Medicare Archives

Documenting PART in an Initial Visit Note

Using Clinical Judgement to Document PART Medicare requires that medical necessity be proven using the components of PART: Pain, Asymmetry, Range of motion, and Tissue tone changes. Two of these four elements must be present, and one must be Asymmetry or Range of motion. These are findings that are usually discovered during the initial evaluation…

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PART Documentation for Medicare

Documenting PART for Medicare Although the PART process for documenting the presence of a subluxation in Medicare has been around for more than 2 decades, it’s helpful to have a quick reference to what the four letters on the acronym represent and how to apply them to your documentation. Download, review and save this tool…

Documenting PART

This short training summarizes the purpose of PART and how it fits into the initial and day to day visits within an episode of care. Most providers find that when they incorporate PART into the look and feel of the objective section of the note, for all patients, it provides a template for proving medical…

Primary vs. Compensatory Subluxations

Difference Between Medically Necessary & Compensatory Subluxations For Medicare and many other 3rd party payers, the doctor can only justify examining and treating areas of the body in which the patient presents with complaints. For this reason, it is extremely important to get as much information from the patient about their chief complaints and their…

Don’t Forget to do Your PART for Medicare

Pain, Asymmetry, Range of Motion, and Tissue/Tone Changes For any claim that requires proof of medical necessity, the primary diagnosis has to be subluxation. 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 for you to determine whether there…

A Brief Overview of PART

The essence of medical necessity in Medicare is being able to prove that a subluxation exists, since the only coverage for chiropractic treatment is manual manipulation of the spine to correct a subluxation. The subluxation can be identified by x-ray or through documentation using the acronym PART. This brief tutorial outlines the components of PART…