Documentation of Chiropractic Services
This is a recording of a live event held on 9/15/25. Accurate and thorough documentation is key to complying with Medicare regulations, demonstrating medical necessity, reducing claim denials, and securing appropriate reimbursement for chiropractic care. During this event, we: - Provided a brief overview of chiropractic care - Explored coverage criteria for chiropractic services - Discussed documentation requirements for chiropractic services -Provided helpful tips to support proper documentation of chiropractic services Resources: Local Coverage Article (LCA) A56273 Billing and Coding: Chiropractic Services https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56273&ver=26&keyword=Chiropractic+Services&keywordType=starts&areaId=all&docType=NCA%2CCAL%2CNCD%2CMEDCAC%2CTA%2CMCD%2C6%2C3%2C5%2C1%2CF%2CP&contractOption=name&contractorName=8&sortBy=relevance&bc=1 MLN Matters® Number SE1601 Medicare Coverage for Chiropractic Services – Medical Record Documentation Requirements for Initial and Subsequent Visits https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/SE1601.pdf MLN Matters® Number: SE1602 Use of the AT modifier for Chiropractic Billing https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1602.pdf MLN Matters® Number: SE1603 Educational Resources to Assist Chiropractors with Medicare Billing https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1602.pdf MLN1232664 Medicare Documentation Checklist for Chiropractic Doctors https://www.cms.gov/files/document/mln1232664-medicare-documentation-checklist-chiropractic-doctors.pdf MLN4824456 Medicare Provider Compliance Tips https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/medicare-provider-compliance-tips/medicare-provider-compliance-tips.html Chapters: 00:00 Introduction 03:01 Objective and Agenda 03:56 Overview of Chiropractic Care 06:19 Coverage Criteria 11:13 Elements of Chiropractic Documentation 22:09 Claims Documentation 25:47 AT Modifier 28:51 Documentation Tips 31:37 Resources 33:17 Questions and Answers 35:51 Closing Remarks
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