Re: Medicare diagnostic codes

[Guest guest]

Well bless you Ann Goldeen (with a heart of gold I'm sure) for not giving up on Medicare. Now Ann could you please post your exact Astoria clinic address and for those seniors who don't know how to use MapQuest driving directions (Albany-Astoria).....as I'm sending all my Medicare folk to you, Ha!!

Vern

Medicare diagnostic codes

Everyone: I may have been sleeping, but now the codes medicare told use to use for secondary codes (721..) no longer work. Today my secretary was told the codes we should use are available in a 1998 newsletter. Did you keep yours? Guess I didn't. I found one from 1997- too old. Cutting to the chase, what secondary codes does anyone use and GET PAID on- cervical, thoracic and lumbar?

Everytime I think I have medicare figured out, they change the game. However, I am not giving up. I love working on seniors and they are mostly broke. I am not ready to go to a cash practice yet.

Thanks in advance, Ann Goldeen, AstoriaOregonDCs rules:1. Keep correspondence professional; the purpose of the listserve is to foster communication and collegiality. No personal attacks on listserve members will be tolerated.2. Always sign your e-mails with your first and last name.3. The listserve is not secure; your e-mail could end up anywhere. However, it is against the rules of the listserve to copy, print, forward, or otherwise distribute correspondence written by another member without his or her consent, unless all personal identifiers have been removed.

[Guest guest]

Hi Ann,

Being in the same boat (am unwilling NOT to treat our needy elderly), we continue with Medicare. We have stopped using the 839 series, using the 739 series along with any other appropriate problem ie: constipation, degeneration, facet syndrome, etc. Hope this helps. Sunny

Sunny Kierstyn, RN DCFibromyalgia Care Center of Oregon59 Santa Clara St.,Eugene, Oregon, 97404541-689-0935

Medicare diagnostic codes

Everyone: I may have been sleeping, but now the codes medicare told use to use for secondary codes (721..) no longer work. Today my secretary was told the codes we should use are available in a 1998 newsletter. Did you keep yours? Guess I didn't. I found one from 1997- too old. Cutting to the chase, what secondary codes does anyone use and GET PAID on- cervical, thoracic and lumbar?

Everytime I think I have medicare figured out, they change the game. However, I am not giving up. I love working on seniors and they are mostly broke. I am not ready to go to a cash practice yet.

Thanks in advance, Ann Goldeen, AstoriaOregonDCs rules:1. Keep correspondence professional; the purpose of the listserve is to foster communication and collegiality. No personal attacks on listserve members will be tolerated.2. Always sign your e-mails with your first and last name.3. The listserve is not secure; your e-mail could end up anywhere. However, it is against the rules of the listserve to copy, print, forward, or otherwise distribute correspondence written by another member without his or her consent, unless all personal identifiers have been removed. OregonDCs rules:1. Keep correspondence professional; the purpose of the listserve is to foster communication and collegiality. No personal attacks on listserve members will be tolerated.2. Always sign your e-mails with your first and last name.3. The listserve is not secure; your e-mail could end up anywhere. However, it is against the rules of the listserve to copy, print, forward, or otherwise distribute correspondence written by another member without his or her consent, unless all personal identifiers have been removed.

[Guest guest]

Hi All,

To bill Medicare correctly you really need a Chirocode book, as they give

the series of codes that work properly in DX 1,2,3,4. The book list each

subluxation region separate with the matching 2,3,4 that would be correct,

You can also download the instructions from Nordian, medicare's website and

it explains why the order of ICD'9 is important, but if you get the order

wrong it won't be paid and many other things have to be placed right on the

HCFA too. Also the Nordian site gives your their accepted method of

charting, important if you have a very serious case for long term care and

if you want to try and get 3-4 regions covered.

Good Luck,

Original Message:

-----------------

From: Sunny Kierstyn skrndc1@...

Date: Tue, 11 May 2004 08:03:41 -0700

, anngoldeen@..., vas@...

Subject: Re: Medicare diagnostic codes

Hi Ann,

Being in the same boat (am unwilling NOT to treat our needy elderly), we

continue with Medicare. We have stopped using the 839 series, using the

739 series along with any other appropriate problem ie: constipation,

degeneration, facet syndrome, etc. Hope this helps. Sunny

Sunny Kierstyn, RN DC

Fibromyalgia Care Center of Oregon

59 Santa Clara St.,

Eugene, Oregon, 97404

541-689-0935

Medicare diagnostic codes

Everyone: I may have been sleeping, but now the codes medicare told

use to use for secondary codes (721..) no longer work. Today my secretary

was told the codes we should use are available in a 1998 newsletter. Did

you keep yours? Guess I didn't. I found one from 1997- too old. Cutting

to the chase, what secondary codes does anyone use and GET PAID on-

cervical, thoracic and lumbar?

Everytime I think I have medicare figured out, they change the game.

However, I am not giving up. I love working on seniors and they are mostly

broke. I am not ready to go to a cash practice yet.

Thanks in advance, Ann Goldeen, Astoria

OregonDCs rules:

1. Keep correspondence professional; the purpose of the listserve is to

foster communication and collegiality. No personal attacks on listserve

members will be tolerated.

2. Always sign your e-mails with your first and last name.

3. The listserve is not secure; your e-mail could end up anywhere.

However, it is against the rules of the listserve to copy, print, forward,

or otherwise distribute correspondence written by another member without

his or her consent, unless all personal identifiers have been removed.

OregonDCs rules:

1. Keep correspondence professional; the purpose of the listserve is to

foster communication and collegiality. No personal attacks on listserve

members will be tolerated.

2. Always sign your e-mails with your first and last name.

3. The listserve is not secure; your e-mail could end up anywhere.

However, it is against the rules of the listserve to copy, print, forward,

or otherwise distribute correspondence written by another member without

his or her consent, unless all personal identifiers have been removed.

[Guest guest]

Vern: What a kidder- so am I the only one on the e-list who bills medicare? Or am I the only one with problems getting paid? Am I the only one who can't keep up with the daily changes in direction? Ann Goldeen, Astoria

Medicare diagnostic codes

Everyone: I may have been sleeping, but now the codes medicare told use to use for secondary codes (721..) no longer work. Today my secretary was told the codes we should use are available in a 1998 newsletter. Did you keep yours? Guess I didn't. I found one from 1997- too old. Cutting to the chase, what secondary codes does anyone use and GET PAID on- cervical, thoracic and lumbar?

Everytime I think I have medicare figured out, they change the game. However, I am not giving up. I love working on seniors and they are mostly broke. I am not ready to go to a cash practice yet.

Thanks in advance, Ann Goldeen, AstoriaOregonDCs rules:1. Keep correspondence professional; the purpose of the listserve is to foster communication and collegiality. No personal attacks on listserve members will be tolerated.2. Always sign your e-mails with your first and last name.3. The listserve is not secure; your e-mail could end up anywhere. However, it is against the rules of the listserve to copy, print, forward, or otherwise distribute correspondence written by another member without his or her consent, unless all personal identifiers have been removed.

[Guest guest]

Sunny: You mean you just use regular medical codes unrelated to the "subluxation"? How novel. I never thought of that. Ann

Medicare diagnostic codes

Everyone: I may have been sleeping, but now the codes medicare told use to use for secondary codes (721..) no longer work. Today my secretary was told the codes we should use are available in a 1998 newsletter. Did you keep yours? Guess I didn't. I found one from 1997- too old. Cutting to the chase, what secondary codes does anyone use and GET PAID on- cervical, thoracic and lumbar?

Everytime I think I have medicare figured out, they change the game. However, I am not giving up. I love working on seniors and they are mostly broke. I am not ready to go to a cash practice yet.

Thanks in advance, Ann Goldeen, AstoriaOregonDCs rules:1. Keep correspondence professional; the purpose of the listserve is to foster communication and collegiality. No personal attacks on listserve members will be tolerated.2. Always sign your e-mails with your first and last name.3. The listserve is not secure; your e-mail could end up anywhere. However, it is against the rules of the listserve to copy, print, forward, or otherwise distribute correspondence written by another member without his or her consent, unless all personal identifiers have been removed. OregonDCs rules:1. Keep correspondence professional; the purpose of the listserve is to foster communication and collegiality. No personal attacks on listserve members will be tolerated.2. Always sign your e-mails with your first and last name.3. The listserve is not secure; your e-mail could end up anywhere. However, it is against the rules of the listserve to copy, print, forward, or otherwise distribute correspondence written by another member without his or her consent, unless all personal identifiers have been removed.

[Guest guest]

No we still see and bill Medicare because we are required to bill Medicare, however I have never accepted assignment and as such my seniors pay me that huge lump sum at the time of their visit....$26.01 or whatever.

VErn

Medicare diagnostic codes

Everyone: I may have been sleeping, but now the codes medicare told use to use for secondary codes (721..) no longer work. Today my secretary was told the codes we should use are available in a 1998 newsletter. Did you keep yours? Guess I didn't. I found one from 1997- too old. Cutting to the chase, what secondary codes does anyone use and GET PAID on- cervical, thoracic and lumbar?

Everytime I think I have medicare figured out, they change the game. However, I am not giving up. I love working on seniors and they are mostly broke. I am not ready to go to a cash practice yet.

Thanks in advance, Ann Goldeen, AstoriaOregonDCs rules:1. Keep correspondence professional; the purpose of the listserve is to foster communication and collegiality. No personal attacks on listserve members will be tolerated.2. Always sign your e-mails with your first and last name.3. The listserve is not secure; your e-mail could end up anywhere. However, it is against the rules of the listserve to copy, print, forward, or otherwise distribute correspondence written by another member without his or her consent, unless all personal identifiers have been removed.

[Guest guest]

MC coding will be covered in our May 22nd

class in Pendleton and Jun 26 class in Portland.

Maybe we can assist you and/or your

billing clerk.

DrBob

W. Pfeiffer,D.C.;D,A.B.C.O.

P. O. Box 606

Pendleton,

Or. 97801

541. 276.2550

From: Vern Saboe DC

[mailto:vas@...]

Sent: Tuesday, May 11, 2004 3:33

PM

Ann; Oregon DCs

Subject: Re: Medicare

diagnostic codes

No we still see and bill Medicare because we are required to

bill Medicare, however I have never accepted assignment and as such my seniors

pay me that huge lump sum at the time of their visit....$26.01 or whatever.

VErn

Medicare diagnostic codes

Everyone: I may have been sleeping, but now the codes

medicare told use to use for secondary codes (721..) no longer work.

Today my secretary was told the codes we should use are available in a 1998

newsletter. Did you keep yours? Guess I didn't. I found one

from 1997- too old. Cutting to the chase, what secondary codes does

anyone use and GET PAID on- cervical, thoracic and lumbar?

Everytime I think I have medicare figured out, they change

the game. However, I am not giving up. I love working on seniors

and they are mostly broke. I am not ready to go to a cash practice

yet.

Thanks in advance, Ann Goldeen, Astoria

OregonDCs

rules:

1. Keep correspondence professional; the purpose

of the listserve is to foster communication and collegiality. No personal

attacks on listserve members will be tolerated.

2. Always sign your e-mails with your first and

last name.

3. The listserve is not secure; your e-mail could

end up anywhere. However, it is against the rules of the listserve to copy,

print, forward, or otherwise distribute correspondence written by another

member without his or her consent, unless all personal identifiers have been

removed.

OregonDCs

rules:

1. Keep correspondence professional; the purpose

of the listserve is to foster communication and collegiality. No personal

attacks on listserve members will be tolerated.

2. Always sign your e-mails with your first and

last name.

3. The listserve is not secure; your e-mail could

end up anywhere. However, it is against the rules of the listserve to copy,

print, forward, or otherwise distribute correspondence written by another

member without his or her consent, unless all personal identifiers have been

removed.

[Guest guest]

Dear Folks,

I have the list of primary and secondary dx's as sent to us by Medicare if

anyone would like it in addition to 's excellent suggestion of

referring to the current ChiroCode book.

Vern, guess who I saw a couple of months ago in Bozeman, Montana? Dr. Cohn

at a 12 hour seminar he held for recertification through the North American

Academy of Rating Impairment Physicians. He's holding four sessions in

Montana - the last two in May and June. Let me know if you'd like any info

on registration. Western States has no plans to bring him to the Portland

area. The only other scheduled local at this time for recertification is

North Carolina! Bozeman sounded much more reasonable! It was an excellent

review with a number of delightful Montana D.C.'s.

Marcella

>From: " stockton@... " <stockton@...>

>Reply-stockton@...

>skrndc1@..., , anngoldeen@...,

> vas@...

>Subject: Re: Medicare diagnostic codes

>Date: Tue, 11 May 2004 11:39:11 -0400

>

>Hi All,

>

>To bill Medicare correctly you really need a Chirocode book, as they give

>the series of codes that work properly in DX 1,2,3,4. The book list each

>subluxation region separate with the matching 2,3,4 that would be correct,

>You can also download the instructions from Nordian, medicare's website and

>it explains why the order of ICD'9 is important, but if you get the order

>wrong it won't be paid and many other things have to be placed right on the

>HCFA too. Also the Nordian site gives your their accepted method of

>charting, important if you have a very serious case for long term care and

>if you want to try and get 3-4 regions covered.

>Good Luck,

>

>

>Original Message:

>-----------------

>From: Sunny Kierstyn skrndc1@...

>Date: Tue, 11 May 2004 08:03:41 -0700

> , anngoldeen@..., vas@...

>Subject: Re: Medicare diagnostic codes

>

>

>Hi Ann,

>

>Being in the same boat (am unwilling NOT to treat our needy elderly), we

>continue with Medicare. We have stopped using the 839 series, using the

>739 series along with any other appropriate problem ie: constipation,

>degeneration, facet syndrome, etc. Hope this helps. Sunny

>

>

>

>Sunny Kierstyn, RN DC

>Fibromyalgia Care Center of Oregon

>59 Santa Clara St.,

>Eugene, Oregon, 97404

>541-689-0935

> Medicare diagnostic codes

>

>

> Everyone: I may have been sleeping, but now the codes medicare told

>use to use for secondary codes (721..) no longer work. Today my secretary

>was told the codes we should use are available in a 1998 newsletter. Did

>you keep yours? Guess I didn't. I found one from 1997- too old. Cutting

>to the chase, what secondary codes does anyone use and GET PAID on-

>cervical, thoracic and lumbar?

> Everytime I think I have medicare figured out, they change the game.

>However, I am not giving up. I love working on seniors and they are mostly

>broke. I am not ready to go to a cash practice yet.

> Thanks in advance, Ann Goldeen, Astoria

>

>

> OregonDCs rules:

> 1. Keep correspondence professional; the purpose of the listserve is

>to

>foster communication and collegiality. No personal attacks on listserve

>members will be tolerated.

> 2. Always sign your e-mails with your first and last name.

> 3. The listserve is not secure; your e-mail could end up anywhere.

>However, it is against the rules of the listserve to copy, print, forward,

>or otherwise distribute correspondence written by another member without

>his or her consent, unless all personal identifiers have been removed.

>

>

>

>

> OregonDCs rules:

> 1. Keep correspondence professional; the purpose of the listserve is

>to

>foster communication and collegiality. No personal attacks on listserve

>members will be tolerated.

> 2. Always sign your e-mails with your first and last name.

> 3. The listserve is not secure; your e-mail could end up anywhere.

>However, it is against the rules of the listserve to copy, print, forward,

>or otherwise distribute correspondence written by another member without

>his or her consent, unless all personal identifiers have been removed.

>

>

>

[Guest guest]

Thanks Marcella:

I'm looking into bringing Warren Jahn, DC., FACO., DABFP to Oregon for a

review of the 5th addition of the guides.

It would be interesting to hear how Dr. Cohn's lecture has changed since the

5th edition has come outs which states that the DREs should be used when

there has been a specific accident or injury which is of course mostly what

we deal with.

Thanks again,

Vern

Medicare diagnostic codes

> >

> >

> > Everyone: I may have been sleeping, but now the codes medicare told

> >use to use for secondary codes (721..) no longer work. Today my

secretary

> >was told the codes we should use are available in a 1998 newsletter. Did

> >you keep yours? Guess I didn't. I found one from 1997- too old.

Cutting

> >to the chase, what secondary codes does anyone use and GET PAID on-

> >cervical, thoracic and lumbar?

> > Everytime I think I have medicare figured out, they change the game.

> >However, I am not giving up. I love working on seniors and they are

mostly

> >broke. I am not ready to go to a cash practice yet.

> > Thanks in advance, Ann Goldeen, Astoria

> >

> >

> > OregonDCs rules:

> > 1. Keep correspondence professional; the purpose of the listserve is

> >to

> >foster communication and collegiality. No personal attacks on listserve

> >members will be tolerated.

> > 2. Always sign your e-mails with your first and last name.

> > 3. The listserve is not secure; your e-mail could end up anywhere.

> >However, it is against the rules of the listserve to copy, print,

forward,

> >or otherwise distribute correspondence written by another member without

> >his or her consent, unless all personal identifiers have been removed.

> >

> >

> >

> >

> > OregonDCs rules:

> > 1. Keep correspondence professional; the purpose of the listserve is

> >to

> >foster communication and collegiality. No personal attacks on listserve

> >members will be tolerated.

> > 2. Always sign your e-mails with your first and last name.

> > 3. The listserve is not secure; your e-mail could end up anywhere.

> >However, it is against the rules of the listserve to copy, print,

forward,

> >or otherwise distribute correspondence written by another member without

> >his or her consent, unless all personal identifiers have been removed.

> >

> >

> >