Treatment Plan and Service Expectations
Fulcrum expects providers to recommend services that are patient-centered, medically necessary and designed to reach Maximum Therapeutic Benefit (MTB) efficiently. See policy CLINUM100 Therapeutic Treatment on the Provider Portal for more details.
Plain Film Radiology Use
The decision to expose patients to plain film radiographs must be supported by information obtained after a thorough clinical examination consistent with the information derived from a patient’s history and presenting complaints. The specific rationale, as well as the study taken, must be documented in treatment notes. Plain Film Radiographs may not be appropriate if recent films have already been exposed and are obtainable. Any radiographs taken must contribute to the treatment plan. See policy CLINUM104 Plain Film Radiology on the Provider Portal for more details.
I. The decision to take Plain Film Radiographs should be determined by:
The patient’s unique presentation and history
The patient’s unique exam findings
- A providers subluxation philosophy, practice management routine, or technique protocols
- A patients lack of measurable and sustained progress (subjective and objective) with a reasonable trial of care.
Correct responses 1, 2, 4
II. Which of the following applies to you?
- It is my practice to x-ray all new patients regardless of presentation.
- My documentation will show a patient presentation with history, complaint, and exam findings sufficient to support the rationale for x-rays.
- The information obtained from the x-ray will be used to enhance my treatment recommendations and outcomes.
- I take x-rays based on my subluxation philosophy, practice management routine, or technique protocols.
Correct responses 2, 3