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The Power of Functional Assessments

Chiropractor Adjusting PatientAs doctors of chiropractic we are becoming ever more aware of the increasing demand from third parties to objectify and document our patient’s status in order to justify care.  We understand that these agencies are interested in us demonstrating that progress is being made and that the visits we are requesting are absolutely necessary. While we don’t want to overcharge or overextend our services, we also don’t want to under treat or improperly manage our patient’s care either.

From our training we realize that pain and provocative tests related to inflammation caused by a trauma will normally subside during the first 2 weeks of care and what remains after the acute stage of injury are functional losses due to immobilization, tissue damage and disuse that need to be rehabilitated in order to improve performance.

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The Art of Coding and Billing

As much as coding and billing is an art; it can also be a science. One insurance company wants a certain CPT code with one modifier, another wants no modifier at all, and yet another insurer wants a totally different modifier for that same code. That is one of the unpleasant aspects of coding and billing which makes it an art; among many other egregious insurance company practices that keep us all guessing as to what they really want.

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