subluxation Archives

The Mechanics of Assessment in Routine Office Visits (ROV)

This Rapid Tutorial provides a high-level overview of the purpose and intention of this important part of a daily SOAP note. Assessment is not just a restating of the diagnosis. It’s where the doctor explains the patient’s progress or lack thereof. It provides the context for HOW the patient is doing, and WHY s/he may...

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CMS Job Aid Chiro Services Fact Sheet

Download Reference Document Medicare publishes helpful documents and alerts to keep providers in the know about important topics. We’ve included the document below that relates specifically to documenting Chiropractic care and medical necessity. This tool relates to the elements of Chiropractic documentation and the rulebook for Medicare policy (The Benefit Policy Manual). CMS Job Aid...

PART Documentation for Medicare

Download Support Tool For approximately two decades, Chiropractic practice has used PART for objective evaluations of the Vertebral Subluxation Complex. PART can be used in conjunction with the PART Applied to the ROV Objective Documentation webpage or as a stand-alone tool. It deconstructs PART into its components and gives the doctor a selection of options...

PART Applied to the ROV Objective Documentation

PART and ROV The PART process, an examination method intended to quantify the presence of a subluxation for Medicare, has been used for over two decades. The application of PART, as noted below, is critical in the initial visit of an episode of care to formulate the basis for medical necessity. However, when documenting the...

Documentation of Objective Findings Daily ROV

If a primary goal of a practice is to help people get better and achieve their functional goals, how can you determine if a patient is improving, regressing, or staying the same? You can’t rely solely on what the patient tells you as some patients unwittingly under report while others over report problems or progress. ...

Use of the AT Modifier in Chiropractic

Medicare publishes helpful documents and alerts to keep providers in the know about important topics. The use of the AT modifier in Medicare is one of the most critical billing issues providers face. Absence of the AT modifier indicates that the service is maintenance in nature…and therefore, is not payable. Statistics show that overuse of...