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August 6th, 2019
Q/A: What if my Patient Refuses to Fill out the Outcome Assessment Questionnaire?
Published August 6th, 2019|
Question: What if my Medicare patient refuses to fill out the outcome assessment questionnaire? Answer: Inform the patient that Medicare requires that you demonstrate functional improvement in order for them to determine if the care is medically necessary. In other words, they may have to pay for the care out of pocket if ...
July 22nd, 2019
Q/A: What do I Need to Document for Periodic Adjustments on a Medicare Patient?
Published July 22nd, 2019|
Question: What type of documentation is required for a Medicare patient with degenerative joint disease who get adjusted once or twice a month for occasional flare-ups of the D. J. D. region? The noted adjustments give good relief of the patient's symptoms. Answer: There is no question that these adjustments would be considered ...
May 29th, 2019
Noting "Noncontributory" for Past Medical, Family, Social History - Is It Acceptable?
Published May 29th, 2019 - Last Review/Update June 4th, 2019|
Is "noncontributory" really an unacceptable word to describe a patient whose family history doesn't have any bearing on the condition being evaluated and treated today?
May 13th, 2019
Electrical Stimulation and Electromagnetic Therapy Devices
Published May 13th, 2019 - Last Review/Update May 20th, 2019|
Electrical Stimulation and Electromagnetic Therapy Devices can be used for pain, muscle atrophy, help spinal cord injuries, treat symptoms caused by other medical conditions and can be used in the treatment of wounds. This Regence BC/BS article lists codes and devices and gives guidance on coding from Medicare Advantage viewpoint.
April 22nd, 2019
Auditing Chiropractic Services
Published April 22nd, 2019|
Chiropractic is unique from other types of health care and auditors need to be aware of the nuances of this field. Chiropractic has become the focus of more and more audits as doctors seem to struggle to create records that properly support the care provided to the patient throughout the entire episode.
March 13th, 2018
When is 97112 Neuromuscular Re-education Billable?
Published March 13th, 2018 - Last Review/Update January 31st, 2019|
Q: I just received a note from an attorney regarding a patient who was rear ended about 40 mph and ended up with neuropathy in her upper and lower extremities. We treated her for about 3 months after previous care failed to give much relief. I used flexion distraction and deep muscle stimulation to break up adhesions from the injury and used the 97112 code of neuromuscular re-education. The insurance company said that code was not warranted for her spinal sprain diagnosis and denied all of the services. Do you know how I could justify it? It greatly improved her condition with each visit and the patient said we provided the greatest relief she received.
February 1st, 2018
Traumatic Subluxation Coding Controversy
Published February 1st, 2018|
There has been some controversy over the use of the ICD-10-CM subluxation codes commonly referred to as traumatic (S13.1-, S23.1-, and S33.1-). Are they appropriate for chiropractors to use? The answer to that question is complicated. The problem basically lies in the lack of official guidance and differing opinions on ...
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October 16th, 2018
Chiropractic Manipulative Treatment (CMT) Coding and Documentation (Part 1)
The most used codes in chiropractic are 98940, 98941, 98942, and 98943. In this webinar, Dr. Gwilliam will go over the fundamentals of these codes and make sure you are proficient with them. They probably play a bigger part of your practice than any other code, so it is worth it to make sure you are reporting them correctly. By the end of this presentation you will be able to diagnose, document, and code properly for CMT, as well as avoid common mistakes.
October 29th, 2018
Documenting Treatment Plan and Goals That Actually WORK - November 20th, 2018
Dr. Friedman will discuss the need to document Treatment Plan and Goals and what we MUST document and what we SHOULD document. He'll also demonstrate how we can do this in the least amount of time and with the least amount of effort.
April 18th, 2018
The Most Expensive Documentation Mistakes Chiropractors Make
Notes need to give payers the information they need in order to adjudicate your claims. Do your notes include what they need to see? Can you standardize and simplify your note taking process to decrease your administrative burden? In this webinar, Dr. Gwilliam, Certified Coder, Certified Professional Medical Auditor, and Clinical Director for PayDC Chiropractic EHR Software, will show you how to make it easy. He will review examples and boost your confidence that you are doing things correctly.
May 17th, 2018
Coding and Documenting Physical Therapy Treatment Modalities
Presented by Evan Gwilliam DC MBA BS CPC NCICS CCPC CCCPC CPC-I MCS-P CPMA May 22nd, 2018 Tuesday @ 10:15 AM PT, 11:15 AM MT, 12:15 PM CT, 1:15 PM ET Ever wonder how to get paid for that e-stim or ultrasound? Do payers give you a hard time and ...
October 11th, 2017
Documentation Mistakes that Can De-value your Personal Injury Case
Don't make mistakes that will cost you money. In this presentation Dr. Gwilliam will show you how to avoid documentation errors that attorneys and IMEs can use to decrease the value of your personal injury case. Learn how to show medical necessity through the codes you assign and support it properly in the documentation. Create goals that tell the story and establish the need for care. Avoid cloned records. All this and more in this fun-filled presentation.
October 11th, 2017
Proving Medical Necessity and Functional Improvement
Medicare is required by law to pay for care that is medically necessary. Medicare considers functional improvement to be the primary indicator of medical necessity for chiropractic care. It is up to you, the doctor, to prove functional improvement and medical necessity with your documentation. Dr. Short will show you how to use common practice tools to document functional improvement, medical necessity and maximum medical improvement. You will learn: What is Medicare’s definition of medical necessity. How to prove medical necessity. How to report this information to Medicare. How to determine Maximum Medical Improvement.
September 11th, 2017
Earlier this year the Medicare Administrative Contractors revised their Local Coverage Determinations. There are some changes that will affect how you document your Medicare visits. Medicare requires that you have a treatment plan with measurable goals. The treatment plan also serves the purpose of providing you and your patient with a roadmap of care. In this webinar Dr. Short will show you: What specific elements Medicare requires in each treatment plan. How to use common clinical tools to develop effective treatment plans. Why the treatment plan is critical to proving medical necessity and overall patient care. This webinar will give you practical information that you can apply in your office the next day. You can obtain the notes for this webinar by subscribing to my e-mail updates at http://www.chiromedicare.net/mailing-list- signup/ or by following the link provided in my e- mail update. They will be available by the Monday prior to the webinar presentation.
September 1st, 2017
2018 Coding and Documentation Issues
In this webinar, Dr. Gwilliam will go over code updates for 2018. He will show you some new ways to look at Episodes of Care, which is critical for Medicare. You'll learn how to use self audit checklists to make sure you survive the inevitable third party audit. Confession: This webinar is really just a pitch for all of the cool new things we are adding to the 2018 DeskBook, which will be released in October. We will give you the low down on what you need to be successful next year.
August 8th, 2017
The New Local Coverage Determinations and What They Mean to You
Earlier this year the Medicare Administrative Contractors revised their Local Coverage Determinations. There are some changes that will affect how you document your Medicare visits. In this webinar, Dr. Ron Short will explain the changes to the Local Coverage Determinations and how to utilize them in your practice. You will learn: What has changed and how it will affect you What has stayed the same How to document Medicare Visits
June 27th, 2017
How to Document Subsequent Visits for Medicare and Everyone Else REALLY REALLY FAST Without Driving Yourself Crazy in the Process
Everyone seems to want to know how to document WELL, but FAST. Dr. Friedman will explain and demonstrate how this is not only POSSIBLE to do for Medicare, but for everyone else, too. We just need to find that ONE format of documentation that will work for EVERYONE, so there's ONE LESS THING for us to think about. Believe it or not, Medicare has actually made it EASY for us to document well and fast. Dr. Friedman will take you through the steps, from his perspective of practicing for more than 30 years and from reviewing records, performing IMEs and teaching documentation seminars nationally for years
June 27th, 2017
The Perfect SOAP Note
The so-called perfect SOAP note is a little like Sasquatch, or the Chupacabra. Does it really exist? In this groundbreaking presentation, Dr. Gwilliam will finally show the world a perfect SOAP note template that will always work for all payors at all times. And it will be easy to create in almost no time. Okay, actually, he will just get as close as he can by combining years of ChiroCode wisdom, Medicare guidance, and private payor preferences. Bring your opinion to this webinar because, odds are, it will differ in some way, and perhaps, as a group, we will be able to come to a consensus.
May 30th, 2017
Evidence-based Care Plans for Chiropractic
In this special webinar for the Kentucky Association of Chiropractors, we will review the latest evidence available about effective care plans for chiropractors. More information is found in Chapter 4.5 of the 2017 ChiroCode DeskBook, which is all about creating care plans that are evidence-based and focused on measurable goals. Proper care plans still allow the doctor to take care of patients based on their clinical skill, but also show medical necessity to outsiders. This presentation is based on an updated article published last year, and available free here: http://www.jmptonline.org/article/S0161-4754(15)00184-0/fulltext
June 5th, 2017
Contusion Confusion - PI's Great Overlooked and Misused Finding
Each injury has a set of confirmatory symptoms that can be used to convey severity. Contusions are one of the easiest to report, but not always the easiest to find. Most contusions are not being recognized. The truth is that they are very prevalent and they are not being documented properly by DC's. This webinar will help you expand your diagnostic skills for contusion discovery and give you insight on how to document, validate, treat and code for contusions.
May 10th, 2017
Medicare Subsequent (daily) Visit Documentation
Medicare has increased their review of chiropractors recently. What are they looking for? Medicare regulations are specific in what they want in your documentation. In the second of this two part series Dr. Ron Short will review the regulations regarding the subsequent (daily) visit documentation and translate them into practical actions that you can take in your office. In this webinar you will learn: What Medicare needs to see documented during the daily visit How to best capture the required information What element to have on each visit When to re-examine the patient. You can obtain the notes for this webinar by subscribing to my e-mail updates at http://www.chiromedicare.net/mailing-list- signup/ or by following the link provided in my e-mail update. They will be available by the Monday prior to the webinar presentation.
April 26th, 2017
So What Exactly IS Medical Necessity?
In this webinar, Dr. Friedman will discuss the initial new patient exam and how it doesn't do what we THINK it does for our documentation. He'll also discuss what establishes the NEED to begin care and justifies the NEED to continue care. Understanding this concept is CRITICAL for ALL patients, regardless who is paying for the care.
April 12th, 2017
Medicare Initial Visit Documentation
Medicare has increased their review of chiropractors recently. What are they looking for? Medicare regulations are specific in what they want in your documentation. In the first of this two part series Dr. Ron Short will review the regulations regarding the initial visit documentation and translate them into practical actions that you can take in your office. In this webinar you will learn: -What Medicare needs to see documented during the initial visit -How to best capture the required information -What you need to make a good treatment plan -When to start a new episode of care
March 20th, 2017
Audit Your Evaluation Visits
In this webinar, get a sneak peak at how ChiroCode audits a typical evaluation encounter. Do you document functional loss? Are you using outcome assessment tools appropriately? Does your treatment plan include measurable goals? Do you document complicating factors? Answer all these questions and more in this action-packed half hour with Dr. Gwilliam.
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American College of Radiology Practice Parameter for Communication of Diagnostic Imaging FindingsCR 5550 Clarification - Signature Requirements by CMSHHS, Justice Department warn hospitals on EHR-related payment fraudHHS/CMS Letter Regarding Cloning RecordsHIPAA regulations and sign-in sheets - by HHSImpairment Rating GuidesInappropriate Medicare Payments for Chiropractic Services Report - by the OIGMedicare Advantage Plans: Cost Sharing LimitsOIG Issues Renewed Focus on Chiropractic ServicesProperly Appealing CCI Edit Denials - by ACASonomaSubjective/Objective Findings Necessitating CareThe One-Minute Spinal Outcome Measure
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