Chiropractor
Spotlight
- Video: Improving the Documentation of Chiropractic Services
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. - View CMS Newsroom Center (Spotlights, news, media releases, outreach, mailing lists, etc.)
- CMS Quarterly Provider Updates (QPU)
LCD / NCD
LCDs
Search for chiropractor-related LCDs using these available tools:
- Interactive LCD index tool
- View First Coast’s active / proposed LCDs on CMS’ Medicare coverage database (MCD)
NCDs
Search for chiropractor-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.
- Video: Improving the Documentation of Chiropractic Services
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. - Medicare Documentation Job Aid for Doctors of Chiropractic
- Chiropractic services checklist
- Medicare Coverage for Chiropractic Services: Medical Record Documentation Requirements for Initial and Subsequent Visits -- MLN Matters SE1601
- Improving the Documentation of Chiropractic Services
Video on medical necessity and proper documentation
Audit and compliance
- CERT resources
- CERT Special Study: Chiropractic Services
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.
Chiropractor education
Utilize educational information from First Coast and CMS on related chiropractor information.
- Upcoming events
- Visit On-Demand Learning – access First Coast’s webcast recordings, videos, and tutorials.
CMS educational opportunities
- Search for CMS upcoming events
- CMS open door forums -- overview
- Educational Resources to Assist Chiropractors with Medicare Billing -- MLN Matters SE1603
- Chiropractic Services Billing
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 chiropractors:
- Publication 100-02 --Medicare Benefit Policy Manual -- Chapter 15
Covered Medical and Other Health Services - Publication 100-04 -- Medicare Claims Processing Manual -- Chapter 12
Physicians / Nonphysician Practitioners - Publication 100-01 -- Medicare General Information, Eligibility, and Entitlement Manual -- Chapter 5
Resources
View additional resources identified specifically for chiropractors.
- CMS resources
- Professional associations
- General resources
Claims Data
Inquiries and denials
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