Chiropractic Coding, Risk & Documentation | 10 CE

10 CEU HOURS  

Instructor: Dr. Evan Gwilliam, DC, MBA, BS
CPC CCPC QMCC CPMA CPCO AAPC Fellow

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

Part 1 (5 CE) - Chiropractic Coding, Risk & Documentation 
Ethical Coding for Chiropractic  

Ethical Coding is designed specifically for chiropractors seeking to master ethical coding and documentation practices. Participants will gain comprehensive, actionable insights into ICD-10 coding conventions, diagnostic statement construction, evaluation and management protocols, chiropractic manipulative treatment codes, and therapeutic procedure documentation. The program provides an in-depth exploration of ICD-10 coding, enabling practitioners to distinguish between various coding conventions and their application in chiropractic documentation, learn to analyze diagnosis code hierarchies, and construct comprehensive diagnostic statements that support accurate code assignment.

• ICD-10-CM Updates
• Diagnosis Hierarchy
• Coding Guidelines & Conventions
• Inclusion Terms, Excludes1, Excludes2
• Signs & Symptoms, Comorbidities
• 2025 ICD-10 Update - DJD, Synovitus, Socioeconomic
• Coding for Sprain / Strain
• Segmental Dysfunction Codes
• Coding for Muscle Conditions
• Disc Disorders Coding
• Codes for Pain / Stiffness
• Radiculopathy Coding
• Coding for Headaches
• Documenting for Diagnosis Codes
• E/M Guidelines and Changes
• New/Established Patient E/M
• Initial History and Exam
• Documenting Activities Towards Time
• MDM 99202, 99212, 99203, 99213
• MDM 99204 and 99214
• Medical Decision Making Clinical Examples
• E/M Bundling & 25 Modifier
• CMT Codes 98940, 98941, 98942, 98943
• Documenting a PART Exam
• 97110, 97112, 97124, 97140, 59 Modifier
• Modifier 25, 59 and X Modifiers
• Medicare Modifiers AT, GA, GY, GP
• Modifier 97, RT, LT, TC, 26, 95, Q6
• Modality Codes Used by Chiropractors
• Therapeutic Codes 97010-97028, 97032-97036
• Modality Guidelines for CPT Codes
• EStim G0283, Ultrasound 97035, Laser, Shockwave, Unlisted
• Therapuetic Procedures, 97110, 97112
• 97124, 97139, 97140, Group Therapy 97150
• 97530, 91535, Medicare Documentation, Reports, Notes
• X-ray Imaging Codes, Diagnostic Rationales
• Radiology Review, Bundling, FX, FY Modifiers, Extremity Imaging

"Dr. Gwilliam is a clear and ethical presenter. He covers coding in a chiropractic practice including therapies, and 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

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