Academy of Chiropractic Personal Injury & Primary Spine Care Program
Quickie Consult 90 I
"Get Paid with SOAP Notes"
Macro Sample for SOAP Notes
The following is a sample of a macro to be included in your SOAP notes. This is the format and type of language that is being used as "evidence-based" for treatment that has realized reimbursement for complete treatment plans because the evidence (peer-reviewed research) dictates both the necessity and acceptance in the healthcare community.
CHIROPRACTIC FOR TENSION/ MIGRAINE/ CERVICOGENIC HEADACHES [Headaches]
Headache in adults is a complex clinical issue that generally needs to be managed. The results of this paper showed the following: "For migraine, spinal manipulation and multimodal multidisciplinary interventions including massage are recommended for management of patients with episodic or chronic migraine" (p. 274).
"Low-load craniocervical mobilization may be beneficial for longer term management of patients with episodic or chronic tension-type headaches" (p. 274).
"For cervicogenic headache, spinal manipulation is recommended" (p. 274). The evidence continues to validate chiropractic management of common conditions that can be recurrent and disabling at times. A trial of chiropractic care after accurate diagnosis of headache etiology is ethically and scientifically warranted based on the evidence provided in clinical trials.
Bryans, R., Descarreaux, M., Duranleau, M., Marcoux, H., Potter, B., Ruegg, R.,...White, E. (2011). Evidence-based guidelines for the chiropractic treatment of adults with headache. Journal of Manipulative and Physiological Therapeutics, 34(5), 274-289.
This is a sampling of one reference and the reason for care being prolonged because the evidence is there. Remember, there is a reason why some doctors get paid more while the rest blame everyone else and struggle to pay their bills.
I am giving you one of the prime reasons to get paid for your clinically indicated care.
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