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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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Documenting Chiropractic Patient Intake and History

Begin Your Chiropractic Patient’s Intake Journey with Their History

Taking a history on a chiropractic patient is a required component of the Evaluation and Management service (E/M) that will establish the episode of care, whether it is a new patient, new condition, or new episodes of care. A basic intake history is required for all of these cases.

Not All Histories Are Created Equally

Keep in mind, you may need specific information from your chiropractic patient, for example, when there is a motor vehicle accident or a workers’ compensation incident. Your first step is to establish your office procedure for how you gather all relevant information and how you review your chiropractic patient’s intake information.

There Are Many Right Ways

There is no right or wrong answer as to what should be included in the intake paperwork.  The gathering of clinical and demographic information is important for proper treatment and to ensure payment when billing a third-party payer. Evaluate your current intake paperwork, to make an informed decision about what questions are important for your chiropractic treatment philosophy and to your chiropractic practice.

Patient Flow Can Be Effected by Your Data Collecting Process

Consider that patient flow may be interrupted if you overload the patient with stacks of paper

to fill out immediately upon entering your office. Perhaps providing your intake paperwork on your website, or emailing it when the initial appointment is scheduled, would allow for the patient to be more thoughtful and complete with the information they provide when they’re doing so in the comfort of their home.

Search below for more information and support on documenting your chiropractic patient intake and history process in your chiropractic practice.

Join the KMC University Library to learn what you need include in your patient intake and history process in your chiropractic documentation, so that your chiropractic patients story makes sense to anyone who reviews your chiropractic documentation.

Intake Fundamentals

Doctor Interview and Consultation

Screening History for Marketing Purposes

Using OATs to Drive Functional Goals

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KMC University provides a valuable service for chiropractic providers. I purchased a library membership and a coach to guide me as I audited and made changes to clinic SOPs. This program is useful in ensuring compliance, training staff, and confirming the decisions I make for the practice. Even though the practice is operating smoothly, I rely on KMC University to keep me informed of updates and changes in the industry. I continue to be a KMC member and utilize an individual coaching session as the need arises. You will not go wrong with KMC University. From the help desk to Kathy Weidner herself, every individual I have encountered has been friendly, helpful, and provided value.

Jessica D.