Plans of care certified by fax, secondary claims sent once the primary pays, the KX modifier added when a patient crosses the cap, Medicare Advantage caught before you bill — every Medicare rule, handled.
Get startedPLAN OF CARE · P.01
Physician signature
Medicare pays the visit and checks later. An audit can reach back years and claw back what was never certified — so the plan of care faxes itself for signature, progress notes come due every tenth visit, and recertifications land before the current one lapses. The file holds up whenever someone asks for it.
Coming due
Medicare pays 80%. The secondary claim waits for the remittance, then goes out with the exact balance — and whatever it doesn't cover goes to the card on file.
With a supplement
Medicare paid 80%$118.56
Supplement paid the rest$29.64With a commercial secondary
Medicare paid 80%$118.56
Aetna paid part of it$24.40Past $2,410 of therapy in a year, Medicare rejects any line without the KX modifier on it. HealthSpark tracks the running total, tells you the moment a patient crosses, and adds the modifier from that visit on — you never have to watch the number.
Therapy this year