Author Topic: Medicare  (Read 1368 times)


  • Full Member
  • ***
  • Posts: 104
« 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.


  • Global Moderator
  • Hero Member
  • *****
  • Posts: 4945
    • Solutions Medical Billing
Re: Medicare
« Reply #1 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. 

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

Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF


  • Hero Member
  • *****
  • Posts: 4356
    • One Stop Resources & Networking for Medical Billers
Re: Medicare
« Reply #2 on: July 17, 2012, 06:02:50 PM »
I also know Chiropractors cannot "opt" out of Medicare as well.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers