nd.gov - The Official Portal for North Dakota State Government
North Dakota: Legendary. Follow the trail of legends
Workforce Safety & Insurance Logo Top of the page place holder

   
Contact Us       About Us       News       Careers       Calendar       Free e-Newsletter       RFI/RFP       Links       Site Map      
spacer image
gray hexagon imagespacer imageForms/Library 
red hexagon imagespacer imageEmployers 
orange hexagon imagespacer imageWorkers 
yellow hexagon imagespacer imageMedical Providers green hexagon imagespacer imageSafety & Loss Control 
purple hexagon imagespacer imageOnline Services 
tan hexagon imagespacer imageFraud Awareness 
spacer imageHOME 


Good Morning
3:03:32 AM CDT
Friday, April 18, 2014

spacer image
Medical Providers Section Header Medical Providers Logo

Chiropractic Services

Topics Palliative Care Requirements Forms & Publications Provider Request for Adjustment (M6) form
General Information Documentation Requirements First Report of Injury (FROI) Form Chiropractic Progress/Final Report (C25)
Chiropractic Treatment Window Subsequent Treatment Capability Assessment form (C3) Utilization Review Chiropractic Request (UR-Chiro)
Authorization Process   Medical Services Dispute Resolution Request (M2) Quick Tips for Chiropractors

Documentation requirements

Documentation should provide detailed information on treatment being provided and is required to be typed. Documentation should always include:

  • Reason for patient being seen
  • Subjective findings
  • Objective findings
  • Assessment of the problem, including the diagnosis
  • Body part or area where treatment is being provided (i.e Thoracic)
  • If billing time-based code, must include the time being spent for treatment
  • Any restrictions should be clearly outlined
  • Follow-up plan identified

spacer image

Back to Top 

Employers | Workers | Medical Providers | Safety | Online Services | Fraud Awareness | Forms/Library 
Home | Contact Us | About Us | News | Careers | Calendar | Free e-Newsletter | Links | Site Map

2013 Workforce Safety & Insurance | comments: wsiwebmaster@nd.gov
 

Section 508 Accessibility Link    CSS Validation Link