b'CODING Update ComplianceLEGAL NUTRITIONUpdateANJC NewsANJC Leadership ANJC News! NUTRITION LEGAL EASEANJC Scholarships REHAB Update CHIRO AssistExecutive Directors Update LEGAL Q&A2020 ANJC AWARDSINSURANCE Update INSURANCE Update Legislative UpdateTECHNIQUE UpdateMedicareQ&AMedicare Update Documenting OUR HEALTHthe Subluxation forBy Dr. Richard C. HealyMedicare(Series 2 of 3)ANJC Medicare ConsultantInitial Evaluationn HistoryDate of initial treatmentDescription of current illnessSymptoms directly related to level of subluxation causing patient to seek treatmentFamily history, if relevant (recommended)Past health history (recommended)Mechanism of trauma (recommended)Quality and character of symptoms or problem (recommended)Onset, duration, intensity, frequency, location, and radiation of symptoms(recommended)Aggravating or relieving factors (recommended)Prior interventions, treatments, medication, and secondary complaints(recommended)n Contraindications (for example, risk of injury to patient from dynamic thrust or discussion of risk with patient) (recommended)n Physical examination (P.A.R.T.)Evaluation of musculoskeletal and nervous system through physical examinationn Documentation of presence or absence of subluxation for every visitn Treatment given on day of visit (if applicable)Include specific areas and levels of the spine where manipulation was performedMedicare may cover treatment performed using hand-held devices, however,Medicare does not offer additional payment or recognize an extra charge for useof the deviceTreatment Plann Frequency and duration of visits (recommended)n Specific treatment goals (recommended)n Objective measures to evaluate treatment effectiveness (recommended)Source: CMS Medicare Learning News: Medicare Documentation Job Aid for Doctors of Chiropracticwww.njchiropractors.com I 15'