Providers and their assistants have a great deal of responsibility in preserving a safe environment for patients by acknowledging the safety risks for certain types of therapy. This  Support Tool is designed to assist in recognizing and memorizing common therapy and modality contraindications. This tool will be invaluable as you learn to document the medical…

Documentation of Medical Necessity The practice of Chiropractic may be defined only by Chiropractic Manipulative Treatment (CMT). But many providers embrace and use a variety of other treatment modalities and procedures to supplement the spinal adjustment. Most of these additional services fall into the category of physical medicine. Each service to be performed must be…

 Reference Documents It’s critical to know the rules of the game that you are sitting down to play when billing third-party payers and dealing with CPT® coding. In this section, we’ve provided three excellent reference documents that outline more information about the CMT codes, from three different perspectives. Note the Job Aide from Medicare that…

Support Tools Two of the most important locations for proper documentation of the CMT is when it’s prescribed in the initial treatment plan, and when it’s described on a Routine Office Visit (ROV). We provide documentation samples throughout the KMC University Library, examples of the necessary components of a note for clinically appropriate and medically…

Meeting the Standards Chiropractors experience legal obligations when opening a practice and billing third-party payers for care. There is a Standard of Care to follow when practicing the art of Chiropractic to fulfill these obligations.  This includes both physical treatment of the patient and documentation, coding, and billing of the visits.  They are different extremities…

Code S8990 & Maintenance Care Service codes (CPT/HCPCS) tell a third party what you are doing with the patient.  As with all coding, even maintenance care must be properly coded to clearly communicate in the patient record within your software, and for any authorized third-party that may have access to this data. S8990 Explanation Definition…