Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 824
Infrastructure 194 I

From the Desk of Dr. Mark Studin
Academy of Chiropractic
Preamble: many of these issues are small, yet each issue is just that… an issue. If you take care of the small issues, then the larger issues often take care of themselves and you can focus on the larger issues… a larger, more profitable practice and more family time.

“Compliance Checklist”

Circa 6/26/2017

“The check cleared… I win!” Mark Studin 2017


This is a partial list to serve as a reminder
  1. Initial EVERY intake page the patient fills out
  2. Informed Consent: Ensure you use YOUR malpractice carrier’s form. Call them and ask for a copy, it is free. Without it, you stand the risk of not being covered for malpractice
  3. For every region treated, you MUST have a diagnosis, objective finding and a symptom
  4. Do your own review of systems. You are billing for your work, not the patients on the intake form
  5. Your E & M report should NOT be in SOAP note format
  6. Do NOT put treatment on your E & M (99202-99205) report. That comes AFTER the order has been documented
  7. Have an order for EVERYTHING you do with a clinical rationale why
  8. “Rule out” diagnosis are not allowable. You diagnose what your patient has today and update the diagnosis as clinically indicated
  9. Have a compliance review. If you already had one and request a 2nd one, there is a $350 fee… worth it… but not necessary if we already did one
HARD RULE: NEVER TALK TO A CARRIER SUGGESTING ANY LEVEL OF AUDIT. Either call me or your health care lawyer. 



Adjunct Associate 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
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