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Medicare Uncomplicated: A Two-hour Guide for DCs (2025)


 Medicare Uncomplicated:  A Two-Hour Guide for DCs (2025)
 
Description: Medicare feels complicated until you see the pattern. In this fast, practical session, you will lock in what Medicare actually covers for chiropractors, how to show active treatment vs maintenance, and how to use the AT modifier and ABNs with confidence. We will decode PAR vs non-PAR choices, walk through notes that pass the sniff test, and cover the Medicare Advantage curveballs that show up in real clinics: fewer surprises, cleaner claims, calmer front desk.


Hour 1 Outcomes

  • Identify what Medicare covers for DCs and what it does not, in plain English
  • Handle Medicare Advantage basics that matter day to day, including maintenance scenarios
  • Distinguish active treatment from maintenance and document each so it is obvious
  • Decide PAR vs non-PAR with eyes open, including how each status affects fees and claims flow

Hour 2 Outcomes

  • Apply the AT modifier correctly so the story of medical necessity is clear
  • Use the ABN correctly, including when to issue, how to explain it, and how to bill after
  • Avoid common denial triggers like vague goals, time based services that do not add up, and region conflicts with CMT
  • Leave with a Monday checklist for clinicians, front desk, and billing so everyone stays aligned

Dr. Evan Gwilliam, DC, Practisync

Dr. Evan Gwilliam, Senior Vice President of Practisync, is an authority in healthcare compliance, coding, and documentation. Graduating as valedictorian from Palmer College of Chiropractic, he holds certifications as a Professional Coder, Medical Auditor, and Compliance Officer, blending clinical experience with a background in accounting and a Master of Business Administration. Dr. Gwilliam is a frequent speaker at industry events, provides expert witness testimony, conducts medical record audits, and consults with healthcare providers. His contributions to publications and reference materials have solidified his reputation as a thought leader in compliance for chiropractic.


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