Medicare’s Tx Plan Elements The purpose of a treatment plan in your documentation is to identify how you plan to restore the patient to pre-condition or full functional status. Medicare has very specific guidelines for what should be included in the documentation. KMC University recommends that providers follow these guidelines for all treatment plan documentation,…
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Initial Visit Prompts for Providers The terms – incident, burst, and full episode of care – were created to provide a visual image for providers as they begin their clinical decision-making in the care of a patient. Doctors have a fiduciary responsibility to evaluate patients to determine the entire clinical picture. This begins with the…
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Medically Necessary vs. Clinically Appropriate Care A properly trained and licensed healthcare professional, such as a Doctor of Chiropractic, can diagnose and develop a treatment plan for their patients. Their decision-making skills allow them to determine the frequency of the patient’s visits and what services the patients will receive. As long as the doctor exercises…
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What to Do When Time is Up Many have wondered if the HIPAA Privacy rule requires covered entities to keep patient’s records for a set period of time. The answer according to Health and Human Services (HHS) is “No, the HIPAA Privacy Rule does not include medical record retention requirements.” Rather, State laws generally govern…
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The Century Cures Act The Century Cures Act was signed into law on December 13, 2016 and contains over 18000 sections. Although this regulation (law) has been in the making for a period of time, the general effective date was June 30, 2020. The part of the rule that may impact healthcare providers is the…
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Protect Your Reputation & Revenue HIPAA Compliance is often the last item on the list of ‘to-dos’ in a clinic. Many providers keep knocking the can down the road because they do not understand what is required. The fact is that since HIPAA has been in play since 1996 and the recent updates and mandates…
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