Meticulous Detail is Required from Beginning to End
When charting compliant documentation of modalities, you and your staff should always have a complete, thorough, compliant final patient note in mind. The doctor, during the examination, follows a ‘walk through’ utilizing an expert knowledge base beginning with the initial evaluation, recommendation of chiropractic care and physical medicine procedures, and the written treatment plan.
Compliant Chiropractic Documentation Includes Modalities, Procedures, and Therapies
In every step, meticulous detail is required, establishing medical necessity for modalities, procedures, and therapies, which promise the desired functional improvement to the patient. Keep the functional deficits and functional goals in mind when you document your patient’s care.
Back to: Documenting Routine Office Visits
Need more help? Check out our store!
Since we have been implementing compliance, we noticed that our claims have been processed better with increased collections and decreased denials! The copay collections have improved and asking for the patient responsibility is easier because we know what to ask for, and we can confidently collect while the patient is in the office rather than having to rely on sending out patient statements.