Learn how to properly outline the medical necessity and results from modalities and procedures to meet the minimum necessary documentation for these ancillary services.
Documentation of services other than CMT within the initial and routine office visit notes is often lacking. Just because we documented and commented on the response to the adjustment, it doesn’t mean that we’ve properly outlined the medical necessity and results from modalities and procedures. State licensing boards and insurance carriers have outlined the minimum necessary documentation for these ancillary services. This lesson helps you as you update your minimum standards for documenting these elements of a visit.