Don’t Forget to Do Your PART for Medicare
For any claim that requires proof of medical necessity, the primary diagnosis has to be subluxation. Applying the PART process, in the absence of an x-ray, can help you determine whether the diagnosis is truly Subluxation. PART is an acronym for Pain, Asymmetry, Range, and Tissue; each is described below:
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If PART is demonstrated, and the patient has a documented loss of function, there is usually medical necessity. But what if you find that your patient has entered a maintenance stage of care? Help them understand that Medicare expects them to cover the cost of that care. Check out the “Proper Scripting for the Medicare Maintenance Patient“.
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