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Noridian Healthcare Solutions - Medicare B News

Friday, March 21, 2014   (0 Comments)
Posted by: Sheri Ryan
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Medicare Part B - Chiropractic Documentation Guidelines - This article from “Medicare B News,” Issue 265 dated October 13, 2010 is being updated and reprinted to ensure that the Noridian provider and supplier community has access to the most current, accurate and effective information available.  CMS has developed policies which specifically limit coverage to manual manipulation of the spine to correct a subluxation. The codes that accurately reflect this service are the CPT Codes 98940, 98941, and 98942. Documentation must clearly reflect the medical necessity for the service billed.

Medicare Part B - Chiropractic Software-Generated Documentation - This article from "Medicare B News," Issue 265 dated October 13, 2010, is being updated and reprinted to ensure that the Noridian provider and supplier community has access to recent publications that contain the most current, accurate, and effective information available.  Noridian has noticed an increase in the use of software-generated documentation for chiropractic services. On this subject, CMS states:
“Documentation should detail the specific elements of the chiropractic service for this particular patient on this day of service. It should be clear from the documentation why the service was necessary that day. Services supported by repetitive entries, lacking encounter specific information, will be denied.”

The above items were published in the Noridian Medicare B Jurisdicition F - October 2013 - Issue No. 289

Chiropractic Services - a wealth of information and resources available at your finger tips...  Check out the MLN DHHS CMS ICN 006953 October 2011 Fact Sheet on Misinformation on Chiropractic Services.

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