Documentation 104

Course overview

Hour 1 *Define standard of care. *Examine the reuquirements of Chiropractic documentation. *Evaluate Chiropractic care and the functional relationship. *Review state specific examples of documentation requirements. *Discuss what is mean by epidosde of care. Hour 2 *Establish the baseline of care. *Identify the inadequacies of intake forms. *Comply with the requirements of the initial encounter report. *Review the consultation documentation in various case scenarios. *Apply appropriate medical decision making processes and documentation. Hour 3 *Examine the Documentation Requirements of a SOAP Note. *Utilize PART in documentation. *Utilize outcome assessment tests in documenting medical necessity of care. *Identify Assessment and its relationship to medical necessity *Solidify elements of the treatment plan to support medical necessity. *Apprise utilization management and review analysis of documentation.