Documentation & Coding

Good documentation is more than a requirement—it’s an art that protects your practice and serves your patients. In this HelpDesk video, Dr. Erin Stubblefield from KMC University breaks down the key principles that make patient documentation clear, consistent, and defensible. Learn why specificity, consistency, accurate tracking, and personalization transform your daily notes into powerful tools for better patient care and stronger compliance.

Yes, we have a set of codes that AMA CPT has allowed for use in “consultations”. But hold it! They are not the same kinds of “consultations” we refer to in our profession, such as the initial consultation for a new patient, or that often “free” consultation or, as we like to call it, Pre-Acceptance Interview” for potential new patients. Follow along with this quick Help Desk video to help you best understand how to use official Consultation codes 9924X and 9925X.

Ever had a CO-16 denial on your Medicare EOB? Or you got a denial that said your diagnosis codes didn’t match the CPT code? All of this may be because of a lack of proper diagnosis coupling. This HelpDesk video sheds some light on what’s necessary!

Whether you’re a cash-based practice or finally stepping away from insurance dependency, this walkthrough will help you create a defensible, patient-friendly superbill that works.

In chiropractic care, solid documentation is everything. It not only helps you get a clear picture of how a patient is doing, but it also…

How simply can you tell your story? The easier you make it on the reader, the lower your rate of recoupment and records requests. And, best of all, the more you will see revenue increase and follow up hassles decrease.

By integrating OATs into practice, chiropractors can enhance their care quality, showcase the value of chiropractic services, and even potentially boost revenue.

Turn your practice into a comfortable place of healing rather than a place that feels like a burden, heavy with the stress of not being certain. You can do it! Your peace of mind and your peace in practice are worth it!

Are you, like many of our new clients, unfamiliar with the term GFE? Or have you been searching for resources to understand it better? The Good Faith Estimate requirements, which came into effect on January 1, 2022, are not optional. It's crucial that y

Establishing an appropriate baseline for each episode of care, according to your standard of care, provides the foundation needed for solid documentation and proper reimbursement.