How Do I Show Medical Necessity in My Chiropractic Documentation?
Documenting Medical Necessity is only a concern in your chiropractic practice, when you are dealing with a third-party payer, like Medicare. A large differentiator between medically necessary care (chiropractic care a third-party payer deems worthy of payment) and clinically appropriate care (chiropractic care that is necessary for your patient health and well-being but is not reimbursable) is whether or not a functional deficit exists and can be resolved through proper chiropractic treatment.
What Element Can Help My Chiropractic Documentation Prove Necessity?
A critical element in your chiropractic documentation will be the identification of your patient’s functional deficit and a written treatment plan containing a functional goal to resolve that functional deficit. Your written treatment plan will show that your goal is achievable with proper chiropractic treatment.
Search below for more information and support on documenting medical necessity in your chiropractic practice.
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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!