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Medicare for Chiropractic, Part 1: Participation, Coverage Rules, and the Maintenance Line
Medicare feels intimidating until you understand what it actually covers and how it evaluates chiropractic claims. This course explains participation choices (PAR vs non-PAR) and walks through Medicare’s coverage requirements for chiropractic spinal manipulation, including the practical meaning of “active treatment.” You’ll leave knowing where the maintenance line is, what Medicare won’t pay for, and how to set expectations with patients before billing problems start.
Objectives:
- Distinguish Medicare participation options and how they affect reimbursement and patient responsibility.
Identify Medicare coverage requirements and common non-covered scenarios, including maintenance care.
Access to on-demand products expires on the last day of the calendar year. They must be viewed/completed within the calendar year in which they are purchased.
*Per TN Board of Chiropractic Examiners' rules, a maximum of three (3) hours may be in courses that pertain to the promotion, growth, business management, and/or clinical documentation of a chiropractic practice.
Dr. Evan Gwilliam
Dr. Evan Gwilliam, Senior Vice President of Practisync, is an authority in healthcare compliance, coding, and documentation. Graduating as valedictorian from Palmer College of Chiropractic, he holds certifications as a Professional Coder, Medical Auditor, and Compliance Officer, blending clinical experience with a background in accounting and a Master of Business Administration. Dr. Gwilliam is a frequent speaker at industry events, provides expert witness testimony, conducts medical record audits, and consults with healthcare providers. His contributions to publications and reference materials have solidified his reputation as a thought leader in compliance for chiropractic.
