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I work in a chiropractic office in Florida. The only covered service under Medicare is a spinal adjustment. My questions are:
If we are out of network, do we charge our regular fees for the non-covered services or do I need to charge what the medicare allowable is for those CPT codes?
Also, if the patient has a Medicare advantage plan under another health ins co, are we required to bill for the adjustment regardless if we are not participating with that advantage plan?
If we are out of network, do we charge our regular fees for the non-covered services or do I need to charge what the medicare allowable is for those CPT codes?
Also, if the patient has a Medicare advantage plan under another health ins co, are we required to bill for the adjustment regardless if we are not participating with that advantage plan?