What Data to Collect When Making a "New Patient" 99203 Evaluation
Thanks to Fred Deutsch, DC, DACRB of Deutsch Chiropractic, Watertown, SD for the use of this document!
Medical Shorthand I
AND
Medical Shorthand II
Thanks to Dr. Boileve for these 2 documents. These Adobe PDF files spell out accepted medical and chiropractic "shorthand" for files.
Documenting Physical Therapy – The Reviewer Perspective
This text book (available in our
Book Shelf Page) is a comprehensive overview of documentation for physical therapy, for the purpose of justifying treatment strategies and avoiding claim denials. Case studies illustrate acceptable and unacceptable documentation practices. It also provides suggestions to improve documentation
Best Practices in Clinical Chiropractic
This collection of articles (also available in our
Book Shelf Page) from five years of the journal Topics in Clinical Chiropractic. These articles cover topics such as record keeping, history taking, evaluating soft tissue pain, and deciding how much care is needed. Chapters are grouped in sections on primary care, optimizing practice, and special issues, with material on areas including boundary issues, headache management, and differentiating mechanical pain from visceral pain.