have an option. You can have the patient come in and instead of accepting assignment, you can have the patient pay upfront, not accepting assignment and the patient gets the check for Medicare. For doing that, you get actually 10% more money. Now, of course, for most people, that sounds like, "Well, heck I will do that." That's certainly acceptable. The only thing is in order for you to get the more money, the patient has to pay it upfront. In addition, the patient's going to get the least amount of money because what's called the non-par rate is the least amount. Therefore when you're non-par, it sounds exciting because, of course, you can collect upfront which I would prefer in area where people can afford it. If you're in an area where [inaudible 00:53:34] can’t afford to pay each visit, it's better to be par because you're going to get the higher amount of money. If you're in an area where people have more disposable income and they can afford to pay each visit, by far, it's better to be non-par because you cannot accept assignment and get roughly 10% more. The difficulty for most doctors though is thinking, "I didn't know I had to be part of Medicare." You have to register. Either way that you want to do it is fine but you have to be in the Medicare program. What chiropractors cannot do is something medical doctors have the options and it's called opting out. Doctors of chiropractic, please don't be confused. There's no opting out for chiropractic. You either in or out and that's it. I would tell a doctor, you do not have to participate in Medicare but it also means when a person comes at age 65, you're going to have to turn them away. I don't think too many people would like to turn patients away. Join Medicare. Be par or non-par. It's really up to you. It depends on the area. It depends how your practice runs. If you're more of a cash practice, be non-par. If you're more a little bit on the insurance side or have patients that can't afford to pay, be par. Either way belong because I'll just give the numbers. The average 98941 in the United States is somewhere between about $36 to about $45 depending on the state. Assuming most of your patients are going to fit in that range, if you have a 1000 Medicare patients that you see 20 times, do the math on $40. That's a pretty good practice. That's a good supplement to a good patient that likes it. What we have to make sure though is that Medicare has the ABCs. Follow those. Don't make yourself complicated with a lot of issues. Now, I do want to piggyback on if someone was asking for a records from visits 8 to 13, you probably don't have the history on visit 8. My recommendations is whatever number of visits they're asking, send the exam from that visit so that Medicare can see all the factors that are needed, all the history. In fact, I would be remiss to say, I would send all the records for all visits for that treatment protocol which those visits reside because where a lot of doctors have run into trouble, we've been able to fix that for them is when they send at each visit, they're going to say, "Ooh, we don't see your contraindications." That's because it was in the first visit on the history. I'll send all of it so that way, you don't have to double back and go, "Let's appeal it." Send them everything that they possibly may look for so that way, we're not having to go back and forth with them.
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