The American Chiropractic Association (ACA) has alerted us that the U.S. House Energy and Commerce Committee is conducting a review of the Medicare program. The House is working with the Health Care Financing Administration (HCFA), the agency responsible for the Medicare program, to "eliminate waste, mismanagement and bureaucratic delays" in the program.
The ACA, you'll recall, is suing the HCFA over its Medicare+ regulations, which is Medicare's managed care plan.
The House Energy and Commerce Committee has set up a web page to survey Medicare providers. That website is: www.house.gov/commerce/hcfasurvey.htm. The survey covers such areas as problems in filing claims; understanding regulations; the relationship between provider and carriers; audits; and appeals.
It's not every day that Congress asks for specific input about your practice. Take this opportunity to report your experience with the Medicare program.
You'll particularly like survey question 11: "As a provider of health care, what recommendations would you make to Congress on how we can improve our federal health care delivery system? Please provide specifics."
Many relevant diagnostic signs are not performed deliberately by the examiner or by the patient at the examiner’s direction. They are observed as the patient reacts to their condition. Fortin’s finger sign, Minor’s sign, and Vanzetti’s sign are three examples of this principle.
On Feb. 1, 2024, two more legislators – John R. Carter (R-Texas) and Robert “Bob” Good (R-Va.) – co-sponsored the Chiropractic Medicare Coverage Modernization Act of 2023, bringing the co-sponsor total to 155, two more than the total achieved over the entire two-year congressional cycle in which identical legislation last appeared (2021-22).
While working at the Lovelace Medical Center in Albuquerque, N.M., one of the primary care physicians stated that imaging every patient prior to receiving chiropractic was not medically necessary. It was at that point I reconsidered the need for the imaging of every patient to avoid malpractice.
