This approach of one-size-fits-all will no longer work. Use a form of chiropractic treatment plan that includes specific functional objectives and measurements of treatment effectiveness.Obviously, the demographic information, policy numbers of any insurance carrier, and the contact details of the patient will be collected. In addition to the history of the current disease, make sure to gather information about their ability to perform “activities of daily living” so that you have a basis for demonstrating functional improvement-the basis for proving medical necessity. Oh, and keep yourself short. The patient should be able to complete the paperwork for admission within 10 minutes or less.You will want to carry out a thorough physical, orthopaedic, neurological and chiropractic examination after reviewing the chiropractic intake form with the patient during the consultation and the patient seems to be a good chiropractic candidate. On the appropriate examination form that complies with the 1997 CMS Evaluation and Management Documentation Guidelines for musculoskeletal specialists, you will record your findings. If you would like to learn more about this, please check out Palmercare Chiropractic Columbia.
Based on the current ICD-9 codes, you must provide your findings with a specific diagnosis code for each region you wish to treat. Use a type of chiropractic diagnosis that organises the most commonly used chiropractic codes by type of tissue. This will simplify your ability to associate the treatment plan of the patient with your diagnosis. Assign the codes that are correct! Mistakes can get you here with your board in hot water and reduce your reimbursement.
Simply put, on every visit, most chiropractors do not gather the correct information, or it is so repetitive as to indicate a lack of attention or accountability. They often start here when Medicare and insurance carriers look for a way to justify cutting your claims. And quite rightly so. The reporting requirements are resented by many chiropractors and their SOAP notes are glaringly incomplete and fail to suggest that progress is being made by the patient. Is it complete with your current SOAP note?