Guest guest Posted December 19, 2007 Report Share Posted December 19, 2007 Thanks for forwarding this. Good info overall, but this part threw me. It sounds best when you read the whole thing, then read the first sentance again. "MISINFORMATION #6: Maintenance care is not a covered service under Medicare. Correction: Spinal manipulation is a covered service under Medicare, no matter which phase of care you may be in; however, maintenance care is not medically reasonable and necessary and therefore not reimburseable by Medicare. Acute, chronic, and maintenance adjustments are all "covered" services, but only acute and chronic services are considered active care and may, therefore, be reimbursable. Maintenance therapy is defined (per Chapter 15, Section 30.5.B. of the Medicare Benefits Policy Manual)) as a treatment plan that seeks to prevent disease, promote health, and prolong and enhance the quality of life; or therapy that is performed to maintain or prevent deterioration of a chronic condition. When further clinical improvement cannot reasonably be expected from continuous ongoing care, and the chiropractic treatment becomes supportive rather than corrective in nature, the treatment is then considered maintenance therapy. " WOW! I am glad none of these folks run my office. Lindekugel, DC Concordia Chiropractic Clinic 5425 NE 33rd Ave. Portlnad, OR 97211 RE: Medicare misinformation Listees, The attached is a recent article from CMS regarding common points of misconception and chiropractic care. I hope it is helpful... J. Holzapfel, DCAlbany, Oregon____________ _________ _________ _________ _________ _________ ____Discount Stores - Click Here. Be a better friend, newshound, and know-it-all with Mobile. Try it now. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 19, 2007 Report Share Posted December 19, 2007 Only a bureaucrat or a politician could have written that. ( E. Abrahamson, D.C.) Chiropractic physician Lake Oswego Chiropractic Clinic 315 Second Street Lake Oswego, OR 97034 503-635-6246 Website: http://www.lakeoswegochiro.com From: Lindekugel <pdxchiroguy@...> Date: Wed, 19 Dec 2007 07:59:44 -0800 (PST) " J. Holzapfel, DC " <kjholzdc@...>, DC Listserve < > Subject: Re: RE: Medicare misinformation Thanks for forwarding this. Good info overall, but this part threw me. It sounds best when you read the whole thing, then read the first sentance again. " MISINFORMATION #6: Maintenance care is not a covered service under Medicare. Correction: Spinal manipulation is a covered service under Medicare, no matter which phase of care you may be in; however, maintenance care is not medically reasonable and necessary and therefore not reimburseable by Medicare. Acute, chronic, and maintenance adjustments are all " covered " services, but only acute and chronic services are considered active care and may, therefore, be reimbursable. Maintenance therapy is defined (per Chapter 15, Section 30.5.B. of the Medicare Benefits Policy Manual)) as a treatment plan that seeks to prevent disease, promote health, and prolong and enhance the quality of life; or therapy that is performed to maintain or prevent deterioration of a chronic condition. When further clinical improvement cannot reasonably be expected from continuous ongoing care, and the chiropractic treatment becomes supportive rather than corrective in nature, the treatment is then considered maintenance therapy. " WOW! I am glad none of these folks run my office. Lindekugel, DC Concordia Chiropractic Clinic 5425 NE 33rd Ave. Portlnad, OR 97211 RE: Medicare misinformation Listees, The attached is a recent article from CMS regarding common points of misconception and chiropractic care. I hope it is helpful... J. Holzapfel, DC Albany, Oregon ____________ _________ _________ _________ _________ _________ ____ Discount Stores - Click Here. <http://thirdpartyoffers.juno.com/TGL2122/fc/Ioyw6i3mfadjqgO0tZZbSoqW8CxEVdIEovZrOn7EDa3NAwPufPyc8d/> Be a better friend, newshound, and know-it-all with Mobile. Try it now. <http://us.rd./evt=51733/*http://mobile./;_ylt=Ahu06i62sR8HDtDypao8Wcj9tAcJ > Quote Link to comment Share on other sites More sharing options...
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