Chiropractic documentation gap analysis

Recognize what’s missing to master your reimbursement and collections!

This Documentation Gap Analysis allows us to evaluate the significant components of your current Documentation program. It should take less than 5 minutes to complete.

Take The Billing GAP Analysis

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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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New Course Available!

This course explains the significant role chiropractic care can play in the sports industry and how a DC can succeed as a Sports Chiropractor. Start your steps to success here!

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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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Documenting Chiropractic Medical Necessity

How Do I Show Medical Necessity in My Chiropractic Documentation?

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 Medical 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.

Join the KMC University Library to learn what you need to show medical necessity in your chiropractic documentation, and how to explain medical necessity to your patients so that your chiropractic patients will stay, pay, and refer.

Case Management

Medically Necessary vs Clinically Appropriate Care

Find Your Medical Necessity Definitions

Explain Medical Necessity to Your Patients

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KMC program is totally worth it. They helped us figure out a better system to bill insurance. Rebecca was super nice and helpful! Our clinic is finally getting paid on insurance claims. Thank you for all your help!

Isabel G.