Documentation & Coding Archives

Documenting Physical Medicine-The Initial Visit

Documenting Rationale for Physical Medicine The saying goes that where much is given, much is required. That is especially true with Chiropractic documentation. Practices that elect to include ancillary, supportive services in the patient treatment plan have a more rigorous requirement for establishing medical necessity. Part of that process includes defining the rationale for each…

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Incident To vs. Delegating Services

Know Your Regulations! Delegation or Incident-To? We often hear the terms “incident to” and “delegating services” used interchangeably; however, there are many differences between the two. Both refer to the doctor or other qualified healthcare practitioner having someone else in the office to render patient services. It is important to note that Medicare has a…

Guidelines For Delegating Services

Delegating Requires Prior Research Every team member plays an important role in a patient’s healthcare experience. Proper and compliant delegating of services requires you to: Consider your workforce members and their job title and/or qualifications. Some job titles are created based on the practice’s needs and require that other credentials be earned. Knowing these roles,…

Delegating Services

An Overview of Delegating Services The process of delegating services, either to another provider or a chiropractic assistant, is a tricky one. This brief training brings to light the most important factors to consider when providing services that may be billed to a 3rd-party payer. Both state law and the consideration of the payer are…

Physical Medicine Documentation

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…

CMT Reference Documents

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…