Samples: Documentation and Informed Consent

Templates and Support Tools to Help Two of the most important locations for proper documentation of the CMT are 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…

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Instrument Assisted Soft Tissue Manipulation (IASTM)

Defining IASTM Manual Therapy which is billed as 97140 includes a variety of techniques and goals for treatment. “Manual” means that the doctor or other providers use their hands in performing these services. For the purpose of coding and ultimately insurance reimbursement, it is important to understand what is allowed and what is not. Instrument-assisted…

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Acupuncture Documentation & Coding

The Intent of Acupuncture According to the Acupuncture Now Foundation, acupuncture is a method of supporting the body/mind systems in their own natural healing processes. Originating in East Asia over 2,000 years ago and perhaps much earlier than that, acupuncture, in its modern practice, forms part of a rational, personalized, evidence-based system of effective healthcare….

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Dry Needling Documentation & Coding

Dry Needling to Promote Healing Dry needling is a procedure where a very thin needle is inserted into the skin and muscle targeting myofascial trigger points or dysfunctional fascia, tendons, or ligaments.  A trigger point is a hyperirritable spot in a taut band of a skeletal muscle that is painful on compression, stretch, overload, or…

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An Overview of Dry Needling

Dry needling has become very popular among musculoskeletal providers in recent years, and in 2020, the service received its own Current Procedural Terminology (CPT®) codes. This brief, but informative, mini-class outlines the most important things to know when coding for dry needling, whether for cash or third-party reimbursement.

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Coding for Non-Traditional Physical Medicine

Meet the Requirements Non-Traditional therapies, such as cold laser, dry needling, acupuncture, and others, can do great things for patients. These may be deemed “experimental, investigation, or non-proven” by third-party payers.  This may seem in contrast to patients who come to the office specifically for these therapies. Other times, doctors may be prescribing them, and…

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