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CreativeDominant -> RE: SCOTUS on HOBBY LOBBY and religious freedom (7/15/2014 10:16:03 AM)
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To try and bring a little clarity to the subject of Medicare payments: I am a Doctor of Chiropractic. My usual fee averages between 40 - 45 bucks. That includes adjustments and therapeutic modalities...e.g....if I am seeing you for an upper back problem, I am going to use a form of traction ( 7.50), electric muscle stimulation ( 7.50), mechanical massage (free), and adjustment ( 20.00). That equals 40.00. Medicare is going to look at the diagnostic codes for that and determine that I have adjusted two areas. Their set fee for adjustment of those two areas is 28.00. They are not going to pay for the modalities. So, when they pay, they pay at 80% of that amount so they end up paying me 22.40. Usually within 2 - 3 mos. of submission. Then, I get the 20% from the supplemental insurance to bring it up to the 28.00.
Now then, at that point, I am allowed to Bill the patient for the other 12.00...IF I have informed the patient EACH time they come in what Medicare won't pay for AND have them sign an Agreement to pay each time they come in. Anyone here ever dealt with patients using Medicare? Anyone ever sat and listened to them tell you "Medicare should pay for this...I think you're trying to cheat the system and get not only Medicare money, which is fair AND more money out of me?". I have...it is just easier to take what Medicare and the supplement pay and be done. To say it can be made up by billing other insurance companies more? Well, you can try but good luck if you get caught by a system looking to catch doctors billing them for services that they Don't charge cash patients for.
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