specific. Even though you're printing them offline, they're not ready to go just because you print it up. Make sure all the doctors are aware of that. In response to your initial question, most Medicare audit letters or all, every Medicare audit letter that I've ever seen basically asks for 22 things. They're always the same 22 things. To start out with, one of the basic things that they ask for all the time is basically what symptoms caused the patient to seek care in your office. Next, is there a family history, if it's relevant? Health history. I mean where do they go prior to your office. Of course, number 4 is any injuries or were they hospitalized, and again, their medication that goes in earlier what I said about contraindications, any kind of traumas that they've had recently. That's why I suggest through all the seminars that the doctors ask the question, "Have you had any falls, accidents, changes, condition or new meds?" Quality of the symptoms. You come with your pain scales. You want to do your functional tests. Basically your onset, how long have you had the pain? If there's any kind of radiating pain. Those are just simple things that Medicare looks for. Again, it's in every Medicare audit letter I've ever seen and there's a basic 22. What I'll do is anybody wants to email me. I can send them the 22 things or I could send it to ChiroSecure. You can put them out. You can put out the question that I said to ask on each visit. We just want to make sure that doctors are safe and covered. Those are just some basic things to think about. That's great. Maybe we'll include that with the transcript of show for the doctors. That would be really awesome. Sam, I want to still ask you. Dr. Ken was pretty complete on that. I think it's important to also and I'll be remiss if we didn't talk about this before closing the show. Medicare provider versus non- provider. How do the doctors know what they can do, what they can't do, you can't opt out as a chiropractor of being in the Medicare program. You still have to charge within the profile. Can you talk about the rules and regulations about being a provider versus non-[par 00:51:43] for Medicare and what it means? Sure. Absolutely. Medicare requires for chiropractors to participate. Now, you could decide say, "I don't want to participate in Medicare." What doctors have to understand what that means is you don't belong to Medicare at all which technically says you can't treat a Medicare patient even for cash. As crazy as that sounds, that's actually the rule. When you have a Medicare patient, you have to be in the Medicare program. Here's what's confusing though. When a chiropractor joins Medicare, you can join in 2 fashions. One of them is called participating and one is called non- participating. What I think is confusing, a lot of doctors think when they don't join Medicare, they're non-participating. That's not true at all. You have to register with Medicare to treat a Medicare patient and that's because Medicare requires billing. If you register as a participating provider, that means when you have a Medicare patient, you have to accept assignment but you get paid slightly more money than a non-participating provider. That sounds like, "Hey. That's a good thing. I accept assignment. I get more money. Why wouldn't I be participating?" The other option is to be non-participating. That again still means you're registered with Medicare. What it means as a non-participating provider, you
Dr. Hoffman:
Dr. Murkowski:
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