I hear stories of patients who have been under care for a year or two with the same diagnosis, no progress reports to the insurance company, no periodic updates, etc. Put yourself behind the desk of the insurance clerk. The patient has been going to a doctor for two years without anything happening. Most insurance companies will reject anything that smells like maintenance or preventive care. To avoid rejections, document your findings.
Periodic status reports showing changes and improvement.
These reports should include an updated diagnosis. These short status reports should be sent every month or two. 2. Immediate documentation of a new injury to a different area or re-injury to the same area of the spine. If you begin treatment for a different injury, this change necessitates an update report with details of the injury, new diagnosis, new treatment plan. If you have been treating the patient for a chronic low back condition and he injures his neck sliding into home plate playing softball, document this change.