There are some areas where chiropractors seem to struggle more than others; documenting the assessment and diagnosis is one of those areas. Allow this Rapid Tutorial to set the tone for this module. You’ll explore how to write an assessment and discover what is required for the diagnosis of an initial office visit in the…
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Download Reference Documents The following Reference Documents are tools for you to review as you move through this exam documentation module. The first two resources are easy-to-reference lists that will help you brush up on several common orthopedic tests used during chiropractic examinations. The next two reference documents cover the rules as they apply to…
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PART Documentation for Medicare Subluxation must be the primary diagnosis for any claim that requires proof of medical necessity. PART is an acronym for Pain, Asymmetry, Range of Motion, and Tissue/Tone Changes. Applying the PART process in the absence of an x-ray is required to determine whether there is a subluxation present to diagnose. PART…
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Download Support Tool Dr. Seron created this tool to use as a radiology report in a chiropractic office. A doctor needs to generate a report for each radiology test that s/he orders and/or reviews. This jewel is here for you to download, customize, and use in your facility. We encourage you to consider this tool…
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X-rays or MRI Guidelines As a general guideline, x-rays are recommended in the chiropractic healthcare setting to: Diagnose a recent trauma that may have resulted in a fracture at any age, minor trauma in people between ages 50 and 70 years old, and those over age 70 due to the risk of osteoporosis-related fracture. Diagnose…
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Potential Criteria Calling for Medically Necessary X-Rays You must have a specific reason to expose a patient to ionizing radiation to visualize his/her spine and meet the criteria of medical necessity. “I want to see what I am adjusting” is no longer a sufficient reason to take X-rays and ask a third-party payer to reimburse…
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