The Medicare Learning Network (MLN) has recently released the Chiropractic Services booklet.  This will answer many of your questions related to chiropractic and Medicare.

First Coast Service Options (FCSO) has posted the 2013 Medicare physician fee schedule disclosures.

Assistance and instructions are available online to aid you in learning about and complying with the PQRS rules.

The FCA is pleased to offer for our members’ viewing pleasure a webinar giving the basics on PQRS, Physician Quality Reporting, a 2013 Medicare mandate that could have a negative financial impact on 2015 reimbursements if not implemented.   This webinar by Mollie Frawley, FCA Insurance Liaison Coordinator, is only 42 minutes and is intended to introduce this topic in a common sense, informal manner.  FCA members can access this webinar at their convenience, pause it if interrupted and even rerun it to catch what you missed the first time through.  This does not replace the official documents on the FCA, ACA  or Medicare websites.  It does however make PQRS more understandable.  

Are you looking for First Coast Service Options' (FCSO) Local Carrier Determination (LCD) for Chiropractic Services in Florida?

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.

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.

(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.

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.

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.