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Wiki Acupuncture - I work at a chiropractic clinic

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I work at a chiropractic clinic and we have an acupuncturist. He recently went to a seminar about billing acupuncture to Medicare. The seminar told him that a 1490S form needs to be signed by the patient and submitted to Medicare for a denial to be sent to secondary. Do I need to have this form completed per claim or per patient? That's the only thing that wasn't made clear.
Thank you!
 
We bill acupuncture directly to the carrier using the GY modifier. All major carriers know medicare doesn't pay acupuncture and the ones that don't we just call and tell them to reprocess. We probably to 100 of these claims a month. NO PROBLEM. We never get a denial from Medicare
 
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