Meet the Minimum on Each Encounter Most states have a minimum documentation requirement for licensed physicians and guidance from the licensing board. Some states’ regulations include chiropractic-specific details. Often, providers forget the Routine Office Visit (ROV) within “episodic care” must have a minimum set of targeted “updated” (comparative) subjective data components from the previous visit,…
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…
ROV Subjective Decision-Making Matrix
Download Support Tool Providers have much to consider as they review each established patient’s visit. Following the functional goals described in the treatment plan of the episode to apply best practices for subjective documentation. This includes recording the patient’s subjective assessment. Download and review this helpful Support Tool, meant to provide context and prompting about…
The Purpose and Form of the ROV History (Subjective)
Set the Subjective Tone The ROV note, documenting the execution of a treatment plan within an episode of care, is best submitted in the SOAP format. “S” stands for subjective—that portion of the note is meant to outline the patient’s subjective complaints and his/her assessment of the progress made since the last visit. This subjective…
Subjective Data Collection on the Routine Office Visit (ROV)
Watch this brief, informative video that outlines the most important best practices for collecting subjective data on an ROV. Kathy explains how team members can get involved and support busy providers with a collection of subjective information.