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Chiropractic Services

News
Modified: 4/19/2024
CMS developed an educational and training program public broadcast to help chiropractors properly document and help reduce the improper payment rate for chiropractic services, as many of the errors were attributed to insufficient documentation. This broadcast is on the CMS YouTube channel.
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list item View CMS Newsroom Center external link (Spotlights, news, media releases, outreach, mailing lists, etc.)
LCD / (NCD
LCDs -- Search for chiropractic services -related LCDs using these available tools:
NCDs -- Search for chiropractic services -related NCDs using these available tools:
Medical documentation
Medical record documentation is used to verify that services were billed correctly and to ensure that payment and processing of Medicare claim(s) are accurate and based on sound policy. Find information, tips, and resources regarding medical documentation.
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list item Video: Improving the Documentation of Chiropractic Services external link CMS developed an educational and training program public broadcast to help chiropractors properly document and help reduce the improper payment rate for chiropractic services, as many of the errors were attributed to insufficient documentation. This broadcast is on the CMS YouTube channel.
list item Improving the Documentation of Chiropractic Services external link -- Video on medical necessity and proper documentation
Audit and compliance
list item CERT resources
list item CERT Special Study: Chiropractic Services external link -- CERT produced a special study in the April 2013 Medicare Quarterly Provider Compliance Newsletter providing guidance on addressing insufficient documentation errors and how to avoid these problems.
Chiropractic services education
Utilize educational information from First Coast and CMS on related chiropractic services information.
list item Visit On-Demand Learning – access First Coast’s webcast recordings, videos, and tutorials.
CMS educational opportunities
list item Search for CMS upcoming events external link
list item CMS open door forums -- overview external link
CMS Internet-only manual (IOM)
The CMS IOMs contain day-to-day operating instructions, policies, and procedures based on statutes, regulations, guidelines, models, and directives. The following CMS manuals contain information specific to chiropractic service providers:
list item Publication 100-02 --Medicare Benefit Policy Manual -- Chapter 15 external pdf file -- Covered Medical and Other Health Services
Resources
View additional resources identified specifically for chiropractic services.
CMS resources
Professional associations
General resources
Claims Data
Inquiries and denials
list item Resources/tips to avoid or correct reason code PR 170
list item Resources/tips to avoid or correct reason code CO 16
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First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.
Part B