One Documentation Standard Rules All There is a common misconception in the profession that once doctors demonstrate PART in their documentation they have proven medical necessity. Sadly, Medicare and its designated auditors do not ascribe to this ideology. Even though PART is a crucial element in the documentation for Medicare, it is not the only…

Medical Necessity is the Difference Between Payment and Denial Medicare coverage guidelines dictate that services meet their definition of Medical Necessity to be considered for reimbursement. Providers must understand this definition in order to properly document and manage the patient’s active treatment case. Although patients may have pain, without functional loss, medical necessity is difficult…

Prove the Subluxation with PART or X-Ray Documentation is required to prove to Medicare that treatment is medically necessary. One required element is to demonstrate that the patient has a subluxation, using either x-ray findings or the acronym P.A.R.T in the examination process. PART is only Part of the Required Documentation Medicare documentation requirements are…

Congratulations you have completed the entire Medicare ABN course. Test your knowledge on the basic components of compliant documentation by completing the ABN Final Course Assessment

When To Use a Voluntary ABN If you haven’t reviewed the previous module, Mandatory ABN for spinal adjustments, we encourage you to go back and do that now. A keen understanding of the differences between the two is critical to proper ABN usage in the office. Once you understand this difference, you can customize appropriate…

What Does Mandatory Mean? Mandatory means, “required by law or rules.” Medicare has mandatory requirements with regard to proper usage of the ABN form. The correct use of the mandatory ABN shifts the financial liability for otherwise covered Chiropractic Manipulative Treatment (CMT) to the beneficiary in cases when the service is likely to be considered…