Medical Billing Forum

General Category => General Questions => Topic started by: ste on July 10, 2012, 10:43:00 PM

Title: Medicare
Post by: ste on July 10, 2012, 10:43:00 PM
How much trouble can a chiropractic physician get in for treating a patient who has Medicare as primary and Aetna as secondary and the physician is not a Medicare provider? Annoying denial letters from Medicare? Loss of license? Jail time?
Supposedly, previous biller has been submitting these claims to Medicare for a few months now and obviously without success.

Title: Re: Medicare
Post by: Michele on July 17, 2012, 04:05:36 PM
I have seen conflicting information regarding this.  I was told that a provider cannot treat a Medicare patient if they are not enrolled in Medicare, but I have heard different from others that I consider reliable.  I found the following information on chiropractors and Medicare in particular that you may find helpful. 

http://www.nwhealth.edu/conted/documents/part1.pdf 

It states that a chiropractor cannot treat a Medicare patient unless they are enrolled as either Par or Non Par.

Title: Re: Medicare
Post by: PMRNC on July 17, 2012, 06:02:50 PM
I also know Chiropractors cannot "opt" out of Medicare as well.