These forms MUST be used for your practice to be HIPAA Compliant. Don’t get caught in a HIPAA audit without providing these forms to your patients.
ICD-9 to ICD-10 GEMs Mapping Tool
This ICD-10 GEMs crosswalk reference contains the most frequently used ICD-9 codes in chiropractic practices. In an Excel format, it allows you to quickly and easily search for your favorite ICD-9 codes and match them with the new ICD-10 format.
Patient Payment Plan Worksheet
Use these tools to create a legal and compliant payment plan for your patients. This worksheet blends insurance, cash and wellness visits into a payment plan that can fit into every patient's budget.
Functional Capacities Evaluation & References
Use this form to document your Functional Capacities Evaluation. This battery of tests are safe, inexpensive, time efficient, reliable, and comparable to normative databases. Use it to set and track the progress of functional treatment goals.