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- 1. Multiple Choice
NGS currently has an active Local Coverage Determination (LCD) for Chiropractic services.
True
False
- 2. Multiple Choice
Which statement is accurate?
Medicare pays for 10 spinal manipulation treatments
Medicare pays for unlimited spinal manipulation treatments
Medicare pays based upon Medical Necessity
Medicare pays for Maintenance Therapy
- 3. Multiple Choice
Which of the following supports medical necessity?
Patient must have a significant health problem in the form of a neuro-musculoskeletal condition necessitating treatment
The manipulative services rendered must have a direct therapeutic relationship to patient’s condition and provide reasonable expectation of recovery or improvement of function
The patient must have a subluxation of the spine as demonstrated by x-ray/physical exam
All of these
- 4. Multiple Choice
Medicare pays for maintenance therapy
True
False
- 5. Multiple Choice
How many diagnoses are required on your claim submission?
5
4
1
All of these
- 6. Multiple Choice
When NGS Medical Review asks for your medical records, how do they constitute medical necessity?
Treatment plan to include goal driven; reasonable expectation of improvement
Individualized, usually short term; not always recovery
Measurable progress towards goals; not always complete return to prior level of function
All of these
- 7. Multiple Choice
When does Medicare no longer consider spinal manipulation medically necessary?
Patient considers it still beneficial
Patient still feels necessary treatment
Patient still likes to come to your office for treatment.
All of these
- 8. Multiple Choice
Append modifier AT when services are no longer considered medically necessary.
True
False
- 9. Multiple Choice
Date of initial treatment/exacerbation of existing condition must be entered in:
Item 14 of the CMS-1500 claim form or electronic equivalent
Item 19 of the CMS-1500 claim form or electronic equivalent
None of these
- 10. Multiple Choice
A chiropractic manipulation service for a beneficiary can only be reimbursed once per day.
True
False
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