medical necessity Archives

Gain a Solid Command of Initial Visit Documentation Requirements

This Rapid Tutorial sets the tone for this module, but also for the entire course focused on Documentation of Evaluation and Management. Start your training by better understanding what an initial office visit looks like in the context of your documentation. Often, providers forget when dealing with an insured patient, that the initial visit of…

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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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Medicare’s Documentation Reference Documents

Download Reference Documents Medicare publishes helpful documents and alerts to keep providers in the know about important topics. Included here are several documents that relate specifically to documentation of Chiropractic care and medical necessity. These tools relate to the elements of Chiropractic documentation and the overall rulebook for Medicare policy, The Benefit Policy Manual. Download,…

Medicare’s Medical Necessity Reference Documents

Download Reference Documents Medicare publishes helpful documents and alerts to keep providers in the know about important topics. Included here are several documents that relate specifically to Chiropractic care and medical necessity. These tools relate to the proper use of the AT Modifier, Chiropractic documentation and the overall rulebook for Medicare policy, The Benefit Policy…

FAQ-Medicare Active vs. Maintenance Care

Active vs. Maintenance Care FAQs Q: If a Medicare patient moves from Medical Necessity treatment to Wellness and we have him/her sign an ABN, are we required to continue to bill Medicare with the appropriate modifier or can we convert the patient to cash? A: The ABN offers three options at the bottom of the…

Proper Patient Case Management

The Case Management Picture Case management has its roots in the patient’s clinical presentation and the doctor’s training and expertise. Doctors have a fiduciary responsibility to evaluate patients and determine the whole clinical picture to the best of their ability. The patient evaluation process is quite linear. The doctor begins by gathering the patient’s history…