tci Medicare Compliance & Reimbursement - 2011 Issue 17

Industry Notes: Chiropractors Aren't Eligible to Order/Refer Services to Medicare Beneficiaries, CMS Says

As if Medicare's ordering/referring guidelines aren't murky enough, CMS has added another change to the process that could affect your Part B practice. According to an email that CMS distributed on Aug. 17, chiropractors are not eligible to order and refer items or services to Medicare beneficiaries. Noting that chiropractors were "incorrectly included" in previous lists of physicians and practitioner types that can order and refer, CMS pointed out that the Social Security Act and other documents previously included the phrase, "doctors of chiropractic medicine are not eligible to order and refer," so CMS is revising documents to...

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