Chiropractic TeleSeminar Documentation, Ethics and Risk Management 353

Course overview

Educational Objectives for Documentation portion: Hours 1 and 2 Recognize the key components regarding good documentation and record keeping. Identify the legal requirements of informed consent and the key elements of the informed consent process. Discuss why doctors are held to higher standards. Describe the 21 NCQA guidelines for record keeping. Document progress notes (SOAP) to meet insurance guidelines and medical necessity. Apply the PARTS system and its transformation utilizing a new method AIR S & M. Utilize CMT coding appropriately. Utilize E/M (Evaluation/Management) coding appropriately to meet insurance guidelines and medical necessity. Identify the 3 categories and 2 subcategories of E/M codes. Identify the 4 levels of E/M services for new and established patients. Recognize the importance of a medically appropriate history and physical exam. Identify the 2 key elements used to determine the level of E/M service. Select the appropriate level of E/M services utilizing 4 simple steps. Educational Objectives for Ethics: Hour 3 Identify challenging/inappropriate patient requests and behaviors encountered by chiropractors. Explain prevention strategies, office procedures and effective responses to inappropriate patient activity. Describe safety concerns associated with a patient's inappropriate acts and communications, as well as ethical principles related thereto. Illustrate legal and ethical issues arising where the doctor/patient relationship is terminated due to inappropriate patient behavior. Analyze how aberrant patient behavior presents risks to staff, the treating doctor, and to fellow patients, and how proper documentation is important in such instances. Educational Objectives for Risk Management: Hour 4 Comprehend the association between the doctor-patient relationship and the charge of patient abandonment. Evaluate the role voluntariness plays in the establishment of the doctor-patient relationship, in informed consent, and in abandonment as associated with the inappropriate termination of the professional relationship. Contrast and compare "ostensible agency" with "voluntary association" for purposes of assessing potential patient malpractice liability. Comprehend the requirement for the continued administration of healthcare for purposes of determining possible patient abandonment issues. Carry out proper documentation as demonstrates non-existence of abandonment. Effect policies that systematize screening of non-compliant patients and execute relevant medical record documentation to ensure no patient is legally "abandoned." Discuss prepaid treatment programs