Utilization Review

Efficacy of chiropractic manipulation is supported for low back pain, neck pain and several other well defined conditions. In practice, however, chiropractors tend to offer longer sequences of manipulation than studies support, or they prescribe maintenance treatment. Only in low back pain is there goo evidence that maintenance improved outcomes. ODG does not generally support maintenance treatments. NYS neck guideline, on the other hand, says: '

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Clinical Pathology – Professional Billing Component – pro

The issue is largely legal but I advise that the prfessional component should be considered medically necessary if properly billed with teh modifier -26. The professional component of clinical pathology services by pathologists involves the use of medical judgment and constitutes the practice of medicine. Although there is no face-to-face interaction with a patient, these services include quality review and the administrative component of directing

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