A Chiropractic Assistant (CA) interacts with patients and might interact with charting. A CA can become a check and balance system for the doctor and office for documenting to the standards outlined by the insurance policy and/or state regulations. As stated in this training, medical necessity is based on active care, not maintenance care. When…
A Chiropractic Assistant’s Documentation Guide
This must-see Rapid Tutorial examines the types of documentation needed in a new or initial patient chart, including insurance and HIPAA information in addition to the treatment notes. A patient’s chart includes ongoing and updated records that must be continually updated and kept organized. This is especially important to the CA who helps with history…
Template Letters of Medical Necessity
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Sometimes, whether we like it or not, our billing codes are denied. These two sample letters of medical necessity may be customized to appeal the denials of ancillary service codes, 97760 and 97763. Download, review and save these templates to be personalized should the need arise.
Sample Letter of Medical Necessity for CPT® Code 97763S | Sample Letter of Medical Necessity for CPT® Code 97760 |
Medical Necessity Template Letters
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Sometimes, third-party payers require pre-authorization, or a denied claim may need to be appealed with information about the clinical basis for orthotics prescription. These support tools are editable template letters with suggested content to use when submitting this information. Download, review and save these documents for future use. NOTE: Once you click on the resource, look for the document in your downloads or taskbar. Unlike a PDF, these will not open up on your desktop.
Sample Letter of Medical Necessity for Custom Functional Orthotics |
Letter of Medical Necessity and Pre-Authorization for Functional Orthotics-Template |
What Do They Want From Me?
A Records Request: A Common Occurrence So, you check the office mailbox – a few EOBs, checks from patients, a menu from the local pizza place, and (sigh) a love note from an insurance company requesting records for a patient. Before panic sets in, understand that this is a common occurrence in the chiropractic profession….
The Idiosyncrasies of Hot/Cold Packs
Guidance on CPT Code 97010 Code 97010 is a code that is often misused and overbilled. The most common reason is that it is difficult to establish and prove medical necessity for this service and, very often, the documentation does not include appropriate rationale for using this code. Below you will find what the American…