The Goal of a Masterful Treatment Plan is Restoration of Your Patient to Full Functional Status or Pre-presenting Condition
This goal must be clearly identified in your documentation in order to adhere to Medicare’s very specific guidelines. Utilizing Medicare standards in all documentation, because they are the most stringent, delivers a uniformity of care and documentation beneficial to your patients and your practice and includes a complete treatment plan as part of the initial Evaluation and Management (E/M) documentation.
Chiropractic Documentation Requires These Components for a Masterful Treatment Plan
The treatment plan mastery begins with the doctor’s decision for treatment as a result of the evaluation and is documented from the beginning of the presenting episode and updated at re-evaluations or in light of a new presenting condition.
Medicare Treatment Plan Requirements Include:
- A Record of the Plan’s Start Date
- Documentation of Recommended Levels of Care (Duration and Frequency of Visits)
- A Record of Specific and Functional Goals
- Documentation of Evaluation of Treatment Effectiveness (OATS – Outcome Assessment Tools is Recommended)
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.