DOCUMENTATION 102

Course overview

Hour 1 *Utilize improved patient communication skills with Medicare Patients. *Apply appropriate risk management procedures to enhance patient communication. *Identify the four elements of legal malpractice and recognize the key components to avoid a malpractice action. *Utilize key components of good documentation and record keeping. *Integrate the legal requirements of informed consent in your informed consent process. Hour 2 *Summarize why doctors are held to higher standards. *Discuss the Do's and Don'ts of record keeping. *Use the 21 NCQA guidelines for appropriate medical record keeping and integrate the 3 key components of Evidence Based Practice (EBP). Hour 3 *Assess Medicare's mandatory Electronic Health Records (EHR) requirement. *Discuss key items related to the Office of Inspector General (OIG) reports regarding Medicare and chiropractic services. *Summarize Executive Order issued by the White House titled reducing improper payments and eliminating waste in the Federal Programs. Hour 4 *Determine what triggers an audit and key items to consider if audited. *Utilize a step-by-step approach to meet all Federal Medicare Documentation guidelines. *Summarize Medicare's guidelines for necessity of chiropractic care and its covered services. *Prepare treatment plans per Medicare's regulation requirements. *Recognize Medicare's policy requirements pertaining to x-ray/diagnostic reimbursement. *Determine if ordering vs. referred services meet Medicare's policy when performed by a chiropractic physician.