MTB Coaching

Our Passion is YOU!

Last month we took the “leap” of sharing Eating the Frog.  The biggest jobs we need to do first. It’s not always easy, but when we do, the feeling of accomplishment is gratifying.

“If it’s your job to eat a frog, it’s best to do it first thing in the morning. And if it’s your job to eat two frogs, it’s best to eat the biggest one first.”

-Mark Twain

In another newsletter we shared the importance of Time Management. We provided 5 steps to help you manage your time.

  • STEP 1 – OWN IT
  • STEP 3 – INK IT
  • STEP 4 – TEST IT


In yet another newsletter we shared the importance of Trust in the workplace and with our families. Trust is the base in relationships and our business.


Have you noticed a theme emerging?

Here at MTB, our passion is YOU. Our goal is to help YOU be successful. Creating MTB Coaching was a natural step for us to provide chiropractors an avenue to help you take your business where you want to go. Because your practice is your business.

Have you ever experienced a business coach?  Maybe yes, maybe no. But you haven’t experienced anything like MTB Coaching.

We would like you to reach out today for a complimentary 60-minute call to find out how MTB Coaching is able to help you. Click Here to set up your call.




Industry News

This Appeals Tool will Streamline Your Day

Availity and BlueCross BlueShield of Minnesota (BCBSMN) have developed a new streamlined process for submitting appeals to BCBSMN on the Availity Provider Portal. Using Availity’s multi-payer Appeals application, providers in your region can:

  • Submit your appeal and dispute requests online for BCBSMN finalized claims.
  • Check the status of your requests submitted on Availity.
  • Upload supporting documentation for these online requests.
  • View high-level determination for finalized requests that BCBSMN has processed.

Check with your management to see if this new service applies to you. We look forward to working with you.

Training is key
You are invited to participate in a live webinar to learn how to use this innovative new feature. Enroll today and we’ll show you how to simplify and save time managing appeals. You’ll also be able to ask the trainers questions.

  1. Click “Log in and enroll” below, to be directed to the Availity Learning Center (ALC) Sessions page.
  2. On the Sessions page, scroll through Your Calendar to find and enroll in the “Availity Portal – BlueCross BlueShield of Minnesota Appeals” session you want to attend.

A recording of the webinar will be available approximately one week after the final live webinar.

Additional information will be available in a BCBSMN Quick Point on October 13th.

Breaking News

Alert! Medicare: ABN Updates

Effective Thursday, Oct 14, 2021, there will be some changes to the purpose of the Advanced Beneficiary Notice (ABN) form.  However, the form itself is not changing.

The only major change for chiropractors is beginning October 14, 2021, an ABN no longer expires after 1 year.  An ABN is good for a repetitive service as long as there are NO CHANGES.  Therefore, a yearly signed ABN is no longer needed, unless something has been modified or is different. Nevertheless, you may continue to have a new ABN signed yearly if you so choose.

A new signed ABN is required for the following:

  • An item changes
  • Maintenance care resumes after a period of active care (ie: if a patient is injured and treatment is covered by Medicare and they are returning to maintenance care)
  • If the service changes. The most likely service change would be a difference in the cost of the service being billed to the patient.

Medicare ABN Form Expiration June 2023

While that is the only major change for chiropractors, WPS did re-emphasize a number of other factors that are clearly laid out in the rules:

  • DO NOT use an ABN for a Medicare Advantage patient
  • When you have an ABN signed, you must provide a copy for the patient (may be carbon or photocopy)
    • If the patient requests a paper copy, you must provide a copy upon request
    • If the patient requests an email, you must track the email to confirm it was received
    • If the patient leaves their ABN copy behind, you must note that in their records, and that you have a copy
  • You may not change the font or size of the print on the ABN form.  You may fill in the blanks but only with the same size and font.
  • Handwritten ABNs must be legible or they will be denied
  • A form can be customized but do not change the verbiage, otherwise it is invalid
  • Too many, or unapproved changes make the form invalid
  • The entire form must be completed in the same language (English or Spanish)
  • The name of your business is listed in box (A) on the ABN.  In box (C), enter your internal number such as the patient account number.  DO NOT place the patient’s social security number on the form.  Box (C) can be left blank.
  • In box (D), remove the “D.” and insert a description of the service that the patient will understand such as “Chiropractic Manipulation” or “Adjustment”.  It is also recommended that you list the frequency of visits and/or how long you expect to see them for this issue.
  • Box (E) should be an explanation of why the service is not covered in a way the patient will understand


  • in Box (G),  you cannot tell the patient which option to select, you can only provide information on the three (3) options
  • A new ABN is NOT needed if the patient changes their mind and wants to switch from Option #2 to Option # 1
  • For Dual eligible patients (patients that have Medicare as primary and Medicaid as secondary),  you must draw a line through the following section when you are using an ABN for maintenance care:
    • I understand that if Medicare doesn’t pay I am responsible for payment, but I can appeal to Medicare by following the instructions on the MSN.
      • You must draw a line through it but DO NOT remove it from the form.
  • The person delivering the ABN must be able to explain all parts of it and all questions must be answered.  Patients can be referred to 1-800-Medicare (800-633-4227) if they have additional questions or need more information.
  • If a representative signs for the patient, list the relationship of the representative to the patient
  • The ABN can still be used for non-covered services such as exams, x-rays and therapies, however, it must be a separate form from the one you are using to inform a patient of maintenance care adjustment issue
    • I still suggest using a separate form you make up in your office when dealing with non-covered services. It helps to avoid having to address a number of rules that come into play when using an ABN for non-covered services.
  • Timeframe to refund overpayments:
    • 15 days if a refund is due to the patient
    • 30 days if a refund is due to Medicare

Contents compliments of Dr. Brad Stauffer, Nebraska Medicare CAC Representative 

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