Table Talk

This guidance was obtained through the Medicare Advisory Committee (MAC), led by ChiroCongress and co-chaired by Dr. Brad Stauffer and Dr. David Kassmeier. The Kentucky Association of Chiropractors participates in this group on behalf of Kentucky-licensed chiropractors. Download the full FAQ article here. This article is part of a KAC Table Talk series on frequently…

This guidance was obtained through the Medicare Advisory Committee (MAC), led by ChiroCongress and co-chaired by Dr. Brad Stauffer and Dr. David Kassmeier. The Kentucky Association of Chiropractors participates in this group on behalf of Kentucky-licensed chiropractors. Download the full FAQ article here. This article is part of a KAC Table Talk series on frequently…

This guidance was obtained through the Medicare Advisory Committee (MAC), led by ChiroCongress and co-chaired by Dr. Brad Stauffer and Dr. David Kassmeier. The Kentucky Association of Chiropractors participates in this group on behalf of Kentucky-licensed chiropractors. This article is part of a KAC Table Talk series on frequently asked questions about Medicare Advantage plans…

This guidance was obtained through the Medicare Advisory Committee (MAC), led by ChiroCongress and co-chaired by Dr. Brad Stauffer and Dr. David Kassmeier. The Kentucky Association of Chiropractors participates in this group on behalf of Kentucky-licensed chiropractors. Download the full FAQ article here. This article is part of a KAC Table Talk series on frequently…

This guidance was obtained through the Medicare Advisory Committee (MAC), led by ChiroCongress and co-chaired by Dr. Brad Stauffer and Dr. David Kassmeier. The Kentucky Association of Chiropractors participates in this group on behalf of Kentucky-licensed chiropractors. Download the full FAQ article here. This article is part of a KAC Table Talk series on frequently…

One of the most common questions chiropractors ask is whether they can legally discount their fees for patients who simply cannot afford care. The short answer is yes, but the rules matter. Kentucky chiropractors must navigate a careful balance between genuine generosity and practices that could constitute unprofessional conduct under KRS 312.150. A well-structured financial…

What Kentucky Chiropractors Need to Know Before June 8, 2026 To read the official release from the Kentucky Transportation Cabinet, click here. If you hold a Federal Motor Carrier Safety Administration (FMCSA) Certified Medical Examiner (CME) certification, or if you work with patients who hold Commercial Driver Licenses (CDLs), an important regulatory deadline is approaching.…

Question: Do I have to update my chiropractic license with DMS every year? Answer: The quick and short answer is yes. The license sometimes, but not always, updates - you should take a minute to double check your license has been updated to avoid delays in billing. Longer answer and instructions: If you participate in…

Question: Are [adjusting] extremities within our scope of practice? Answer: One of the most common questions that arises in chiropractic practice is whether treatment of the extremities falls within the Kentucky scope of practice. The short answer is yes. However, understanding why requires a careful reading of both the Kentucky Revised Statutes (KRS) and the…

Question I thought the new ABN was released? Can you confirm? Answer Yes! As of March 13, 2026 - the new ABN is now released. We've made it easy for KAC members to download the new ABN. Medicare has released an updated version of the Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131, and chiropractic…

The Kentucky Association of Chiropractors (KAC) is excited to announce an exclusive new member benefit: free, full access to all resources available through The Clinical Compass, a highly regarded evidence-based chiropractic research and guideline organization that helps chiropractors integrate the best available scientific research into clinical practice. This valuable benefit includes access to the Evidence Center and…

License renewal is more than a deadline on your calendar. It is a legal requirement that protects your ability to practice, bill, and participate in insurance networks. Each year, questions arise about continuing education hours, peer reviewer requirements, and what happens if something is missed. Below is a comprehensive refresher to help you prepare with…

KAC Member Question: Several individuals have recently approached practices offering to shred old x-ray films at no cost. They state they are able to reclaim small amounts of silver from the film and therefore do not charge for removal or destruction. Is this legal and HIPAA compliant? And if so, what precautions should be taken?…

KAC Member Question: One of the PIP carriers have started paying patients directly. Does KAC have a template we can use to help ensure PIP payments are directed to our office? Answer: Yes. KAC has developed a customizable Kentucky PIP Direction of Payment template to help clarify patient intent and support direct payment of PIP…

KAC Member Question: I am having shirts made for my staff to wear, and we will also have some available for patients. The shirts will include our company logo and name, “XXX XXX Chiropractic.” Do I need to include the doctor’s name or names on the shirts as well? Answer: Short Answer:No, based on Kentucky…

KAC Member Question: Are Advance Beneficiary Notices (ABNs) considered part of the patient’s medical record? Answer: Short Answer: Yes. ABNs should be maintained as part of the patient’s record. What You Need to Know: An Advance Beneficiary Notice of Noncoverage (ABN) documents that a Medicare beneficiary was informed, in advance, that Medicare may not pay…

KAC Member Question: Are prompt-pay or time-of-service discounts legal in Kentucky? If so, what percentage is acceptable? Answer: Yes. Time-of-service discounts are permissible in Kentucky when structured correctly. Key points to keep in mind:• The discount must be collected the same day services are rendered.• There is no specific discount percentage set by Kentucky or…

KAC Member Question: Are pre-pay chiropractic plans or monthly subscription plans legal in Kentucky when structured as a payment per visit, regardless of services rendered? Example:Could a chiropractor offer a plan where a patient pays $200 per month for four visits, with any combination of services provided during those visits, without creating a dual fee…

KAC Member Question: I have a patient that is “highly compensated employee” and her work has medical reimbursement up to $5000 for out of pocket expenses separate from her HSA. She wants to prepay for visits for next year and use those funds but it is my understanding that she would not be able to…

KAC Member Question: I’ve already completed my CEs for the upcoming renewal in March 2026. If I take a course in February 2026, can I use that for my next renewal period – for March 2027? Answer: The short answer is YES! Expanded answer: You can absolutely use a course you take in February 2026…

NOTE: These fees have been updated as of 4/1/2026. See updated article here. Question: What is the 2026 Medicare Fee Schedule Answer: While this isn't a traditional table talk question - it fits the category! Overall, there is a small increase (0.32%-1.68%) in the fees schedule from 2025. Remember, the 2026 Medicare deductible is: $283,…

KAC Member Question: Can we refer for an MRI in the state of Kentucky? Answer: This is a common question, especially as imaging access continues to vary across regions and facilities. Kentucky law does address a chiropractor’s authority to make referrals, and the statute provides helpful guidance on what is permitted and what is not…

KAC Member Question: Does the Louisville Massage Ordinance apply to a chiropractic office? Answer: While the full updated ordinance is not public yet, we have worked with the member who originally asked this question and our lobbying firm to confirm that chiropractic offices are exempt. We have included the screenshot below, directly from Louisville Metro.…

KAC Member Question: What are the requirements in Kentucky to become dry needling certified or perform dry needling in my office? Answer: Kentucky’s laws and regulations do not establish a minimum hour requirement for dry needling. Unlike some states that mandate a defined number of face-to-face training hours, Kentucky’s scope of practice ties the authority…