Reference Documents It’s critical to know the rules of the game that you are sitting down to play when billing third-party payers and dealing with CPT® coding. In this section, we’ve provided three excellent reference documents that outline more information about the CMT codes, from three different perspectives. Note the Job Aide from Medicare that…
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CMT & E/M Coding Expectations There are many occasions when it may be necessary to perform both an Evaluation and Management (E/M) service (9920X or 9921X) and a Chiropractic Manipulative Treatment (CMT) service on the same date. Such examples include: New patient visits Established patients with new conditions, new injuries, aggravations, or exacerbations Periodic re-evaluations…
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Download Reference Documents It is important that providers are aware of the resources available to them and where the guidelines and regulations come from. In addition to including the reference documents that are available in the previous module, in this module we have provided the Medicare Coverage for Chiropractic Services-Medical Record Documentation Requirements. This resource…
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The Diagnosis is Not an Assessment Chiropractors often confuse a diagnosis with the assessment portion of an initial visit note. The diagnosis and the treatment plan are just components of the assessment. The assessment, coupled with the information gathered while taking the patient’s history during examination, and his/her working diagnosis, reveals more about the patient…
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Far too often, we find a fancy code (maybe a new code) and want to find a way to charge for it. This is completely backward. Documentation must drive coding. This simple visual reminder outlines the process of starting with the documentation and coding from there. Utilize this concept to re-enforce the dependency that each…
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Who Can I Delegate Services to? Delegating services to unlicensed individuals within a practice can be a very gray area and is often misunderstood by health professionals nationwide. The requirements set by the state where you practice determine who is allowed to provide services under the direction of the licensed DC. There are also circumstances…
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