colorado chiropractic society

Colorado Chiropractic Society is a 501(c)(6) nonprofit organization and is located at:

7700 East Academy Boulevard, Unit 703, Denver, Colorado 80230

CMS Unveils Chiropractic Documentation Education and Training Tool:

ACA Urges All DCs to Review

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), enacted on April 16, 2015, includes provisions related to chiropractic services. Specifically, Section 514 of MACRA, titled "Oversight of Medicare Coverage of Manual Manipulation of the Spine to Correct Subluxation," requires the development of educational and training programs to improve a doctor of chiropractic's ability to document services and increase compliance with Medicare's policies. The first phase of the educational and training programs was required to be made publicly available by Jan. 1, 2016. To that end, the Provider Compliance Group (PCG) at the Centers for Medicare and Medicaid Services (CMS) developed an educational and training program in the form of a public video, titled "Improving the Documentation of Chiropractic Services."

This video is intended to not only further educate doctors of chiropractic on documentation requirements, but also help to reduce the improper payment rate for chiropractic services, which have the highest rate of improper payments for Medicare Part B services. In 2014, the improper payment rate for chiropractic services was 54 percent, and many of the errors were attributed to insufficient documentation. The focus of this video is to help doctors of chiropractic properly document their services.

The ACA strongly encourages the entire profession to review the "Improving the Documentation of Chiropractic Services" video. In addition, ACA is continuing our Medicare outreach and education initiatives provided in conjunction with multiple state associations as well as our collaborative dialogue with each Medicare Administrative Contractor (MAC). As a result, supplementary materials will be available in the near future to enhance the profession's educational benefit and assist in meeting the legislative goals of reducing the profession's claims error rate, increasing compliance with Medicare regulations and improving claims documentation skills across the entire profession. For more information, please visit

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