Amending the Medical Record

After seeing a patient, providers must sign off and close out (or lock) treatment notes once they feel they are complete. But what do providers do when they realize they must add or make a correction to a signed note? There are specific rules in place for these “amendments.”  Once an error is found, or...
Certified Chiropractic Clinical Assistant Training is now available as part of Library Membership! This official training is for those who wish to certify through the Federation of Chiropractic Licensing Boards (FCLB). The KMC University Library is an online resource for chiropractors and their teams that provides access to a vast array of educational materials and resources related to Medicare, documentation, billing, coding, compliance, and the business aspects of running a chiropractic practice. It can help chiropractors and their teams stay up-to-date on the latest regulations and best practices, as well as save time and money by avoiding costly mistakes. Click here to learn more.

Intake Paperwork – Organized & Secure

Organizing Intake Paperwork Obtaining patient intake paperwork is half the battle. Making sure that it is organized and properly filed is another challenge. Although our focus is on new patient data, the suggestions throughout this module could apply to reactivated patients, new conditions, and/or accident cases for established patients. Once you have reviewed and confirmed...
Oops, your level of membership doesn’t include access to these full training courses. Please reach out to the HelpDesk to learn more about accessing these trainings and resources. Click here to learn more.

New Patient Folder Compilation

Patient Filing System A great deal of information crosses the front desk during an initial encounter with a patient. It can be challenging to keep track of insurance information, verifications, intake forms, chart notes, treatment plans, and the initial charges. Whether your clinic is paperless (fully electronic) or not, it necessary to have a process...
Oops, your level of membership doesn’t include access to these full training courses. Please reach out to the HelpDesk to learn more about accessing these trainings and resources. Click here to learn more.

Intake Paperwork – Accuracy is Vital

Intake Process Contributes to Practice Success Whether your intake process is fully electronic, fully paper, or a hybrid, it is important that all gathered patient data is confirmed, accurate, and complete before treatment begins. The intake process contains data that impacts the doctor’s examination, treatment plan, financial report of findings, future collections, and liability protection....
Oops, your level of membership doesn’t include access to these full training courses. Please reach out to the HelpDesk to learn more about accessing these trainings and resources. Click here to learn more.

Your Amendment Rights

Medical Record Addendums Despite best efforts and good intentions to complete perfect documentation at the time of service, errors and omissions can occur. When that happens, the situation has its own documentation requirements. Failure to properly amend a medical record can make it appear that someone was trying to falsify documentation, and that may be...
Oops, your level of membership doesn’t include access to these full training courses. Please reach out to the HelpDesk to learn more about accessing these trainings and resources. Click here to learn more.

The Anatomy of a Patient’s Chart

There are many pieces of a patient’s chart, whether paper or electronic. Multiple types of documentation are required for a complete and compliant patient chart. The way the chart or file is organized is critical to proper recordkeeping. Sometimes, we take for granted how simple the chart building process is, or how we use the...
Oops, your level of membership doesn’t include access to these full training courses. Please reach out to the HelpDesk to learn more about accessing these trainings and resources. Click here to learn more.