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Join us in celebrating Kathy (KMC) Weidner's 40 years in Chiropractic!

Use coupon code Kathys40 at checkout and get your first month of Library Membership for $40 off!

Offer available to new members only. Expires February 28, 2023.

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Don't miss the January 2023 edition!

We know you count on us to keep you up to date with the most important information in the profession. We have compiled updates, blogs, and news for you into this convenient digital publication.

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FWA announcement

New Course! | Fraud, Waste, and Abuse

Each year, billions of dollars are spent improperly because of Fraud, Waste, and Abuse. It affects everyone—including Chiropractic providers and teams.

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There's no need to fear the OIG. We've got your back!

The most effective chiropractic OIG compliance programs are scaled according to the size of the practice!

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Need more guided help? Work with a KMC coach 1-on-1

Sometimes you need more than a self-service, on-demand program and need an expert to analyze your issues, train the corrections, and help you implement the changes, so they stick

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Chiropractic Signatures and Authentication

Signature Rules for Chiropractic Documentation Can Be Confusing

Chiropractors agree the documentation training they received in chiropractic college was not enough. Many chiropractors don’t realize that even if you are the only doctor in your chiropractic practice, you have to sign each note for each date-of-service, to show you were the doctor who performed those services.

What Is Required for a Valid Signature in My Chiropractic Documentation?

According to Medicare*: For a signature to be valid, the following criteria must be met: Services that are provided or ordered must be authenticated by the ordering practitioner; signatures are handwritten, electronic, or stamped (stamped signatures are only permitted in the case of an author with a physical disability who can provide proof to a CMS contractor of an inability to sign due to a disability); and signatures are legible. Did you know, both your notes AND your signature must be legible? Most chiropractors don’t know illegible signatures can stop you from getting paid!

But My Chiropractic Signature Is Illegible

What can you do, if your signature is NOT legible; now that you know illegible signatures are not acceptable? What can you do about your prior notes with an illegible signature? There are steps you can take to remedy your current signature problem and proactive steps for future signatures with a signature log. According to CMS, you may submit a signature log or attestation statement to support the identity of the illegible signature. If the original record contains a printed signature below the illegible signature, this may be accepted. This simple, effective and little-know process is one of the dozens of lessons contained in the chiropractic documentation section of the KMC University Library.

*Reference: CMS “Medicare Program Integrity Manual” (Publication [Pub.] 100-08), Chapter 3, Section at  on the CMS website.

Timely Chiropractic Documentation

Back to: Chiropractic Documentation Basics

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I cannot put into words how much I appreciate you. I was becoming depressed and just felt I was going in circles. I don't think you can even realize what a profound effect you have and the gift you have of helping. I feel I have just been given a new friend and I can tell you that I have literally been praying for someone like you to come into my life. One of my favorite sayings is "when the student is ready the teacher appears" I am so ready. Thank you so much.