b'CODING Update ComplianceLEGAL NUTRITIONUpdateANJC NewsANJC Leadership ANJC News! NUTRITION LEGAL EASEANJC Scholarships REHAB Update CHIRO AssistExecutive Directors Update LEGAL Q&A2020 ANJC AWARDSINSURANCE Update INSURANCE Update Legislative UpdateTECHNIQUE UpdateMedicareQ&AMedicare Update OUR HEALTHBy Dr. Richard C. Healy ANJC Medicare ConsultantQ Can you provide me with some informationQ I thought there was supposed to be a 10% reduc-regarding being a par or non-par provider tion in fees for 2021, were there changes made?with Medicare?The annual participation enrollment program for A Yes, fortunately for the chiropractic profession, there A calendar year (CY) 2021 will run through January 31,was a 3.75% increase to the fee schedule and there was 2021. Participation agreements cover the period a temporary suspension of the 2% sequester reduction January 1, 2021, through December 31, 2021, and until March 31, 2021.may not be changed after January 31, 2021. CMS also adjusted one of the components of theSome advantages to participating relative value unit which resulted in a less than 10% reduction in our reimbursements.Medicare reimbursements are 5% higher if you participate Q Are there any screening tools to ask a patient nclusion in the Medicare Participating Directoryso that I will know if Medicare is primary or I secondary?(MEDPARD) Participants have one stop billing for beneficiariesA Here are some questions that you or your office staffwho also have Medigap coverage and who assignmay ask your patients to help determine if Medicare is their Medigap payments to the participant. When aprimary or secondary.participating provider bills us, we also automatically Are you currently employed? advise the Medigap insurer to pay the participant for the beneficiarys co-insurance and/or deductible. Is your spouse or other family member currentlyDirect and timely reimbursement employed? If so, how many employees work for theemployer providing coverage?To be a participating physician:Are you or your spouse covered under an employerf you are currently participating, do nothing.or union health plan? II f your spouse is covered, are you also coveredf you are not currently a Medicare participant, Icomplete and mail the CMS-460 - Medicare under his/her plan?Participating Physician or Supplier Agreement,Did you sustain an injury/illness while at work?making sure to include all of the names andidentification numbers under which you bill. Are your injuries related to an accident (i.e., is the To be a non-participating physician: patient being treated for an injury or illness forwhich another party could be held liable)? If you are currently not participating, do nothingIf you are currently a participant, submit a written,A complete guide to determine Medicares payment status can be found at:dated notice that includes:https://www.cms.gov/Outreach-and-Education/Medi- Providers name and NPI care-Learning-Network-MLN/MLNProducts/downloads/ A statement indicating that you are rescinding MSP_Fact_Sheet.pdfyour participation agreement.The written notice must be postmarked prior Richard C. Healy, DC, CCSP, is the treasurer and Medicare to February 1, 2021 consultant for the ANJC. A New Jersey Medicare Carrier Submit the Participation Agreement or Advisor Committee delegate and a Certified Chiropractic Disenrollment to: Insurance Consultant, Dr. Healy is in private practice in Novitas SolutionsDumont.Provider Enrollment Services P.O. Box 3095 Mechanicsburg, PA 17055-181312 I Winter 2021 www.anjc.info'