Medical Necessity Chiropractic Treatment

Article - Billing and Coding: Chiropractic Services (A56273)

https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56273&Cntrctr=151&ContrVer=1&CntrctrSelected=151*1&DocType=Active|Future

Claims submitted for Chiropractic Manipulative Treatment (CMT) CPT codes 98940, 98941, or 98942, (found in Group 1 codes under CPT/HCPCS Codes) must contain an AT modifier or they will be considered not medically necessary. Utilization …

CMS Clarifies Medical Necessity Requirements

https://www.chirohealthusa.com/consultants/cms-clarifies-medical-necessity-requirements/

Under Medicare, covered services for chiropractic treatment is approved for treatment by means of manual manipulation of the spine to correct a subluxation. While this may seem simple, the care must also …

Proving chiropractic medical necessity for Medicare

https://www.chiroeco.com/proving-chiropractic-medical-necessity-for-medicare/

SHEET Chiropractic Services - Centers for Medicare …

https://downloads.cms.gov/medicare-coverage-database/lcd_attachments/31862_17/Chiropractic_FactSheet09.18.14.pdf

ongoing care, and chiropractic treatment becomes supportive rather than corrective in nature, treatment is then considered maintenance therapy.” - Maintenance therapy: Do …

Medical Necessity Requirements - Illinois Chiropractic Society

https://ilchiro.org/medical-necessity-requirements/

On December 23, 2015, the Centers for Medicare and Medicaid Services (CMS) released a new instructional video describing their policies and procedures for …

Article - Chiropractic Services – Medical Policy Article …

https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57889&Cntrctr=297&ContrVer=1&CntrctrSelected=297*1&DocType=Active

Chiropractic Services – Active Treatment: The patient must have a significant health problem in the form of a neuromusculoskeletal condition …

Documenting Chiropractic Medical Necessity | KMC …

https://kmcuniversity.com/documenting-chiropractic-medical-necessity/

Medical Necessity is only a concern in your chiropractic practice, when you are dealing with a third-party payer, like Medicare. A large differentiator between medically …

DOCUMENTATION @ CHIRO.ORG

https://chiro.org/documentation/

What is Medical Necessity? A Chiro.Org Editorial Medicare defines “medical necessity” as services or items reasonable and necessary for the diagnosis or treatment of …

Mastering Medical Necessity for Chiropractors (Part II)

https://strategicdc.com/mastering-medical-necessity-for-chiropractors-part-ii/

The buzz word “functional improvement” goes a long way in describing how we should approach our treatment and its medical necessity. Sometimes, this is quite simple. A …

Chiropractic Medical Necessity and Preauthorization – Made Easy

https://www.chirosecure.com/chiropractic-medical-necessity-and-preauthorization-made-easy/

Aetna considers chiropractic services, medically necessary, and notice when all of the following criteria are met. Number one, they must have a neuro …