CMT Documentation Requirements

Meeting the Standards Chiropractors experience legal obligations when opening a practice and billing third-party payers for care. There is a Standard of Care to follow when practicing the art of Chiropractic to fulfill these obligations.  This includes both physical treatment of the patient and documentation, coding, and billing of the visits.  They are different extremities...
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Delegating Services to Ancillary Personnel

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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Therapy-Modality Cheat Sheet

Download Support Tool Supportive Therapies are a great addition to the primary Chiropractic Adjustment. Sometimes, these therapies are the primary or only therapeutic procedure delivered to the patient during a routine visit. Documentation requirements by various regulating bodies or payors detail the specific information needed for these therapies. This page is a printable tool illustrating...
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Documenting Ancillary Services in Routine Office Visit Notes

Necessary Documentation in Routine Daily Visit Note Daily visit notes reflect the services ordered in the treatment plan based on the initial visit findings. It includes recommendations for both the primary service, Chiropractic Manipulative Treatment (CMT), and all ancillary services like therapies and active treatments. Every service you render during a routine office visit must...
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Documentation Samples

Download Support Tools Third-party payers cover medically necessary care within their definition.  At times, even with our patients’ best efforts, their healing does not progress as outlined in the plan(s). They may require a change in home care, DME, therapy type, CMT technique, or other.  What detail is necessary when the patient suffers an exacerbation...
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Appropriate Contents of Routine Office Visit (ROV) Plan Section, Part 2

Parts of the Plan Continued The Plan section of an ROV note is usually the quickest and easiest to complete; it’s also the most important element for compliance because it determines the coding needed to ensure proper billing. Use this guide to make sure all required elements are included. The following ROV PLAN overview is...
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