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Medicare will not pay for treatment unless it is “manual manipulation of the spine to correct a subluxation.” Therefore, you must document in your patient's physical examination, their initial chart notes, and subsequent chart notes that you are indeed treating a subluxation. 9 Jul 2018 New Medicare Chiropractic Documentation Guidelines Released. Medicare notes that the reason for the change is in response to two-years Note. This article was revised on June 18, 2018, to delete the word “always” from the line for Medicare beneficiaries and documentation requirements for the Based on these findings and trends, the ACA recommends certain basic requirements be considered as appropriate medical documentation in patient record 14 Feb 2017 Learn the documentation requirements for the initial patient visit for current medicare chiropractic patients and how your EHR system can (Note: with ICD-10 acceptable code is M99.0_ segmental and somatic dysfunction) 4 Jun 2016 NOTE: Should you have landed here as a result of a search engine (or other) link, be Initial Visit Documentation Requirements. Components. Dynamic Chiropractic – July 1, 2012, Vol. 30, Issue 14. Medicare PART Documentation Doesn't Satisfy Medical Necessity 15 in the Medicare Benefit Policy Manual.2 All of the documentation requirements are found in these two resources. Chiropractic Documentation Guidelines - Initial Visits vs. diagnosis; Notes must support these diagnosis codes for each level of spine adjusted and billed for Under Medicare program, Chiropractic maintenance therapy is not considered to You should complete a note for every patient, every visit. Under the policies developed by Medicare, coverage of Chiropractic services is specifically limited to 23 Mar 2016 Medicare has a very limited coverage benefit for chiropractic This article will explain when treatment is covered and how to properly document medical Note that the x-ray for subluxation of the spine is the only diagnostic