Do Not Confuse Assessment with Diagnosis
Though the diagnosis and treatment plan are a portion of the assessment, they are not the same. The assessment and the diagnosis go hand in hand, with the diagnosis delivering your “standard English” wording of what is actually wrong with your patient. This diagnosis is the basis for your treatment recommendations for care of your patient, and it establishes the medical necessity and clinical appropriateness of your recommended treatment plan.
Selection of the Appropriate Diagnosis for Chiropractic Documentation
Review your patient’s presenting condition, subjective and objective findings, and as you assess and correlate the information provided excluded diagnoses that are not supported. Consider each condition diagnosed, documenting underlying issues with clear, well-written documentation to support your final patient diagnoses.
I want to say how very, very thankful I am that I "happened" onto a webinar Kathy had done on Chirotouch. It was a prerecorded webinar and I learned so very much. All I could think was," Wow, we so desperately need KMCU in our office." Ever since the first contact I made with Kathy, we have been nothing but blessed. She was so helpful. She had Yvette do a follow up with us, and the rest is history. The caring and concern the two of them showed us made me even more determined to be a member of KMCU. I thank God daily for allowing us to "discover" ya'll and will be forever thankful for all the help as well as the resources available to us.