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Medicare Webinar for Chiropractic -
Webinar Link
This webinar teaches processing rules necessary to
get Medicare claims paid for chiropractors. It discusses secondary
diagnoses for neuromuscular skeletal as well as initial treatment date,
necessary modifiers and claim documentation.
The payment guidelines
for the secondary diagnosis codes differ by the company that is
contracted to provide Medicare services for your state. Look at the
guidelines below for your particular state. Some guidelines show you
the codes for short-term, moderate and long-term diagnoses. Some
guidelines show you absolutely nothing for the secondary diagnosis
codes! It differs by the company that is processing Medicare claims for
your state.
Medicare Payment Guidelines
- IA, IN, KS, MI, MS, NE - Wisconsin Physician Services - WPS
teaches you about Medicare processing guidelines used by Wisconsin
physician services when they are processing Medicare claims for
chiropractors. It tells you the acceptable secondary diagnosis codes
for neuromuscular skeletal diagnosis. It divides them into groups for
short-term, moderate term and long-term care. Obviously, more visits
will be approved for long-term care than the number of visits approved
for short-term.
Medicare Payment Guidelines - CT,
NY, IL, MA, ME, MN, NH, RI, VT, WI
- National Government Services - NGS
does not provide a list of the secondary diagnosis codes that they find
acceptable. The only codes that they reference are the primary
diagnosis codes – the M99 series.
Medicare
Payment Guidelines - KY, OH - CGS Administrators - CGS provides
a list of secondary codes that they will accept. They do not divide them
into groupings for short-term, moderate term or long term care. They
do, however, tell you which code they will accept.
Medicare Payment Guidelines - AK, AZ,CA, HI, ID, MT, ND, NV,OR, SD, UT,
WA, WY Samoa, Guam - Noridian - Noridian provides a very
complete list of acceptable diagnosis codes and divides them into
short-term, moderate term and long term care. Obviously, more visits
will be approved for long-term care than the number of visits approved
for short-term.
Medicare Payment Guidelines -
AR, CO, DC, DE, MD, NJ, NM. OK. PA, TX, LA, MS, VA (includes Part B for
counties of Arlington and Fairfax in Virginia and the city of Alexandria
in Virginia) - Novitas -
Provides a comprehensive list of acceptable neuromuscular skeletal
diagnosis codes and groups them into three groups. They include many
codes that are not approved by other companies. Be sure to access their
list of codes when you are entering secondary diagnosis codes.
Medicare Payment Guidelines - NC,
SC, VA, WV, VA (excludes Part B for the counties of Arlington and
Fairfax in Virginia and the city of Alexandria in Virginia)
- Palmetto GBA - Palmetto references the NGS guidelines would
have no information about acceptable secondary neuromuscular skeletal
diagnosis codes.
Medicare Payment Guidelines
- IN, MI, IA, KS, MO, NE - Wisconsin
Physician Services provides a very complete set of guidelines including
short, moderate and long-term diagnosis codes.
Medicare Payment Guidelines - FL, Puerto Rico, the Virgin Islands
- First Coast -There are no
specifications available at all.
Medicare
Processors by State – this is a list of Medicare contractors
(processors) by state, so that you can look up who is contracted to
process Medicare Part B for your state.
Enrolling in EDI for your
Medicare processor:
Cahaba:
http://www.cahabagba.com/part-b/enrollment-2/internet-based-pecos/
Palmetto:http://www.palmettogba.com/palmetto/providers.nsf/DocsCat/Providers~JM%20Part%20B~EDI~Enrollment~89BLL31745 |
