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
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I loved it! It was great to see the process and look at how you fill out the forms with examples. This made it easy for me to comprehend. It simplified the auditing process. I was really struggling with just reading how to audit. I am a visual person, and I really like being able to pause and rewatch the videos.