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Little Documentation Mistakes That Add Up to Big Problems

With auditors examining our every move, many chiropractors are growing increasingly concerned about the state of their documentation.  Here’s the really bad news: as a Certified Professional Auditor and Professional Coder myself, I have reviewed countless chiropractic records and many DCs have good reason to worry.  Here’s the good news: this article will teach you how to avoid surprisingly common and easily overlooked mistakes in your documentation that generally spell big trouble during an audit.

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Documentation

baddocumentationIf you had to do a critical assessment of your daily chart notes, how would you rate them?  Do you record all the necessary components that would aid someone in understanding your patient’s case?  Would you be proud to share your notes with another professional such as a physician, lawyer, or associate?  If the answer to the above questions is “NO” you are not alone.

Since 2000, the CERT and more recently the OIG report have revealed what we already know about chiropractic documentation; it is abysmal.  We were especially weak in recording evaluations, treatment plans, treatment goals, and supporting the necessity for care. 

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ChiroTouch Receives ‘Top 100 Chiropractic Products of the Year’ Award

Sunday, February 21st, 2010

FOR IMMEDIATE RELEASE

Contact: Robert Moberg
ChiroTouch
3636 Camino Del Rio North
Suite 220
San Diego, CA 92108
Phone: 619-528-0040

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San Diego, CA – March 1, 2010 – ChiroTouch™, the world’s leader in practice management software solutions for chiropractors, is pleased to announce that it has been selected as one of the top chiropractic products in the industry by the readers of DC Products Review.

“We were very excited and pleased when we were informed of the honor,” said Robert Moberg, President of ChiroTouch.

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Dr. Jason Morrison

Gold Chiropractic
San Diego, CA
02-19-2010

Dr. Morrison found that bringing ChiroTouch into his office was the best move that he has made in his seven years of practice.

ChiroTouch Chiropratic Software streamlines the self check-in and self check out process with his  patients. With the wide array of reports that ChiroTouch offers, Dr. Morrison focuses on three to four reports daily  to help keep track of important statistics. He monitors where patients are at in their treatment, generates reports for inactive patients, and creates patient mailers. With his personal injury cases, lawyers are in love with the day to day note-taking process, how ChiroTouch generates the note, how thoroughly each note is written, and that the daily notes are such high quality.

"Overall I think ChiroTouch is an amazing product. I would not recommend anything else."

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Barbara Lysaught – CA

Gold Chiropractic
San Diego, CA
02-19-2010

After six years of having a paper office all the way, when they first got ChiroTouch three years ago Barbara  was a little hesitant to jump right in, initially only using the scheduling portion over a couple of months. When Barbara saw how easy it made her life, she was quite willing to learn all the aspects of the program.
“It’s ideal in an office, it’s very user friendly for the front desk; you can look at a patient’s ledger, future appointments, and print things out for them. I’m very pleased with the product. It’s an all-inclusive program that works so well in a chiropractic office.”

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Dr. Dawn Keith-Madeiros

Bayshore Chiropractic
Oak Harbor, WA
02-17-2010

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I LOVE CHIROTOUCH. We have been live for 2 weeks. They were amazing with sales, service... More

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Wayne Ross – CA, CT Reminders

Evergreen Chiropractic Center
Seattle, WA
02-16-2010

Please join Wayne Ross, a CA at Evergreen Chiropractic as he demonstrates one of the many features of the ChiroTouch practice management software. Wayne shows how easy it is to set up and use the CTReminders service to remind patients of their appointments via e-mail or text message.

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Dr. Shawn Robek

Robek Chiropractic & Sports Rehabilitation Center
San Diego, CA
02-15-2010

Dr. Shawn Robek has found that ChiroTouch has made his life a lot easier.
“As far as the doctor’s side of it, it is extremely efficient, especially chart noting. Chart noting used to be hell for me, I used to hate it, and now it’s as simple as using a couple clicks.
The communication system between office staff and associates is a very efficient way to do things. Getting information to attorneys or adjusters is very simple, everything is electronic, everything flows, and everyone is communicating together. I cannot even remember what it was like using the old software system.”

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