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

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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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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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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Treatment Plan Mastery

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)
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