Guidance on CPT Code 97010 Code 97010 is a code that is often misused and overbilled. The most common reason is that it is difficult to establish and prove medical necessity for this service and, very often, the documentation does not include appropriate rationale for using this code. Below you will find what the American…
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Support Tools Two of the most important locations for proper documentation of the CMT is when it’s prescribed in the initial treatment plan, and when it’s described on a Routine Office Visit (ROV). We provide documentation samples throughout the KMC University Library, examples of the necessary components of a note for clinically appropriate and medically…
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Far too often, we find a fancy code (maybe a new code) and want to find a way to charge for it. This is completely backward. Documentation must drive coding. This simple visual reminder outlines the process of starting with the documentation and coding from there. Utilize this concept to re-enforce the dependency that each…
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Non-Third-Party Patients Best practice for an office is to have all health record documentation at the same level of comprehensiveness. Documentation must meet the standard of care guidelines from the licensing board, and protect the provider in a risk management situation. Additional requirements for coding and medical necessity are required when dealing with a third-party…
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This Rapid Tutorial breaks up the expectations of a full treatment plan into an easy-to learn-format. As we come to the end of what is required in the documentation of an initial visit, examine this overview of the distinctly separate elements of a treatment plan. We expand upon the known elements of frequency and duration…
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The “Day One and a Half” System Consistent, installed systems bring consistent practice success. “Day One and a Half” is a critical system. To be successful, create regular time to manage this pivotal, timely documentation process. We suggest that each shift makes time for this all-important activity at least once a day. Initial visit and…
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