DOCUMENTATION 181 - 184

Course overview

HOUR 1RECOGNIZE AND APPLY E/M DOCUMENTATION REQUIREMENTS FOR MEDICAL DECISION MAKING, TO INCLUDE LEVELS OF RISK, PROBLEM POINTS, AND DATA POINTS.CALCULATE THE APPROPRIATE LEVELS OF MEDICAL DECISION MAKING BASED ON COMPLEXITY TABLESPROPERLY EXECUTE THE APPROPRIATE DOCUMENTATION MEDICAL DECISION-MAKING COMPONENTS NECESSARY TO MEET E/M DOCUMENTATION REQUIREMENTSREPRODUCE QUALITY DOCUMENTATION ELEMENTS NECESSARY IN NEW AND ESTABLISHED PATIENT DOCUMENTATIONCOMPUTE, USING APPROPRIATE ALGORITHMS, THE LEVELS OF E/M CODING BASED ON DOCUMENTATIOHOUR 2DIFFERENTIATE AND DOCUMENT FOR THE DIFFERENCE BETWEEN MEDICAL NECESSITY AND CLINICAL APPROPRIATENESS EXECUTE A COMPLETE AND COMPLIANT TREATMENT PLAN THAT INCLUDES ALL REQUIRED ELEMENTSPROPERLY RECORD THE ELEMENTS NECESSARY TO JUSTIFY THE FULL-SPINE ADJUSTMENT COMMAND THE MECHANICS OF PROPERLY DOCUMENTING CLINICAL RATIONALE FOR ORDERED DIAGNOSTICS AND TREATMENTENSURE THE INCLUSION OF DIAGNOSTIC ASSESSMENT AND DOCTOR’S RATIONALE IN ROUTINE DAILY VISIT NOTESHOUR 3EVALUATE THE NECESSARY ELEMENTS TO PROPERLY DOCUMENT ESTABLISHED PATIENT RE-EVALUATIONS OF ALL TYPESDELIVER APPROPRIATE EVALUATION AND MANAGEMENT SERVICES TO JUSTIFY CONTINUED CARE, ASSESS PROGRESS, AND DISCHARGE FROM THIS ACTIVE CARE WHEN THE TIME IS RIGHTREPORT THE NECESSARY COMPONENTS OF DOCUMENTING THE TRANSITIONAL DIAGNOSIS AND TREATMENT PLAN AFTER A PERIODIC RE-EVALUATIONCOMPLETE THE FUNDAMENTALS OF DOCUMENTING THE ASSESSMENT OF CHANGE SINCE THE LAST EVALUATION AS IT APPLIES TO FEDERAL REGULATIONS IN MEDICARE HOUR 4RECOGNIZE THE MANDATORY ENROLLMENT GUIDELINES FOR CHIROPRACTORS AND APPLY THE RULES TO DAILY PRACTICEDISTINGUISH BETWEEN ACTIVE AND MAINTENANCE CARE AND EMPLOY PROPER PROCEDURE TO ADMINISTRATE BOTH TYPES OF CARECOMPLETE AND DOCUMENT REQUIRED ELEMENTS OF DOCUMENTATION OF ACTIVE TREATMENTPREPARE PATIENTS TO BEST DIFFERENTIATE CARE THAT MEDICARE CONSIDERS MEDICALLY NECESSARY FROM CARE THAT THE PATIENT IS EXPECTED TO PAY FORAPPLY THE MEDICARE STANDARD OF FINANCIAL TRANSACTIONS WITH PATIENTS IN ORDER TO STAY WITHIN THE FEDERAL COLLECTION GUIDELINES