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.
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
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!
The most effective chiropractic OIG compliance programs are scaled according to the size of the practice!
As providers create medical records of the encounters between the doctor and the patient, the format for collecting the required information can vary drastically. Practice style, patient population, and personal preference are all considerations when choosing how to gather information from the patient to meet compliance standards.
Successful providers review their coding and documentation and strive to improve accuracy and compliance. Documentation involves far more than just writing down a list of services or copying notes from visit to visit. Likewise, proper coding involves more than just figuring out what codes the payer will accept and billing those.
The definition(s) of medical necessity is one of the most important to you and your practice whether a cash-based practice or one dealing with third-party payers.
Remember, just because you receive reimbursement does not mean all is well. If suddenly targeted for an audit, you will likely have to reimburse the insurance carrier for monies paid unless all required documentation has been provided.
It sounds simple, but if it were, a large percent of chiropractic practices wouldn’t be getting it wrong!
There are several steps that can be taken to improve your documentation, coding, and compliance and not let your resolution remain unfulfilled.
According to the Centers of Medicare and Medicaid Services (CMS), there are ten principles to adhere to in the documentation of a medical record. Let’s take a look:
As the provider is not tasked with both treating the patient and documenting the encounter at the same time, services performed are often more accurately documented, which contributes to more proficient coding as well, minimizing risk.
Great news! Not a lot of changes to worry about this year, but an important few are highlighted in this Help Desk video by KMC. Check it out for what you need to know in order to be up to date with the new codes.
ICD-10 Coding Updates - this synopsis highlights a few revisions that may be relevant to chiropractic clinicians, coders, and billers.
