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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The workshop helped us to be better prepared for submitting claims that will not be rejected. Showed us how to find medical review policies and where we could find Medicare resources that tell us exactly how to code a procedure and document.