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Advance Beneficiary Notice of Noncoverage Tag

Jones Health Law > Posts tagged "Advance Beneficiary Notice of Noncoverage"

Can a Physical Therapist or Chiropractor “Opt-Out” of Medicare?

Photo courtesy of Chiropractic Natural Care Center

As of November 1, 2019,  a physical therapist or chiropractor,  are unable to “opt-out” out Medicare. If you look at this chart you will see that physical therapists and chiropractors are not listed as providers who are able to opt out. The Medicare Benefit Policy Manual: Chapter 15 Section 40.4 states Physical therapists in independent practice and occupational therapists in independent practice cannot opt out because they are not within the opt out law’s definition of either a “physician” or “practitioner”. A non-opt-out provider, is required to submit a claim for any item or service that is, or may be,...

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