What are you to do with patients that try to manage themselves or disappear? Listen as Kathy answers this question in this help desk video about administrative discharge. The steps to layout and follow within your office practice and policies are discussed with real examples of how to compliantly handle and document this eventual situation.
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Non-Third-Party Patients Best practice for an office is to have all health record documentation at the same level of comprehensiveness. Documentation must meet the standard of care guidelines from the licensing board, and protect the provider in a risk management situation. Additional requirements for coding and medical necessity are required when dealing with a third-party…
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Ancillary Service Recommendations The treatment plan is an outline of the care you believe may be necessary to treat your patient. This includes your recommendations for the primary service, Chiropractic Manipulative Treatment (CMT), and all ancillary services (e.g., therapies, active treatment, and home care recommendations.) Every service you plan to order during treatment should be…
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This HelpDesk Video lays out the concept of moving through documentation in reverse, from the treatment plan to the initial visit history. The value of this process cannot be overstated as this is an excellent way to ensure that you are establishing medical necessity for all the services you are billing and providing to the…
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This Rapid Tutorial breaks up the expectations of a full treatment plan into an easy-to learn-format. As we come to the end of what is required in the documentation of an initial visit, examine this overview of the distinctly separate elements of a treatment plan. We expand upon the known elements of frequency and duration…
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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…
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