Meeting Signature Requirements Like many of the Medicare Administrative Contractors (MACs), National Government Services (NGS) report they have experienced an increasing number of Comprehensive Error Rate Testing (CERT) errors due to “signature requirements” not being met. Medical Providers are not signing orders or certification/recertification forms. All types of providers are failing to sign office visit notes. Medicare…
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One of the most important elements of a complete medical record is the name and signature of the provider of service. Medicare has set the standard for all payers on what is required to confirm the medical record and validate who provided the service. Most other payers follow the same guidelines as Medicare. This training…
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Download Reference Documents Medicare publishes helpful documents and alerts to keep providers in the know about important topics. Included here are several documents that relate specifically to documentation of Chiropractic care and medical necessity. These tools relate to the elements of Chiropractic documentation and the overall rulebook for Medicare policy, The Benefit Policy Manual. Download,…
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Which OATs are Best Suited for Your Practice? The number and variety of Outcome Assessment Tools (OATs) available today can make it difficult to decide which one to use. To be the GOAT (Greatest of All Time) you need to select the one that best evaluates each patient’s functional deficits so you can use the…
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One of the key elements in Medicare’s documentation requirements is the stating of short- and long-term goals within the treatment plan of the initial visit. An easy way to determine goals is to use and evaluate Outcomes Assessment Tools (OATs) with each episode of care. This brief training outlines the ways that using OATs can…
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Download Support Tool The terms incident, burst and full episode were coined by us here at KMC University as a way for providers to consider the length of an episode of care. When sitting down to document the initial visit of a new episode, consideration of the potential length of the episode can be put…
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