10/01/2020

Medicare “Special Edition” Articles Aimed at Chiropractors

Series Covers Documentation Requirements, Use of the AT Modifier, Educational Resources to Assist in Billing, and Misinformation

Over the past several years, the Centers for Medicare and Medicaid Services (CMS) has issued a series of “Special Edition” (SE) articles prepared for chiropractors in response to the need for improved documentation and billing procedures. The SE chiropractic series contains:

• SE1101, which provides an overview of Medicare policy regarding chiropractic services
• SE1601, which discusses Medicare’s medical record documentation requirements for chiropractic services
• SE1602, which discusses the use of the AT modifier
• SE1603, which lists a wide array of other materials to assist chiropractors in delivering covered services to Medicare beneficiaries and correctly billing for those services
• SE0749, which addresses misinformation regarding chiropractic services and Medicare

The MAC Insurance Relations Committee recommends that chiropractors and billing staff thoroughly familiarize themselves with these documents. The Committee also recommends all chiropractors and billing staff members review the Local Coverage Article: Billing and Coding: Chiropractic Services (A56273), which can be found online here. You may also find the Medicare Documentation Job Aid For Doctors Of Chiropractic to be helpful.