Post Isometric Relaxation (PIR)

Billing PIR as Manual Therapy Providers of manual and exercise therapy find a great deal of difficulty getting a straight answer about how PIR stretching should be coded. We know of providers who have been audited and had all claims denied for PIR when billed as 97110, Therapeutic Exercise. They were told it should be...
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Non-Traditional Physical Medicine-Know the Rules

Defining Non-Traditional The practice of health care makes up a large part of the economy for the US.  It is highly regulated on local and national levels for both Allopathic and Complimentary/ Alternative professions.  New devices, procedures and treatments come to market which seem unique and can be helpful to your patients.  Have you ever...
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Physical Medicine Documentation

Documentation of Medical Necessity The practice of Chiropractic may be defined only by Chiropractic Manipulative Treatment (CMT). But many providers embrace and use a variety of other treatment modalities and procedures to supplement the spinal adjustment. Most of these additional services fall into the category of physical medicine. Each service to be performed must be...
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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...
OOPS, this page contains content reserved for KMC University members. We’d love to welcome you to the KMC University family because there is an amazing amount of helpful content in the trainings and resources of the KMC University Library. Click here to learn more.