Daily Visit Notes Reflect Initial Findings, Services Provided, and Treatment Plan
Daily visit notes should reflect initial findings, services provided, and treatment plan including recommendations for services including Chiropractic Manipulative Treatment (CMT), therapies, procedures and modalities.
Properly Documenting Chiropractic Office Visits for Insurance Providers
Each service rendered during the office visit must be documented appropriately to prevent third-party payer’s denial of services because of a lack of information that proves medical necessity. Keep in mind, progress in resolving the functional deficit shows the chiropractic patient’s progress and is required to tell the story of the medical necessity in the routine office visit.
The workshop helped us to be better prepared for submitting claims that will not be rejected. Showed us how to find medical review policies and where we could find Medicare resources that tell us exactly how to code a procedure and document.