Set the Baseline

There is a baseline to the patient encounter and the physical examination. There are parameters that you must follow from a coding perspective in order to bill at certain levels and these levels correspond to the complexity of the patient’s case. There are certain levels of physical examination that are appropriate for different types of patients. For instance, if someone comes in after a motor vehicle accident with multiple complaints and you examine them with the entire examination and interview taking an hour, it is NOT appropriate to write a wellness visit note. How do you think that you are perceived? It looks like you cut corners and didn’t do what was appropriate for that patient. That has been chiropractic’s problem for a long time. What we do in our offices and what we are reporting are different.

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