Chiropractic billing and coding, products, helps, tools, advice.
Chiropractic Coding, Billing, and Reimbursement

Chiropractic Coding, Certification, and Office Solutions
Chiropractic coding and billing, insturance, reimbursement, products, helps, tools, advice.
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Featured Product

2013 ChiroCode DeskBook



Price: $129
Member Price: $109

Save time with simple, fast code searching.  Eliminate coding frustrations by getting the timely answers you need.  Avoid denials and lost payments with current, up-to-date information. 
Improve your office's bottom line.  Enhance your skills as a coder.

The support you deserve!

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Personal Injury Files/Forms CD

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Personal Injury Files/Forms CD
Price: $199.00

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Highlights:


  Description  
The Personal Injury Files/Forms CD contains over 160 PDF and document files, including forms, letters, worksheets, examination forms, logs, report examples, and more. These files are designed for fast modification in your office. Quickly add your practice logo and address, and easily alter the forms to fit your needs.

No longer do you need to have a physical Master Forms File/Notebooks or a drawer full of forms. All PI forms on the computer will have your practice information and print clean, looking great. In personal injury work, physicians must look good on paper. The Personal Injury Files/Form CD contains 167 documents. There are 63 updated documents including logos, the heavily requested PI new patient intake form (significantly reduces doctor PI history taking time while obtaining all the necessary information), the popular eight page history form, fee slips, new logs, initial and final report examples, holiday office closed signs with clip art. There are legal forms used to lien the AT FAULT CARRIER for outstanding patient balances. Doctor and staff responses to our PI Files/Forms product is overwhelmingly positive.


Partial Contents:

Disability Forms
  • AMA Impairment Pain Eval T 18-4
  • Cornell Men’s / Cornell Women’s
  • General Disability Questionnaire
  • General Pain Disability Index
  • Impact of Events Scales
  • Neck Disability Index / Questionnaire Scoring
  • plus 2 more
Examination Forms
  • Cervical RoM – Grip/Pinch Strength Worksheet
  • Examination Form 8 pages
  • Grip Strength Loss Formula
  • Hoppenfeld 5 Cs Test Principles
  • RE-exam protocol
  • Traumatic Brain Injuries Sx List
  • plus 3 more
General Forms & Information
  • Abbreviations Key
  • Fibromyalgia Summary Sheet
  • Job Evaluation Form
  • Super Bill
  • X-ray Prescription Form
  • Pain Assessment Tools/Pics/Languages
  • VAS Multi Faceted Symptom Evaluation
  • plus 2 more
Initial Paperwork
  • Application for Treatment
  • Assignment of Benefits - 2 versions
  • Fee Slip Back Side / Front Side
  • Medical History - 3 pages
  • OPPQRST 3 pages
  • Patient Intake Form
  • Release of Med records
  • plus 5 more
Legal Forms
  • Assignment of Settlement and Recovered Proceeds
  • At Fault Carrier Lien
  • Authorization for Medical Records Release
  • Authorization and Assignment
  • Confidential Records Form
  • Cover Letter to At Fault Insurance Co
  • Health Insurance Agreement
  • Investigation Notice to Staff
  • Satisfaction of Judgment Form
  • Settlement Agreement
  • Trial Fee Conformation Letter - 2 versions
  • plus 13 more
Letters
  • Attending Physicians Report Response
  • CROM GST Explanation Letter
  • Medical Disability Advisor Rebuttal Ltr
  • Referral Letter to Specialist
  • Release over 60 days old response
  • plus 4 more
Logs
  • Insurance Verification
  • Patient Call Log
  • Radiographic Log
  • plus 4 more
Miscellaneous
  • Appointment Book Form
  • Common PI CPT Codes / ICD-9 Codes
  • Credit Card Pre Arrangement
  • IME/DME Visit Form
  • Independent Contractor Agreement
  • Vision Statement
  • plus 6 more
Patient Information
  • Cervical Pillow Article / Instructions
  • Ice & Heat Instructions
  • New Patient Info Instructions
  • TMD Instructions
  • plus 3 more
Report – Worksheets
  • Croft Guidelines
  • Final Report Worksheet
  • Initial Report Worksheet
  • Update Interim Report
  • plus 5 more
Work Sheets
  • Malingering Worksheet
  • Occupant Positioning
  • Tx Rules & CAD Protocol for ROF
  • X-ray Worksheet
  • Waddell Worksheet
Other
  • Free Ware Logos/Graphics
  • Tax Forms
  • Office Closed Signs
 
ChiroCode Institute, Inc. 62 E. 300 N., Spanish Fork, UT 84660
Email: comments@chirocode.com | Fax: 602-997-9755 | Phone: 602-944-9877, 800-944-9877
© ChiroCode Institute, Inc. - All Rights Reserved                  Office Hours: 8am - 5pm MST Mon - Fri