Good documentation practice includes…
Is your documentation meeting the ‘Gold Standard’?
The Gold Standard of documentation is when another provider can read the notes, clearly identify the service, and perform the service based on what was documented.
Good documentation practice includes:
1.Maintaining accurate and complete medical records and documentation of services you provided.
2. Ensuring the claims submitted for payment are supported by the documentation (i.e., Your diagnosis matches the number of regions you manipulated).
3. Good documentation practice ensures your patient received appropriate care from you, and other providers who will use your records for patients past medical history.
For billing purposes, if you are billing a three region manipulation, three regions are documented and diagnosed.
If you are experiencing insurance claim denial, staff spending too much time trying to get claims paid, and patients asking why their claims have not been paid, H. J. Ross Company is your solution.
There is a reason chiropractors have trusted H.J. Ross Company with their business for over 40 years.