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Don't miss the April 2023 edition!

We know you count on us to keep you up to date with the most important information in the profession. We have compiled updates, blogs, and news for you into this convenient digital publication.

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New Course! | Fraud, Waste, and Abuse

Each year, billions of dollars are spent improperly because of Fraud, Waste, and Abuse. It affects everyone—including Chiropractic providers and teams.

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PART Documentation

Medicare’s Guidance for the PART Process of Identifying a Subluxation

Document in a manner that gets you reimbursed by third-party payers who want to see objectively measurable data. That’s where PART comes in:

P= Pain or Tenderness: Pain elicited during the course of the examination, described in terms of location, quality, and intensity

  • Observed facial expressions of pain/discomfort
  • Antalgic postures and movements
  • Grooming deficiencies that could be due to pain limitations
  • Mood
  • Overt pain behaviors
  • Pain scales
  • Pain diagrams and drawings
  • Functional questionnaires (outcomes assessments)
  • Pain resulting from static palpation
  • Pain resulting from motion palpation
  • Pain reported duration regional and/or segmental ROM
  • Pain reported during physical, orthopedic, neurological and/or chiropractic examination procedures

A= Asymmetry or Misalignment: Asymmetry or misalignment may be described at the regional or segmental level

  • Observable regional asymmetry (posture/scoliosis screening)
  • Observed local asymmetry (static palpation)
  • Antalgic posture
  • Gait abnormalities
  • Functional or anatomical leg length discrepancies
  • Muscle atrophy and asymmetry

R= Range of motion abnormality: Abnormal range of motion, either hypermobility or hypomobility, may be described at the segmental or regional level; instruments that quantify range of motion or estimates are allowable

  • Active ROM
  • Passive ROM
  • Resisted ROM
  • Segmental motion palpation
  • Joint fixation (hypomobility)
  • Joint laxity (hypermobility)
  • Joint crepitus
  • ROM measuring devices

T= Tissue tone changes: Describe changes in the tone of the soft tissue such as muscles, tendons, fascia, skin, and ligaments.

  • Observable hypertonicity, spasm, hypotonicity, and atrophy
  • Fasciculations
  • Edema
  • Bruising, discoloration
  • Heat
  • Muscle-tendon crepitus
  • Muscle weakness
  • Heat measuring instruments

Learn more with our specialized training to improve your Medicare documentation immediately.

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...Kathy is the real deal!!! She's so committed to helping us through the labyrinth!!!!! I love her very clear and precise communication style. She keeps you on your toes without making you feel bad. I feel like she understands both sides of the game: what we are going through in our offices and what's happening in the payer's playing field. This is a very valuable coach!!!!

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