participating, non-participating, registering, all of that I think that's really important that our doctors understand that difference. Thank you for making that point as clear as you did. Yeah, I would dovetail on to that also if you're a cash office, your state board and licensure and really just community standards require that that patient is still going to have the same level of documentation that any other patient would have. Why are they not entitled to have the same type of level of care and reporting of that care because remember, you can do all types of care, but it's not documented in that way regardless of what you said you did, it's what's in the note. I would say to most docs, following a pretty simple protocol of Medicare and if you use that for all insurances, I will guarantee you will never have a problem having your documentation missing any elements and it just becomes the standard. Once you get used to it, it's as simple as doing just shoddy documentation because you're still document things, might as well make sure it's the right thing. Well, let's just continue on. Let's go with the pain assessment, so we did when the pain assessment is positive, when the pain assessment is negative or the patient refuses or let's say, “Oops you know what, we can have the follow-up because this patient is got something emergent.” Here’s another example of again what if you just go, “You know what, I forgot.” Let's face it, it's going to happen. That's why it's called the chiropractic practice and not a perfect, sometimes things like this may happen. You’ll go, “Oh my goodness, today we forgot to ask the patient the pain,” not a big deal if you forgot to ask the patient pain, on that day, you would just report with the code G8732. That code just simply tells Medicare, ”You know what, I forgot, no big deal.” Okay, so again a non- issue there. There is one other final one that you can report that you're going to say, “The pain assessment was positive, but we forgot to write the treatment plan.” Again that's probably not typical, but again it's giving you all these options. Notice what Medicare has done, they've tried to make every possible scenario a way to report. Now for most of us, it's 8730 and 31, either we did or didn't do it, but again it gives you all these options. Again look at this one, pain assessment documented as positive, follow-up plan not document, now this where I think thing get confusing because you might say, “Oh my God, there're so many codes, let's keep it simple.” If there's pain, G8730; no pain, G8731 and if you forgot G8442 let's say. Then that's it. Now, let's move to functional scale. Now what is the functional scale? This gets a little bit more complicated, but not really. It's just this one does require a form. Any of the types of forms you're used to are good. Notice here it says functional outcome assessments are designed to measure a patient's physical limitations and deficiencies. When you mention Stu about a patient coming in that says, “Well, hey, I have no pain,” but then you have them flex forward and they can only flex 20 degrees, “Well, maybe have no pain, but that's certainly deficient.” This is what this will help us Stu, to show those deficiencies. Okay, where do you want to go from there?
Dr. Sam:
Dr. Stu:
Dr. Sam:
Made with FlippingBook - professional solution for displaying marketing and sales documents online