Minimal Documentation is Basic, Enhanced Documentation is Necessary
While states require minimum documentation requirements for chiropractors, many states require chiropractic-specific details. While it is not recommended that you only do the minimum to scrape by, there might be times when you only need to document to the level of meeting the state requirement. Enhanced documentation is recommended for the level of care you desire to provide to your patients. Better documentation means better patient care and better patient outcomes.
Documentation of Routine Chiropractic Office Visit
In your chiropractic practice, you must attain state specific minimum documentation requirements or greater by establishing standards for documentation defining your policy requirements and your standard operating procedure (SOP). These will include an explanation of the use of your patient’s subjective data, the provider’s objective findings, the assessment, and the treatment rendered.
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I am so impressed with the format of the more in depth learning modules. As you know, I've been a member of KMC for many years, first with 1 to 1 coaching and later with the library. My assistant, Rebecca, and I are currently going through the insurance verification modules. After being in practice for many years, I started out thinking this would only be a refresher, but instead, we are We both are neurodivergent and the forms and procedures provided will make our work so much easier. We are learning so much!