GOT DOCUMENTATION 201 - 204

Course overview

Hours 1 - 3 *Discuss ethical standards of insurance reporting and coding. *Illustrate how documentation can affect state board complaints. *Discuss why insurance companies file complaints against chiropractors. *Discuss why patients file board complaints against chiropractors. *Define the Problem Oriented Medical Record (POMR). *Illustrate taking a thorough history using the OPQRST method. *Discuss the components of the ortho/neuro exam. Hour 4 - 6 *Discuss the misrepresentation of certain orthopedic tests. *Illustrate sensitivity and specificity of orthopedic tests. *Define the 2021 changes to Evaluation and Management codes. *Discuss the differences between using time vs. medical decision making for E/M. *Distinguish between subjective and objective outcome assessments Illustrate methods of proving medical necessity. *Illustrate the CMS requirements of chiropractic documentation. *Illustrate condition-specific functional outcome questionnaires. *Define the A of P.A.R.T. from Centers for Medicare/Medicaid Services. *Define the R of P.A.R.T. from Centers for Medicare/Medicaid Services. *Illustrate the different methods of evaluating spinal range of motion. *Define the T of P.A.R.T. from Centers for Medicare/Medicaid Services. *Describe the timing of the first re-assessment. *Demonstrate proper coding for range of motion measurements. *Describe the P.A.R.T. format of documentation. *Define the P of P.A.R.T. from Centers for Medicare/Medicaid Services. *Describe the concept of outcome assessments in clinical practice. Hour 7 - 9 *Illustrate different outcome assessments for the T of P.A.R.T. *Demonstrate the POMR and P.A.R.T. formats for the initial patient encounter. *Integrate the POMR and P.A.R.T. formats for subsequent patient encounters. *Discuss proper diagnosing in notes and on a claim form. *Define the short, moderate and long-term diagnoses for Medicare. *Define proper Assessments. *Illustrate how to determine an assessment for each condition. *Illustrate complicating factors that can be documented for each condition. Hours 10 - 12 *Illustrate the two types of Plan. *Discuss common therapeutic modalities. *Demonstrate proper documentation for time-based codes. *Illustrate how to document measurable treatment goals. *Describe the red flags of a record review. *Demonstrate the determination of causation for a motor vehicle collision. *Discuss the different mechanisms of injury for motor vehicle collisions. *Discuss some of the key value drivers of Colossus. *Discuss the difference between impairment and disability. *Illustrate the determination of the end of justifiable treatment. *Define the main components of an impairment evaluation. *Illustrate Duties Under Duress and Loss of Enjoyment. *Illustrate the important diagnoses for personal injury cases. *Define the 5 Colossus prognoses. *Demonstrate the 5 grades of injury severity for the Croft Guidelines for the Treatment of CAD Injuries.