Medicare’s Definition of Medical Necessity

The essence of medical necessity in Medicare is being able to prove that a subluxation exists, since the only coverage for chiropractic treatment is manual manipulation of the spine to correct a subluxation. However, a subluxation that is not associated with a secondary neuromusculoskeletal condition, and/or is not causing a loss of function may not...
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Medicare Benefit Policy Manual – Section 240, Chapter 15

Medicare Benefit Policy Manual Medicare publishes helpful documents and alerts to keep providers in the know about important topics. The Benefit Policy Manual is the rulebook that must be followed for Medicare. Chapter 15, and Section 240 is the section that is devoted to the policy guidelines for chiropractic coverage and care. This Reference Document...
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Using PART as Part of your ROV Documentation

Documenting PART During Routine Office Visits The PART Process initials are an acronym for the required elements of examination that quantify the existence of a subluxation to meet Medicare requirements. The elements of PART are Pain, Asymmetry or Misalignment, Range of Motion Abnormalities, and Tissue Tone Changes. These elements are generally present in the initial...
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Documenting PART in an Initial Visit Note

Using Clinical Judgement to Document PART Medicare requires that medical necessity be proven using the components of PART: Pain, Asymmetry, Range of motion, and Tissue tone changes. Two of these four elements must be present, and one must be Asymmetry or Range of motion. These are findings that are usually discovered during the initial evaluation...
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Documenting PART

This short training summarizes the purpose of PART and how it fits into the initial and day to day visits within an episode of care. Most providers find that when they incorporate PART into the look and feel of the objective section of the note, for all patients, it provides a template for proving medical...
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