Chiropractic Coding, Risk & Documentation – Part 2

Chiropractic Risk and Documentation (5 CE)

Instructor: Dr. Evan Gwilliam, DC, MBA, BS
Certified Professional Coder, and Certified Professional Medical Auditor – CPC CCPC QMCC CPMA CPCO AAPC Fellow

This 5-hour continuing education course is designed to equip chiropractors with critical skills in comprehensive care planning, documentation strategies, and regulatory compliance. Participants will gain in-depth insights into developing robust care plans, establishing meaningful treatment goals, creating effective medical documentation, and understanding key healthcare monitoring programs.

The program provides a comprehensive exploration of care plan development, teaching practitioners how to create clear, patient-centered plans that demonstrate medical necessity from initial assessment through complete treatment. Participants will learn to construct care plans that effectively communicate the patient’s journey, including detailed considerations of onset, complaint, examination findings, and functional progress. The course will delve into the nuanced stages of care, from initial relief through therapeutic intervention and rehabilitation, helping practitioners determine appropriate treatment trajectories.

A critical focus of the training is goal development, teaching chiropractors how to create goals that effectively narrate a patient’s functional restoration. Participants will learn to craft meaningful objectives that not only support medical necessity but also provide a compelling story of patient improvement. The course will explore both long-term and procedure-specific goals, utilizing tools such as the Oswestry Questionnaire to enhance goal-setting precision.

The training also provides comprehensive instruction on SOAP note documentation, emphasizing the critical role these notes play in patient records. Participants will learn to create thorough, clear, and compliant documentation that effectively communicates patient care. Additionally, the course introduces the HEDIS program, explaining how this care monitoring system impacts chiropractic practice and the importance of cooperative documentation.

By the end of this course, chiropractors will have developed a robust understanding of comprehensive documentation strategies, care planning principles, and documentation requirements that support high-quality patient care and practice compliance.

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