Yes… I am going to pay dearly for all of these comments…
BUT… Now that the audits have started “en masse,” the calls are coming in and I am auditing lots of charts. Then comes the confession… AFTER THE FACT… That re-evaluations were not done timely. In some cases, not at all and what should they do?
Henceforth…The Jesus moment. It involves rosary beads and genuflecting. I even have nice Jewish boys in church following that advice because in times of need appealing to all sides seems the best thing to do. The hope is that you have also followed my advice and have a robust SOAP note to help cover you.
The rule is both so simple and Non-Negotiable… Re-evaluate your patients under active care every 30 days. If you stretch it to 45 days on some occasions, you will be OK. Some state regulations in workers compensation or No-Fault states mandate no more than 45 days. Medicare says the patient shall be evaluated every 30 days.
If this seems too difficult… IDNGARA
Mark Studin DC, FASBE(C), DAAPM, DAAMLP
Adjunct Assistant Professor of Chiropractic, University of Bridgeport, College of Chiropractic
Adjunct Professor, Division of Clinical Sciences, Texas Chiropractic College
Educational Presenter, Accreditation Council for Continuing Medical Education Joint Partnership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences
Academy of Chiropractic
US Chiropractic Directory