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.
(From ACA “Week in Review” of 04/11/2013) In
addition to the results from a May 2009 Office of Inspector General
report covering inappropriate Medicare payment for chiropractic
services, Palmetto GBA/Railroad Medicare has identified chiropractic
services as "vulnerable" due to the high percentage of errors discovered
during the post-payment review process. To resolve this vulnerability, Railroad
Medicare has changed the process for reviewing claims submitted with
CPT codes 98940 and 9894--along with HCPCS modifier AT. The
contractor is currently requesting documentation for claims submitted
with these codes. This review will be performed on a pre-payment basis.
Navigating the Medicare enrollment and revalidation process is among the top concerns voiced by FCA members who call FCA for assistance. Delays are commonplace and have extended to over a year in some instances. To assist members in reducing the delays, confusion and frustration, the FCA presents their third webinar available for members. It includes the more common and some less well known obstacles to getting the application completed correctly. One of the advantages of the webinar is the ability to pause it along the way to take notes or even go back: Highly recommended for anyone responsible for getting this job done. The FCA thanks Mollie Frawley, R.N., FCA Insurance Liaison and presenter in this webinar, for this outstanding webinar and for her constant and excellent service to members each and every day. And we acknowledge with appreciation the assistance of Dr. Sig Miller and ChiroView Presents for his role as moderator and with production.
We are receiving questions now that our members are viewing the PQRS Webinar and beginning to report their performance to Medicare. These questions and answers will be posted as the come in for the benefit of all our members.