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Chiropractic documentation gap analysis

Recognize what’s missing to master your reimbursement and collections!

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.

Take The Billing GAP Analysis
Telemedicine

Need more guided help? Work with a KMC coach 1-on-1

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

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Dr Alan Sokoloff 1

New Course Available!

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!

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OIG

There's no need to fear the OIG. We've got your back!

The most effective chiropractic OIG compliance programs are scaled according to the size of the practice!

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KMC University on Therapy and Active Care

Active care is the new normal

Remember when rehab was considered a specialty area within chiropractic? No longer. What used to be the norm in our profession, the passive-care model, is simply, well, too passive. Both patients and third-party payers want active care as part of a treatment plan, and they expect integrated rehab methods, faster recovery, and improved physical function as outcomes. Chiropractic active care is here to stay—and for the creative and competitive DC, it’s an opportunity to boost the bottom line.

Integrate active care protocols into your practiceInterestingly, insurance companies actually favor active care because it gets patients better faster, and they retain their progress longer – a goal that dovetails nicely with what DCs want for their patients. For third parties, justification for care and proper documentation are essential, but “restoration of function” is the operative phrase in most insurance medical review policies, and one with which patients can identify.

Compliant protocols

Compliance begins with structuring patient care to include chiropractic active care/rehab protocols in combination with appropriate documentation, coding, and billing, evidence of progress under care, proof of medical necessity, and outcomes assessments. There’s no need for a full gym in the office. Simple, low-tech active care rehab, coupled with at-home exercises, works just as well, and is much more cost-effective.

Using short-term and long-term goals as guides will help you document how the patient is progressing functionally. For example, a patient might have a short-term goal of being able to pick up her toddler, with a long-term goal of being able to carry her toddler around the house. Daily notes are much easier to write and your documentation is much more robust when it’s functionally based. You now have a clear beginning, middle, and end to the treatment. Response to active treatment supports your assertion that the patient is improving in function.

Change is worth the effort

We know change isn’t always easy. But we encourage DCs to focus on the benefits of rehab, or risk being left behind. If you don’t embrace these methods, it will become increasingly difficult to do business or even to recruit patients who are now looking for better, more well-rounded care. Not to mention how difficult it could be to continue to demonstrate a return to function that your patients’ third-party payers demand.

The transition is smoother if you determine exactly where you’re going ahead of time—and the direction in chiropractic towards a more active care-based model seems clear. KMC University offers multiple resources to help you integrate active care protocols with solutions for issues related to compliance and reimbursement.

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Kathy has always been a great resource. Would recommend KMC University very highly!

Richard Buchanan