Documentation Archives

Medical Necessity Primers

The core concept of compliant documentation, billing, and coding is that of whether the service would be deemed medically necessary. A keen understanding of the difference between the two is an essential element of running the business of chiropractic. While the service provided may not be different, and the documentation may be similar when a…

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Medical Necessity and Case Management

The term, Medical Necessity, doesn’t always land well in the ears of Doctors of Chiropractic. This terminology is driven by third-party payers as a definition of a level of service that must be met to receive their reimbursement. However, medical necessity is also a requirement of most Chiropractic licensing boards and can be in the…

Checklist for the Use of Medical Scribes

Download Reference Documents As practices grow and expand, the pace in the office increases. You may find that just keeping up with the basic paperwork requirements to keep you compliant are eroding the time you can spend with your patients. To take some of the burden off the provider and still get the work done,…

To Scribe or Not to Scribe

Pros and Cons of Using a Scribe The practice of using a scribe is as ancient as the practice of medicine itself. Priests, politicians, physicians, and scholars have long taken advantage of using another person to write down their thoughts and actions. This guide outlines ideology, guidelines, and other considerations for using a clinical scribe….

Know the Role of the Scribe

Guidelines For Scribes Medical practices using Electronic health records (EHRs) have increased their use of scribes. Medical and nursing students make good scribes because of their knowledge of anatomy and medical terminology, but there are no training or certification requirements to become a scribe. The Joint Commission, which accredits and certifies healthcare organizations and programs,…

Proper Use of Scribes in Documentation

Using a Scribe in Your Office Chiropractic practices have increasingly turned to scribe assistants as they search for ways to streamline the documentation process and improve overall productivity. Scribes are not medical providers (although some may have medical backgrounds) and they don’t treat patients. A scribe’s main task is to document in the patient’s medical…