1. Age-Specific Coding Guidelines ✔ Use CPT codes based on age (e.g., newborn care, well-child visits, sick visits)✔ Document growth, development, and immunization status at

1. Capture the Full Scope of Services ✔ Bill for chronic care management, annual wellness visits, and preventive exams✔ Include problem-focused visits on the same

1. Covered vs. Non-Covered Services ✔ Medicare only covers spinal manipulation for subluxation treatment✔ Exams, x-rays, massage, and maintenance therapy are typically not covered✔ Commercial

1. Verify Coverage and Medical Necessity ✔ Confirm insurance coverage for medically necessary skin procedures✔ Cosmetic treatments (e.g., Botox for wrinkles) are usually not covered✔

1. Verify Coverage for OB & GYN Services ✔ Check maternity, preventive, and surgical coverage✔ Confirm if global OB care applies (prenatal, delivery, postpartum)✔ Review

1. Pre-Op Insurance Verification ✔ Confirm patient insurance eligibility and ASC coverage✔ Check if the procedure is covered in an outpatient setting✔ Determine if prior

1. Order and Documentation Collection ✔ Receive a signed prescription from the referring provider✔ Collect detailed written order (DWO) and proof of medical necessity✔ Include

1. Understand Service Types ✔ Includes therapy sessions, psychiatric evaluations, and medication management✔ Covered under CPT codes 90791, 90834, 90837, and others✔ Session duration must