Meeting the Functional Improvement Requirements

Maintaining and improving functional status is crucial for enhancing patients' quality of life, a concept many carriers have integrated into their medical necessity models. This course, led by Dr. Mario P Fucinari, DC, CPCO, CPPM, CIC, a member of the Medicare Carrier Advisory Committee and a certified compliance and practice management expert, delves into why functional improvement is essential and how to effectively utilize available tools to meet these requirements. Attendees will learn to achieve functional improvement goals while staying true to chiropractic principles.Key topics covered include Medicare's definition of 'Medical Necessity,' the role of function in insurance, outcome assessment, skilled therapeutic rehabilitation, proper use of functional orthotics, and therapeutic procedures. The course also provides a dedicated Q&A session, offering comprehensive insights into navigating the complexities of functional improvement documentation and patient care.

• •Define Medicare's concept of 'medical necessity' and understand how functional improvement integrates into carrier medical necessity models
• •Identify and apply appropriate functional assessment tools to document and measure patient progress toward functional improvement goals
• •Develop compliant documentation strategies that demonstrate functional improvement while maintaining alignment with chiropractic principles
• •Explain the role of skilled therapeutic rehabilitation in meeting payer requirements and supporting patient outcomes
• •Select and implement appropriate functional orthotics and therapeutic procedures based on evidence-based functional improvement protocols
• •Navigate insurance requirements and payer expectations for functional improvement claims with confidence and compliance