Academy of Chiropractic

Quickie Consult 1336

Narratives 112 N

From the Desk of Dr. Mark Studin

Academy of Chiropractic

Preamble: Many of the issues I bring to you are very small, yet each issue is just that, an issue. If you take care of the small issues, then you will be able to build and more importantly, focus on the bigger issues...a larger practice and more family time. -Mark Studin 2006

“Reporting Negative Clinical Findings”



“Feel with words” Mark Studin 2021
When reporting clinical findings, the question arises "Do I need to report negative tests (i.e. - Kemps,- Foraminal Compression). The answer is yes, and no.

All E & M reporting: YES
4-Corners Narrative Reporting: No

In an E&M report, you get paid for elements performed, which have requirements for work done, and reported. It is also here that you have to list the complete condition of the patient.

In a 4-Corners narrative report, you are reporting to the courts the pertinent bodily injuries that have persisted AFTER a reasonable course of care has concluded. I would also add in the examination section; "these are all the positive findings on the examination dated xx/xx/xxxx." This takes the question away from the defense that you only choose to "cherry pick" findings. ​​​​

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