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Medicare document

Terms in this set (11)

3 components for Medicaid
1. Presence of a subluxation that causes a significant neuromusculoskeletal condition

2. Documentation of the subluxation

3. Documentation of the initial and subsequent visits
A subluxation maybe documented in 2 ways:
X-ray

Physical examination
Medicare will not pay for treatment unless it is:
"manual manipulation of the spine to correct a subluxation"
HCFA requires that how many of the 4 components of PART must be documented:

And at least one of those must be:
2

A or R
The PART System stands for:
P= pain and tenderness
A=asymmetry/misalignment
R=Range of motion abnormality
T=tissue/tone changes
Pain and/or tenderness is identified by one or more of the following:
observation
Palpation, percussion, provocation
Visual pain scale
Audio pain scale
Pain questionnaire
Asymmetry/misalignment identified by one or more of the following:
Observation
Static and dynamic Palpation
X-ray
Range of Motion abnormality identified by one of more of the following:
Observation
Motion palpation
X-ray
Tissue/tone changes identified by one or more of the following:
Observation
Palpation
Initial Visit Requirements:
History of patient
Evaluation through physical examination
Diagnosis
Treatment plan
Date of initial treatment
Subsequent visit requirements:
Review of history
Physical exam
Documentation of treatment given first day
Any changes to treatment plan
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