (VBA) stroke.  Unfortunately, opinion rather than fact has often dominated discussions on this topic, even though there has been no definitive evidence that cervical adjustments can cause a stroke. The American Chiropractic Association (ACA) is sensitive to the public’s concerns surrounding this complex issue, and has provided extensive resources to help state associations and doctors of chiropractic disseminate accurate information about the risks of serious injury following cervical manipulation.

As a service to our members having difficulties billing Medicare claims, we are providing a link to the official Medicare Billing Instructions and an annotated version that includes tips learned from members sharing their experiences.  Examples of new information and lessons learned include:

Medicaid providers are currently being required to re-enroll, including submitting fingerprints if they have not been updated with your licensing board within the last year. Additionally the Providers’ General Handbook, Chiropractic Services Handbook and Fee Schedules have been updated.

Some of our members have received a Comparative Billing Report (CBR) from Medicare and others can access their own statistics upon request.  In order to understand the significance of the statistics, an online webinar is available that explains what the numbers reflect.  Requesting a CBR is not connected with and does not precipitate a probe, audit or other adverse action by Medicare.  It is a tool to help chiropractors self evaluate their billing activities as it compares to all Florida chiropractors and all chiropractors nationwide within Medicare.