Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 999
Narratives 72N

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.

“Documentation: Payment Trend”

Mandatory Macro

 “The rules are easy to follow” Mark Studin 2018


When looking at national trends, I get to see what carriers are doing and stay ahead of their bullcrap reasons for denials. The newest trend in late 2018 and 2019 for denials are surrounding causality. The carriers are stating that the visits after the E&M visit are not causally related to the accident although, in your E&M report, you clearly stated the reason for future encounters.


Therefore in EVERY SUBSEQUENT SOAP note, you need to add the following macro:

“The reason for this visit is for injuries sustained as a result of the motor vehicle accident dated xx/xx/xxxx as described in the initial evaluation.”


Your current EHR should handle this and if you are still on paper (you poor bastard), add this is a checkbox and fill in the date every time.





Adjunct Associate Professor of Chiropractic, University of Bridgeport, College of Chiropractic

Adjunct Post Graduate Faculty, Cleveland University-Kansas City, College of Chiropractic

Adjunct Professor, Division of Clinical Sciences, Texas Chiropractic College

Graduate Medical 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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