Posts tagged "Medical Necessity"

Routine office visits don’t require the same depth of documentation as an initial evaluation, but they do need the right details. In this HelpDesk episode, Dr. Erin Stubblefield breaks down the difference between an initial visit and a routine office visit through the lens of an “episode of care.” You’ll learn how to use SOAP notes effectively, what payers expect to see in your subjective and objective findings, and how to document functional progress without slowing down your workflow. Whether you're refining your documentation or training your team, this quick overview will help keep your notes compliant, efficient, and clinically meaningful.

In this KMC University HelpDesk episode, Dr. Erin Stubblefield explains the difference between medically necessary care and clinically appropriate care in chiropractic. Learn how to determine when treatment is billable under insurance and when it’s simply appropriate for patient well-being but not reimbursable. Dr. Erin breaks down the four components of medical necessity — patient complaint, objective findings, functional deficit, and plan of care — and clarifies how to document both compliant and non-billable care correctly. Avoid common billing errors, strengthen your documentation, and stay compliant while providing the best care possible.