Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 62

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.




This is a very common abbreviation between me and my former partner. We used it every day in our dialogue. If you were to enter our office and we started to spout IDNGARA on an hourly basis and your salary depended upon it, what would you do? You would ask us. If we weren't there and you couldn't ask, the likelihood is that you would fail at that task and not get paid. The same applies to your notes and the payer of that claim.


NEVER, EVER, EVER abbreviate without a key on the notes. Medicare has very specific rules about abbreviating. They say if it is a common abbreviation, you may use it. I say, NEVER do so. You might have a claim reviewer being that one person that does not know what it means and will either deny your claim or order a retrospective review. On your SOAP note template or your evaluation form, have a key printed. I would be wary of sending a key as an additional page, as it might get detached and lost.


I know this sounds ridiculous, but crazy times require ridiculous steps to ensure compliance and to get paid timely. This is one of those non-negotiable rules I have. I have seen too many audits being ordered in chiropractic with illegible forms cited or undecipherable abbreviations.



I do not give a rat’s ass

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