Medically Necessary vs. Clinically Appropriate Care: Understanding the Difference in Chiropractic
In this KMC University HelpDesk episode, Dr. Erin Stubblefield explains the difference between medically necessary care and clinically appropriate care in chiropractic. Learn how to determine when treatment is billable under insurance and when it’s simply appropriate for patient well-being but not reimbursable. Dr. Erin breaks down the four components of medical necessity — patient complaint, objective findings, functional deficit, and plan of care — and clarifies how to document both compliant and non-billable care…