Chiropractic Coding, Risk & Documentation Part 2 | 5 CE

10 CEU HOURS  

Instructor: Dr. Evan Gwilliam, DC, MBA, BS

Certified Professional Coder, and Certified Professional Medical Auditor and Compliance Officer and an expert in coding, auditing, and healthcare compliance.

Part 2 (5 CE) - Chiropractic Coding, Risk & Documentation
Chiropractic Risk & Documentation

Chiropractic Risk & Documentation of this 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 training provides a comprehensive exploration of goal development, SOAP note creation, and program compliance, focusing on transforming patient care documentation into a powerful narrative of functional restoration and professional excellence.

• Consequence of Illegible Records
• Documenting for Third-Party Payers
• Risk Factors for a Chiropractic Practice
• Comparative Billing Report (CBR)
• Common Errors Made by Chiropractors
• Risk of Receiving Unallowable Payments
• Medically Unnecessary / Maintenance
• What Puts Us at Risk
• Aligning Documentation and Claims
• How to Audit Yourself
• Documenting the Treatment Plan
• Medical Records Guidelines, Sample Audit
• Medical Necessity in a Care Plan
• History of Onset, Patient Complaint, Exam Findings
• Diagnosis, Treatment Plan, Functional Progress
• Chiropractic Episode of Care
• Elements of a Care Plan
• Stages of Care: Relief, Therapeutic, Rehab
• Determining the Number of Visits
• Long Term Goals, OATs Goals, Oswestry Questionnaire
• Short Term Goals, Procedure Specific Goals
• SOAP Template, Subjective, Objective, PART
• SOAP Assessment, Plan, Procedure
• HEDIS Rating and Scores
• HEDIS Properly Support X-Rays, Exclusion Codes
• Medicare Part B, Part C, MediGap, Supplemental, Secondary
• Particiation, Indications, Coverage
• Active Treatment, Acute & Chronic Subluxation, Contraindications
• Limitations, ABN, Excluded Services, Frequency, Medical Necessity, Maintenance
• Medicare Claims Documentation
• ABN Form - Advance Beneficary Notice
• ABN Rules
• ABN Form, No Surprises Act
• Medicare Modifiers, AT, GA, GZ, GX, GY

"Dr. Gwilliam is a clear and ethical presenter. He covers (in Part 1) coding in a chiropractic practice including therapies, and (in Part 2) how to document services and care plans correctly. This was an excellent course and completely doable beginning immediately. This is one to take, and then review in a couple of months after a self-audit (which he also explains)."  - Renee North, Atlanta, GA