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Chiropractic Doctor


Documentation 182
The 5 Documentation Mistakes You're Probably Making

1.0

  • Differentiate and document for the difference between medical necessity and clinical appropriateness
  • Execute a complete and compliant treatment plan that includes all required elements
  • Properly record the elements necessary to justify the full-spine adjustment
  • Command the mechanics of properly documenting clinical rationale for ordered diagnostics and treatment
  • Ensure the inclusion of diagnostic assessment and doctor’s rationale in routine daily visit notes

Kathy Mills Chang, MCS-P, CCPC

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