Forward Health
Forward Health allows this number of visits per condition.
What is 20?
The only type or phase of care that Medicare allows for payment.
What is Acute care?
In the case of a car accident, ideally, we want to submit claims to this insurance company, utilizing med pay.
What is the patient's car insurance?
This is the insurance company that we send Worker's Comp claims to.
What is the employer's liability or Work Comp carrier?
This department handles the case set-up for new VA patients and extension of care authorizations.
Who is the PSC?
Forward Health covers these services provided by a chiropractor.
What is initial eval, x-rays, and spinal manipulations?
The number of visits that Medicare will typically allow for payment.
What is 12?
We never submit claims to this insurance company in the case of a car accident because they have no legal obligation to honor our lien and/or pay us directly.
What is responsible party or third party payer?
This is the amount that a patient with a work comp case will pay each visit.
What is zero?
This is the new platform of communication the VA is utilizing with providers.
What is HSRM?
Because Forward Health is a federally funded program, this is not allowed.
What is no discounts or promotions?
Patients sign this form every visit when the doctor flips care to a GA modifier.
What is an ABN (Advanced Beneficiary Notification)?
This document, that the patient signs at the ROF, is used as a tool to determine where claims will be sent or how their care will be paid for.
What is PI Options for Pay?
A patient with a work comp case will need to provide us this insurance information in addition to their employers contact info and/or the work comp insurance carrier.
What is health insurance?
These two Stop Managers are set up by in-office staff when the official authorization is received.
What is number of visits and duration?
This is a Forward Health product for patients with Medicare as primary.
What is QMB?
Medicare covers this service only, when provided by a chiropractor.
What is spinal manipulation?
This document is given to the patient on their first visit if they have not provided all insurance and/or attorney information with the exception of responsible party insurance info.
What is PI Take-Home form?
These three letters are added to the Case Name in the patient's account when the doctor releases the patient from care for a work comp case.
What is RFC?
The amount we collect from a VA patient for the $50 rad fee and stim pads on the first visit.
What is zero?
Patients with these Forward Health plans have no chiropractic benefits.
What is Specified Low Income and Family Planning Only Services?
Medicare recipients must have this coverage to have benefits in a chiropractic office.
What is Part B coverage?
In a PI case, we cannot submit claims to Medicare or Forward Health because of this reason?
What is a diagnosis issue?
In a work comp case, this needs to be set in the Insurance Cases tab in ChiroSpring so that the case defaults to a Cash case on the next visit when a patient is released from care.
What is add/set an End Date?
These are the two actions that in-office staff need to do in HSRM when a VA patient has completed their first visit.
What is change status to Initial Care Given and submit initial treatment notes?