Primary Spine Care 16
Clinical Necessity for Relationships with MDs & Lawyers Online

15 CE Credits

Become the Spine Expert Medical Specialists Trust

Master Triage, Neurodiagnostics, and Advanced Imaging Interpretation—Then Apply It Immediately in Practice

If you want to be taken seriously by medical specialists, build a reputation as a collaborative spine clinician, and elevate your standing in the medical-legal community, this course delivers the clinical expertise and documentation skills to do it.

You’ll learn how to triage complex and trauma cases, sharpen neurodiagnostic decision-making, and confidently interpret advanced spinal imaging (MRI/CT/X-ray)—then use evidence-based demonstrative reporting to support patient-centered collaborative care.

This is not theory. Every module is designed to be implemented immediately—in your documentation, your clinical workflow, and your referral relationships.

Who This Course Is For

This program is designed for chiropractors and spine-focused clinicians who want to:

• Collaborate confidently with MD PCPs, specialists, ERs, and urgent care

• Build expert credibility through evidence-based, demonstrative documentation

• Improve diagnostic certainty and reduce “non-specific back pain” outcomes

• Strengthen case defensibility in medical-legal and expert witness environments

• Increase practice growth through reputation-building clinical excellence

What You’ll Be Able to Do After This Course

✅ 1) Triage With Confidence

Learn how to assess and prioritize acute, chronic, and trauma cases to determine urgency, risk, and next steps—then build a complete care path using all available diagnostic tools.

✅ 2) Strengthen Neurodiagnostic Accuracy

Develop clinical fluency in neurological evaluation and decision-making—so your diagnoses align with standards expected in interdisciplinary care and medical-legal review.

✅ 3) Interpret Advanced Imaging Like a Spine Expert

Gain the ability to interpret MRI, CT, and X-ray results with confidence—so you can identify critical pathology, support evidence-based conclusions, and collaborate effectively with radiologists and specialists.

✅ 4) Build Collaborative Relationships Through Ethical Documentation

Learn the documentation framework that fosters trust with medical providers and strengthens professional credibility—while also supporting ethical billing and compliant clinical recordkeeping.

Key Outcomes (Why This Matters)

Evidence-based demonstrative documentation is often the deciding factor in:

• Establishing meaningful relationships with medical providers

• Creating defensible diagnoses, prognosis, and treatment plans

• Dispelling the outdated “non-specific back pain” dogma

• Improving patient outcomes through clinical specificity

• Supporting medical-legal clarity through evidence-driven rationale

When your documentation and imaging interpretation are strong enough for medical scrutiny, chiropractic utilization increases dramatically—because your clinical story becomes undeniable.

Course Curriculum (15 Total Academic Hours)

Module 1 — 2 Hours

Current and Future Trends in Documentation & Practice Growth

History Taking & Examination
Faculty: Mark Studin, DC • Don Capoferri, DC

Learn the documentation approach that builds reputation and fosters collaboration. See how demonstrative reporting supports patient-centered care, helps develop MD relationships, and positions chiropractic as a modern, evidence-based spine profession.

Module 2 — 2 Hours

MRI Spine Case Review

Diagnostic Testing & Differential Diagnosis
Faculty: Patricia Roche, DO, CAQ (Radiology & Neuroradiology) • Mark Studin, DC

A structured clinical case review of spinal MRI including:

• Sagittal & axial views

• T1, T2, STIR, proton density sequences

• Identification of vertebrae, spinal cord, discs, nerve roots, thecal sac, PLL, epidural veins, fat-saturation pulses

Pathology covered includes:
bulges, herniations, protrusions, extrusions, myelomalacia, cord edema, Schmorl’s nodes

Module 3 — 1 Hour

Triage: Part 1

Diagnostic Testing & Differential Diagnosis
Faculty: Mark Studin, DC • Don Capoferri, DC

Learn triage strategies for chronic and trauma cases, determine urgency, and create an evidence-driven care path that leads to an accurate, defensible diagnosis.

Module 4 — 2 Hours

Age-Dating Herniated Disc & Trauma

Diagnostic Testing & Differential Diagnosis
Faculty: Mark Studin, DC • Don Capoferri, DC

Age-dating disc pathology is a defining skill of true spine expertise—especially in collaborative and medical-legal environments. Learn how to correlate clinical findings with advanced imaging and joint pathology to create:

• Evidence-based rationale

• Accurate prognosis

• Defensible expert-level conclusions

Module 5 — 2 Hours

Updated Trends in Spinal Biomechanics & Ligamentous Pathology

History Taking & Examination
Faculty: Mark Studin, DC • Don Capoferri, DC

A master-class in ligament pathology and its relevance to spine care:

• Anatomy, physiology, vascularization, neurological innervation

• Mechanisms of trauma and compensatory biomechanics

• Tissue repair and sequelae (acute and chronic)

• Ligament pathology correlation to path-neuro-biomechanical lesions

• The role of ligaments in spinal adjustment mechanisms and clinical decision-making

Module 6 — 1 Hour

Case History Presentation

History Taking & Examination
Faculty: Mark Studin, DC • Don Capoferri, DC

Clinical grand rounds on disc, ligament, and spinal pathology:

• Diagnosis creation

• Prognosis formulation

• Treatment plan development

• How follow-up exams drive updates to diagnosis and treatment planning

Module 7 — 2 Hours

Latest Evidence on Making Non-Specific Back Pain Specific

Diagnostic Testing & Differential Diagnosis
Faculty: Mark Studin, DC • Don Capoferri, DC

Learn how to replace “non-specific” labels with evidence-based spinal diagnosis. This module teaches how to apply the evidence to collaborative management—and how to communicate conclusive diagnosis in a way medical specialists recognize and trust.

Module 8 — 3 Hours

Creating Ethical Collaborative Relationships + Documentation That Fosters Trust

Ethical Billing & Coding
Faculty: Mark Studin, DC • Don Capoferri, DC

A step-by-step guide to documentation that supports quality healthcare and professional credibility in a changing reimbursement landscape:

• Why clinical notes matter

• The importance of context

• What to include in every note

• Tips for better documentation

• Basic legal considerations

• Ethical documentation that strengthens interdisciplinary trust

Faculty (Expert-Led Instruction)

This course is taught by experienced clinicians and medical imaging experts recognized for their work in collaborative care and medical-legal spine expertise.

Mark Studin, DC, FPSC, FASBE(C), DAAPM
Don Capoferri, DC, FBST, FPSC
Patricia Roche, DO, CAQ (Radiology & Neuroradiology)

Course Details

• Total Academic Time: 15 Hours

• Format: Modular learning with real-world clinical application

• Tuition: $299.00

Ready to Elevate Your Clinical Authority?

If you want to collaborate with medical specialists, improve outcomes through diagnostic certainty, and build credibility in the medical-legal space, this course delivers the skills and structure to

Triage and Compliance: Documentation and Diagnosing Online

$99

*Please note this course is only approved in the state of CA through 10/8/2025.  Any completions submitted past this day will not receive CE credits in the state of CA. 

**Please note this course will no longer be approved in CA and WV   

Advanced Clinical Triage for Accurate Diagnosis, Testing Decisions & Collaborative Care

3 Credit Hours | Online CE Course

Make the right call—starting at Visit 1.

Your first visit determines everything that follows: diagnosis, prognosis, treatment strategy, documentation defensibility, and whether the case requires advanced testing or collaboration.

This course gives you a repeatable clinical triage system for spinal anatomical and biomechanical pathology—so you can move from “good exam” to clear diagnosis, proper documentation, appropriate testing, and evidence-informed treatment pathways.

Whether you're building stronger outcomes, reducing documentation risk, or improving case management decisions, this program gives you the tools to triage like a contemporary spine provider.

Who this course is for

Designed for chiropractors and spine clinicians who want to:

• Improve diagnostic certainty during the clinical evaluation

• Know when testing is appropriate and what it should accomplish

• Strengthen E&M documentation with the elements required for defensible reporting

• Build confident, appropriate collaboration pathways when necessary

• Create consistent triage and treatment planning for spine-related pathology

What you’ll be able to do after this course

By the end of this 3-hour program, you will be able to:

✅ Perform a structured clinical evaluation to reach a defensible diagnosis
✅ Develop a clearer prognosis and treatment plan based on findings
✅ Determine when to order testing and what clinical questions it should answer
✅ Identify neuro-muscular spinal anatomical and biomechanical pathologies with improved documentation precision
✅ Apply triage-based decision-making to choose appropriate treatment pathways
✅ Produce documentation that supports proper E&M communication and continuity of care

Course description

This course is designed to help you triage your case from the first visit, creating an accurate diagnosis, prognosis, and treatment plan. It then takes triage to the next level by addressing when to order testing and the clinical necessity for collaboration.

You will also learn the elements required in all E&M reports, ensuring your documentation supports clinical reasoning and continuity of care.

Course format & modules (3 Hours Total)

Module 1 (1 Hour)

Accurate Diagnosis from Clinical Evaluation + Testing Decisions

Learn how to conclude an accurate diagnosis based on clinical evaluation findings and determine when testing is indicated—and why.

You’ll cover:

• Clinical evaluation structure that leads to diagnostic confidence

• What constitutes a “complete diagnostic conclusion”

• Ordering tests with purpose (what you’re looking for and why)

Module 2 (1 Hour)

Documentation & Diagnosis of Neuro-Muscular Spinal Anatomical and Biomechanical Pathology

Increase your ability to document and diagnose spinal biomechanical and neuro-muscular pathologies with specificity.

You’ll cover:

• How to document findings to support diagnostic reasoning

• Anatomical and biomechanical pathology recognition

• Documentation approaches that improve clarity and defensibility

Module 3 (1 Hour)

Triage + Treatment Pathways for Spinal Anatomical and Biomechanical Pathologies

Turn diagnosis into structured triage and treatment planning with appropriate collaboration pathways.

You’ll cover:

• Triage-based treatment pathway decision-making

• When collaboration is clinically necessary

• How to align treatment planning with the pathology and presentation

Meet your instructors

Mark Studin, DC, FPSC, FASBE(C), DAAPM

Internationally recognized educator and consultant in spine care, documentation, clinical reasoning, and collaborative case management.

Don Capoferri, DC, FBST, FPSC

Experienced clinician and educator focused on clinical triage, evidence-informed diagnosis, and documentation excellence.

Why this course matters now

The contemporary spine provider is expected to communicate clearly, document effectively, and make testing decisions that reflect clinical necessity. This course helps you meet that standard with a step-by-step triage system built for modern clinical practice.

Course goal

To empower the contemporary practitioner to perform a clinical evaluation and triage process that supports advanced diagnosing and collaborative care when necessary—while producing E&M documentation that communicates clinical reasoning clearly.

Earn 3 Credit Hours and strengthen your clinical decision-making

If you want better diagnostic clarity, smarter testing decisions, and cleaner documentation, this course is built for you.

✅ 3 Credit Hours
✅ Practical, repeatable triage structure
✅ Built for modern documentation and collaborative care

 Enroll Now — Earn 3 CE Hours

• Get Immediate Access

• Start the Course Today

• Enroll & Strengthen Your Clinical Triage System

Instructions: Once you purchase the course online, it will be immediately active in your account. If you have any issues, please contact Cara 631-804-2845 or CaraRoss220@Gmail.com

 Troubleshooting Suggestions: 

1. This course is supported by PC's and Mac devices
2. Minimum 20mbs download speed
3. Mobile device are not ideal as tracking is automated and often not mobilized

This course is Pace approved by the Federation of Chiropractic Licensing Boards

Primary Spine Care 15

*Please note this course is not approved for CE credit in the state of CA

**Please note this course is not approve for CE credit in the state of OK.

Ethics, Streamlining Documentation & Case Management Webinar

November 11-12, 2023

Syllabus

15 CE Hours

Course Description: This program helps create collaborative relationships between chiropractors and medical specialists based upon the evidence in the literature, complete and accurate documentation, accurate diagnosis, and functioning at an ethical level. It covers how to create your evaluation and management reports from an initial evaluation, through a reevaluation and a courtroom narrative. This program teaches you how to use the evidence in the literature to age date pathology, along with dispelling the dogma of nonspecific back pain based upon the scientific evidence.

Saturday, November 11, 2023

9 am – 11 am

Mark Studin DC, FASBE(C), DAAMLP, DAAPM

Don Capoferri DC

Current and Future Trends in Documentation & Practice Growth

Evidence-Based demonstrative documentation is typically the arbiter for creating successful patient-centered collaborative care. This "reputation building" focus has already helped develop relationships with MD PCPs, MD Specialists, ERs, and Urgent Care Centers.  This demonstratively removed the Non-Specific Back Pain "Dogma" that too many have held because technology and the evidence have not supported what chiropractic has known for over a century. We now have those tools, and once learned, chiropractic utilization "skyrockets” because of the evidence.

11:00 am – 12:30 pm

Patricia Roche DO, Radiology, Neuroradiology

Mark Studin DC

MRI Spine Case Review

Clinical case review of MRI's including sagittal, axial, T1, T2, STIR, and proton density sequences. The vertebrate, spinal cord, discs, nerve roots, thecal sac, posterior longitudinal ligament, epidural veins, and fat saturation pulses will be identified. Pathology will include bulges, herniations, protrusions, extrusions, myelomalacia, cord edema, and Schmorl's nodes.

1pm – 2 pm

Mark Studin  DC

Don Capoferri DC

Age-Dating Herniated Disc and Master-Class in Ligament Physiology, Part 1

Age-dating herniated discs and trauma is a critical skill for an expert in spine. It combines the clinical skills of interpreting X-ray, MRI, and other imaging modalities with a clinician's understanding of joint pathology. This level of expertise is critical when collaborating with other physicians or working in the medical-legal environment as an expert. Age-dating pathology is also central to creating a prognosis on your patient's recovery and must be evidence-based rationale. Master-Class in ligaments; anatomy, physiology, vascularization, neurological innervation, tissue repair and how they all relate to clinical practice.  Ligament pathology correlates to the mechanisms of path-neuro-biomechanical lesions (vertebral subluxation complex). Also, how ligaments play a critical role in chiropractic spinal adjustment and defining the chiropractic spinal adjustment mechanisms. 

2:30 pm – 4:00 pm

Mark Studin  DC

Don Capoferri DC

Age-Dating Herniated Disc and Master-Class in Ligament Physiology, Part 2

Age-dating herniated discs and trauma is a critical skill for an expert in spine. It combines the clinical skills of interpreting X-ray, MRI, and other imaging modalities with a clinician's understanding of joint pathology. This level of expertise is critical when collaborating with other physicians or working in the medical-legal environment as an expert. Age-dating pathology is also central to creating a prognosis on your patient's recovery and must be evidence-based rationale. Master-Class in ligaments; anatomy, physiology, vascularization, neurological innervation, tissue repair and how they all relate to clinical practice.  Ligament pathology correlates to the mechanisms of path-neuro-biomechanical lesions (vertebral subluxation complex). Also, how ligaments play a critical role in chiropractic spinal adjustment and defining the chiropractic spinal adjustment mechanisms. 

4:00 pm – 5:00 pmMark Studin DC

Don Capoferri DC

Updated Trends in Spinal Biomechanics

Diagnosis and management of ligament (connective tissue) pathology in chronic and acute patients. Evidence-based physiology of the morphology, mechanisms, and sequella to trauma inclusive of compensatory actions of the human spine.

5:00 pm – 6:00 pm

Mark Studin DC

Don Capoferri DC

Case History Presentation

Clinical grand rounds of a case include disc, ligament, and spinal pathology. The creation of the diagnosis, prognosis, and treatment plan. The changing of treatment plans and diagnosis based upon follow-up examinations.

Sunday, November 12, 2023

9 am – 11 pm

Mark Studin DC

Don Capoferri DC

Updating the Non-Specific Back Pain Dogma

An evidence-based approach to spinal diagnosis and dispelling “non-specific back pain.” A tutorial on taking the evidence and collaboratively with medical specialists managing cases based upon the conclusive diagnosis.

11 am – 12:30 pm

Mark Studin DC

Paul Birinyi MD, FAANS, Neurosurgeon

Building Neurosurgical Collaborative Relationships

Case collaboration on a patient with significant extrusion-type herniation with cord compression and myelomalacia as sequelae. Discussing where the chiropractor fits into the team approach as the primary spine care provider. 

1:30 pm – 3 pm

Mark Studin DC

Don Capoferri DC

Future Clinical Trends in Ethical Collaborative Relationships and the Documentation that Fosters Those Relationships

A concise review of elements required in documentation, inclusive of language, research, and clinical findings. This section reviews every part of an evaluation and management report.

3 pm – 5 pm

Mark Studin DC

Don Capoferri DC

Discussing the Future trends in chiropractic and clinical record keeping is an integral part of good professional practice and delivering quality healthcare. But as healthcare changes with new technology and reimbursement models, so should clinical documentation. It can be helpful to go back to the basics. In this step-by-step guide to taking perfect clinical notes, we will cover:

• Why write clinical notes
• The importance of context
• What to include in a clinical note
• Tips for better clinical documentation
• Basic legal considerations
• Open clinical notes
• How to keep documentation efficient

Final Exam

DC vs. PT Outcomes + Chiropractic Physiology + MRI Basics + Easy Documentation

12 California CE Credits (CA-Only Approval)

Evidence-based spine outcomes. Chiropractic physiology. MRI fundamentals. Compliant documentation—made simple.

This 12-hour continuing education program is designed for chiropractors who want to deliver better outcomes in mechanical spine pain, understand why chiropractic adjustments outperform standard care models in specific clinical presentations, strengthen their MRI interpretation confidence, and streamline documentation for ethical, compliant billing.

✅ 12 CE Credits = $199

4 CE Credits - Ethical Billing & Coding 
4 CE Credits - Diagnostic Testing & Differential Diagnosis 
4 CE Credits - Historey Taking & Examination 

✅ Coding + Diagnosis + Documentation
✅ Evidence-based Primary Spine Care framework
✅ MRI sequences + disc pathology clarity
✅ Care planning + triage for injured & chronic pain patients

Important Notice (California CE Credits Only)

PLEASE NOTE: This course is ONLY approved for continuing education credit in the State of California.
If you are licensed outside of California, check with your state board regarding acceptance.

Why This Course Works (What Chiropractors Actually Need)

Today’s spine care environment is crowded with “one-size-fits-all” messaging—especially around “non-specific back pain.” This course breaks that myth down with evidence and shows how to:

• Triage mechanical spine pain appropriately

• Differentiate pain generators with better clinical reasoning

• Use demonstrative documentation that supports diagnosis and medical necessity

• Understand the physiological mechanisms that influence outcomes

• Improve confidence in MRI spine interpretation

• Create care plans that hold up clinically and administratively

Who This Course Is For

This course is built for chiropractors who want to improve:

• Clinical decision-making for mechanical spine pain

• Outcomes-based spine care strategy (DC vs PT vs medicine comparisons)

• MRI interpretation fundamentals (sequences → disc pathology)

• Compliant documentation aligned with CPT and E/M requirements

• Ethical collaborative case management when referral/co-management is warranted

What You’ll Be Able to Do After This Course

By the end, the student will be able to:

✅ Formulate a care plan for injured and chronic pain patients
✅ Triage mechanical spine pain using history, exam, and imaging results
✅ Identify and document each pain generator clearly and defensibly
✅ Understand key differences in outcomes across chiropractic, PT, and medicine
✅ Interpret MRI basics: sequence acquisition to disc pathology classification
✅ Produce compliant documentation that matches coding requirements (without cutting corners)

Course Overview

12 Hours Total | California CE Credit Only

This course reviews outcomes in spine care comparing chiropractic vs. physical therapy vs. medicine, then explains the physiological mechanisms that influence those outcomes in mechanical spine diagnosis. It also covers MRI spine interpretation fundamentals, from slice sequencing to disc pathology definitions and visualization.

Syllabus (12 Hours)

1) Introduction – 2 Hours

Ethical Billing & Coding

Evidence-based trends in spinal care that deliver consistently superior outcomes vs. non-chiropractic specialties for mechanical spine pain.
Includes triage principles and an evidence-driven breakdown of why “non-specific back pain” is often a misapplied label in clinical reality.

You’ll learn to:

• Apply outcomes-driven spine triage frameworks

• Identify and document mechanical vs. non-mechanical presentations

• Communicate clinical reasoning clearly and ethically

2) MRI Spine Interpretation – 2 Hours

Diagnostic Testing & Differential Diagnosis

A practical MRI foundation: slice sequence overview and how to interpret common disc pathologies with clarity and consistency.

Topics include:

• MRI slice sequence acquisition overview

• Disc pathology definitions and visualization

• Herniation vs bulge vs protrusion vs extrusion vs fragmentation

• What matters clinically vs what confuses clinicians

3) Connective Tissue Pathology & Diagnosis – 2 Hours

Diagnostic Testing & Differential Diagnosis

A physiology-based deep dive into connective tissue trauma sequelae—from microanatomy to gross pathology—to improve accuracy in diagnosis and reporting.

You’ll learn to:

• Understand connective tissue structure and response to trauma

• Recognize pathological patterns and clinical implications

• Improve documentation language around tissue pathology

4) The Evidence for Primary Spine Care – 2 Hours

History Taking & Examination

This module positions chiropractic as a first-line spine care expert for mechanical spine pain—based on evidence, not opinion.

Includes:

• Outcomes comparisons: chiropractic vs PT vs medicine

• What the literature shows about mechanical spine care

• Debunking “non-specific back pain” using evidence-based reasoning

• Clinical decision-making frameworks that scale

5) Making Documentation Easy & Compliant – 2 Hours

Ethical Billing & Coding

Build documentation that is clear, complete, and supports the level of service billed—without wasting time.

Focus areas:

• E/M parameters and documentation alignment

• Review of 99202 / 99203 / 99204 / 99205 requirements

• Matching documentation to CPT coding ethically

• Streamlining workflows without cutting corners

6) Ethical Documentation in Collaborative Cases – 2 Hours

History Taking & Examination

Learn how to document every relevant pain generator demonstratively—especially when co-managing or collaborating with medical providers.

You’ll learn to:

• Document pain generators to support an accurate diagnosis

• Create defensible clinical narratives

• Know when collaboration is clinically indicated—and how to document it

• Support continuity of care and medical necessity

Instructor

Mark Studin, DC, FPSC, FASBE(C), DAAPM

Course Objective

For the student to be able to formulate a care plan and triage the injured and chronic pain patient based on clinical and imaging results.

Tuition

$199

12 California CE Credits
CA-Only approval (verify acceptance outside CA independently)

Ready to strengthen outcomes, MRI confidence, and compliant documentation?

This course is designed to help chiropractors improve clinical certainty and reduce documentation burden—while staying aligned with ethical coding requirements and evidence-based spine care trends.

✅ 12 CE Credits (California)
✅ Evidence + physiology + MRI basics
✅ Documentation that supports medical necessity
✅ Care planning and triage you can use immediately

Enroll now and earn 12 CE credits for California.

California CE Credit Notice 

10 FAQ’s 

1) Is this course approved for chiropractic CE credit in California?

Yes. This program is approved for continuing education credit in the State of California only.

2) Is this course approved for CE credit outside of California?

Not automatically. This course is CA-only approved. If you are licensed outside California, you must check

Primary Spine Care 15

Ethical Relationships, Demonstrative Documentation, MRI-CAT Scan Interpretation and Social Media

*This course is only approved for 8/15 credits in the state of OK.

**This course is only approved for 10/15 credits in the state of TX.

15 CE Hours
$299

Demonstrative Reporting in an Evidence-Based Paradigm

Learn to age-date pathology, interpret MRI & CT with confidence, and build collaborative referral relationships—using reproducible, literature-driven documentation.

This program teaches you how to use peer-reviewed evidence to demonstrate injury, dispel the “non-specific back pain” dogma, and elevate the clinical reputation of your practice through the power of credential-based authority and ethical communication.

✅ Evidence-based demonstrative documentation
✅ MRI interpretation + CT correlation
✅ Age-dating spinal injuries (disc-focused)
✅ Biomechanical pathology + technology-driven diagnosis
✅ Ethical, credential-driven social media reputation building
✅ Stronger collaboration with MDs, ERs, urgent care & specialists

Taught by Clinicians and Educators Trusted for Clinical Excellence

INSTRUCTORS: 

Mark Studin, DC, FPSC, FASBE(C), DAAPM
Don Capoferri, DC, FSBT, FPSC 
Patricia Roche, DO, CAQ (Radiology / Neuroradiology)

This curriculum reflects real-world outcomes from patient-centered documentation, collaborative care workflows, and medical-legal clarity—taught by faculty known for advancing chiropractic’s evidence-based standards.

THE BIG PROMISE  

Stop Writing Notes That Get Ignored. Start Creating Documentation That Gets Results.

Most clinicians were never taught how to create documentation that is:

• demonstrative (shows pathology clearly)

• evidence-based (supported by literature)

• reproducible (consistent and defensible)

• collaboration-ready (MD-friendly language)

• patient-understandable (ethical and clear)

This program gives you a framework to produce documentation that becomes the arbiter for successful patient-centered collaborative care—and a powerful driver of professional credibility and referral growth.

WHY THIS PROGRAM MATTERS  

The Problem: “Non-Specific Back Pain” Has Become a Default Diagnosis

Too often, real biomechanical and connective tissue pathology is dismissed because:

• the clinician doesn’t know how to demonstrate it,

• the language isn’t collaborative,

• the imaging isn’t translated into actionable conclusions,

• the documentation doesn’t connect findings to function, prognosis, and care planning.

The Solution: Evidence-Based Demonstrative Reporting

When you can document pathology demonstratively—and communicate it in a way that resonates with medical colleagues and patients—utilization rises because the evidence becomes undeniable.

This program has helped doctors build relationships with:
MD PCPs • medical specialists • ERs • urgent care centers • medical-legal stakeholders

WHO THIS IS FOR  

This Program Is Ideal For:

• Chiropractors who want to practice with advanced clinical credibility

• Doctors working with trauma, mechanical spine disorders, disc pathology, and connective tissue injuries

• Clinicians who want to improve referral and collaboration relationships

• Providers who want to sharpen MRI interpretation, CT fundamentals, and injury age-dating

• Anyone ready to move from “generic notes” to demonstrative, evidence-based reporting

WHAT YOU’LL BE ABLE TO DO AFTER THIS PROGRAM  

By the end of this training, you’ll be able to:

✅ Use literature-backed standards to age-date injury and pathology
✅ Interpret and document MRI findings with clarity and defensibility
✅ Correlate MRI pathology to CT principles and sequencing
✅ Create a demonstrative diagnosis of biomechanical pathology
✅ Determine dysfunctional spinal segments and build a care roadmap
✅ Document the 10 most common tissues injured in trauma demonstratively
✅ Communicate findings ethically in language understood by MDs and patients
✅ Build professional credibility online through credential-based authority (not hype marketing)

CURRICULUM OVERVIEW  

Module 1 (2 Hours) — Current & Future Trends in Documentation & Practice Growth

Faculty: Mark Studin, DC, FPSC, DAAPM • Don Capoferri, DC, FSBT, FPSC, BCN

Evidence-based demonstrative documentation is increasingly the “standard” for patient-centered collaborative care. You’ll learn how documentation and reputation-building have already supported stronger relationships with MD PCPs, specialists, ERs, and urgent care centers, and how evidence-driven reporting can help remove outdated “non-specific back pain” dogma.

Key outcomes:

• Understand the documentation trends shaping referral behaviors

• Build a defensible, evidence-based reporting model

• Elevate clinical credibility to support collaborative relationships

Module 2 (2 Hours) — Master Class in Connective Tissue Pathology

Understanding Biomechanical Pathology (Subluxation)

Faculty: Mark Studin • Don Capoferri

Connective tissue is foundational to non-surgical management of mechanical spine disorders. This master class covers ligament physiology (micro and macroscopic), integration with the peripheral nervous system, CNS plasticity, and the clinical relevance of proprioception and mechanoreception.

Key outcomes:

• Understand ligament physiology and injury pathways

• Connect spinal adjustment concepts to CNS responses

• Differentiate chiropractic adjustment vs. manipulation in clinical terms

Module 3 (1.5 Hours) — Biomechanical Pathology Demonstrative Diagnosis

Faculty: Mark Studin • Don Capoferri

Learn the biomechanics of spinal anatomy to create accurate diagnosis, prognosis, and treatment plans. You’ll explore sagittal balance concepts and technology-driven approaches to demonstrate biomechanical pathology in a reproducible, evidence-based manner.

Key outcomes:

• Build demonstrative diagnosis workflows

• Validate trauma equality and long-term care necessity when clinically indicated

• Identify dysfunctional segments and determine vectors / timing / MMI benchmarks

Module 4 (2 Hours) — Master Class in Spinal Disc Pathology & Trauma

Faculty: Mark Studin • Don Capoferri

This module focuses on disc microanatomy and physiology—nucleus pulposus and annulus fibrosis—contrasting normal vs. trauma-based pathology. You’ll learn demonstrative MRI interpretation, including colorized imaging workflows to depict disc pathology relative to the spinal cord and nerve roots.

Key outcomes:

• Interpret MRI disc pathology demonstratively

• Translate findings into ethical, collaborative language

• Document the 10 most common trauma-injured tissues clearly

Module 5 (2 Hours) — Age-Dating Bodily Injuries

Faculty: Mark Studin • Don Capoferri

Age-dating injury—especially disc-focused trauma—has become a major differentiator in clinical clarity and collaborative relationships. This module teaches 20 evidence-based methods to age-date trauma using literature-backed principles.

Key outcomes:

• Identify proximate cause and stage of tissue repair vs. permanency

• Build accurate prognosis and care planning based on tissue phase

• Document acute vs. chronic injury demonstratively and ethically

Module 6 (2.5 Hours) — CT Interpretation Correlated to MRI Findings

Faculty: Patricia Roche, DO • Mark Studin • Don Capoferri

Get the fundamentals of spinal CT interpretation: sequencing, acquisition, reformatting, and using diagnostic “windows” (bone, abdomen, chest, etc.) to identify pathology. You’ll also correlate MRI sequences (T1, T2, STIR, proton density, Dixon, T2 fat-sat) to CT findings for more complete conclusions.

Key outcomes:

• U

Advanced MRI Spine Interpretation Mini-Fellowship

*Please note this course is only available for CE on PACE and Auto Approved States.  If your state requires an application to have a course added it will not be approved in that state.

**CME Approved 

Advanced MRI Spine Interpretation + Neuroradiology Training (40 CE Credits)

If you’ve completed the MRI Credentialing Program and want to reach the next level in MRI spine interpretation, this Mini-Fellowship delivers the advanced neuroradiology training you’ve been looking for.

You’ll develop the skills to interpret complex MRI spine sequences across multiple pathologies—disc disease, demyelinating disorders, and metastatic disease—using contemporary nomenclature and clinically relevant sequencing.

✅ 8 hours of live training with Patricia Roche, DO, CAQ (Neuroradiology)
✅ 40 chiropractic continuing education credits (Cleveland University-Kansas City + PACE/FCLB recognized)
✅ A structured 3-part curriculum that includes research mastery, live image review, and a publishable case report

Fee: $3,000

Who This Program Is For

This program is designed for:

• Doctors who have completed the MRI Credentialing Program

• Providers who want deeper proficiency in advanced MRI spine interpretation

• Clinicians who want stronger diagnostic confidence and better clinical correlation

• Doctors aiming to elevate documentation, case reporting, and professional credibility

What You’ll Be Able to Do After the Mini-Fellowship

By the end of this program, you’ll be able to:

• Interpret advanced spinal MRI sequences with greater confidence and accuracy

• Identify and classify disc pathology including:

  • disc bulges

  • circumferential, radial, and transverse fissures

  • protrusions

  • extrusions (including sequestered, migrated, and comminuted extrusions)

• Recognize intradural and extradural pathology with clinically relevant context

• Apply contemporary MRI sequencing principles to reinforce accurate interpretation

• Correlate findings with other imaging modalities when appropriate

• Produce an original case report demonstrating MRI’s clinical impact on:

  • diagnosis

  • prognosis

  • treatment planning

Program Overview (3-Part Structure)

This is a rigorous, outcomes-driven program built to advance real-world clinical application—not just theory.

PART 1 — Research Topics (22 Hours)

Master the evidence base and modern MRI applications.

You will study 15 contemporary research articles across key MRI spine domains, including:

• MRI physics and technology

• utilization and diagnostic decision-making

• disc pathology

• intradural pathology

• extradural pathology

• morphology and sequencing

• anomalies and spinal anatomy

• comorbidities and interpretation influence

You’ll then complete 15 examinations that assess knowledge and reinforce retention.

PART 2 — Live Study with Patricia Roche, DO, CAQ, Radiology, Neuroradiology (8 Hours)

Live neuroradiology training with intensive case review.

You will sit with Patricia Roche, DO, CAQ (Neuroradiology) and review:

• 60 MRI sequences

• 2,500+ images

• Disc and vascular findings including:

  • bulges

  • fissures (circumferential/radial/transverse)

  • varices

  • herniations with modern classification and reporting

This portion emphasizes:

• sequencing strategy for accurate reading

• contemporary nomenclature

• reporting clarity for clinical and professional use

PART 3 — Publish a Case Report (10 Hours)

Demonstrate real clinical impact through publishable scholarship.

You will publish an original case report showing how MRI impacted:

• diagnosis

• prognosis

• treatment plan

Your paper must include:

• images

• appropriate references (limit 20)

• peer review by panel through:

  • BMJ (British Medical Journal) Group and Cleveland University Kansas City, Chiropractic and Health Sciences

Required Case Report Format

Case reports must include:

• abstract

• introduction

• case presentation

• discussion

• conclusions

• references

Case reports highlight real patient findings and contribute to clinical knowledge by showcasing important phenomena, expected presentations, and meaningful diagnostic or treatment implications.

Continuing Education Credits & Recognition

This course includes 40 chiropractic continuing education credits, recognized by:

• Cleveland University-Kansas City, College of Chiropractic

• PACE Recognized by the Federation of Chiropractic Licensing Boards

The program is administered through the Academy of Chiropractic.

Why This Mini-Fellowship Stands Out

Advanced, Not Introductory

This is specifically built for credentialed doctors ready to go beyond basics—into advanced sequencing, pathology recognition, and reporting precision.

Live Neuroradiology Training

Learn directly from Patricia Roche, DO, CAQ, with a structured review of thousands of images—focused on what matters clinically.

Real Research + Real Reading + Real Publication

This is not “watch and pass.” It’s a true education pathway: evidence-based study, intensive live review, and peer-reviewed writing.

Tuition

Fee: $3,000

Frequently Asked Questions

Do I need to complete the MRI Credentialing Program first?

Yes. This Mini-Fellowship is intended for doctors who have already completed the MRI Credentialing program and want advanced training.

How many live training hours are included?

8 hours live with Patricia Roche, DO, CAQ (Neuroradiology).

How many CE credits do I receive?

You will receive 40 chiropractic continuing education credits recognized by Cleveland University-Kansas City and PACE/FCLB.

What kinds of cases and pathologies are included?

Advanced MRI spine interpretation across multiple pathologies, including disc disease, demyelinating disease, metastatic disease, and both intradural/extradural conditions.

What is required for the case report?

You must author an original case report demonstrating how MRI impacted diagnosis, prognosis, or treatment planning. It includes images, appropriate references, and peer review.

Ready to Advance Your MRI Spine Interpretation?

If you’re already MRI-credentialed and want advanced neuroradiology-guided spine interpretation training—with 40 CE credits—this Mini-Fellowship is your next step.

➡️ Enroll in the Mini-Fellowship in Advanced MRI Spine

Instructions: Once you purchase the course online, it will be immediately active in your account. If you have any issues, please contact Cara 631-804-2845 or CaraRoss220@Gmail.com

ACCREDITATION

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the University at Buffalo Jacobs School of Medicine and Biomedical Sciences and Cleveland University Kansas City, College of Chiropractic, Post-Graduate Department.

The University at Buffalo Jacobs School of Medicine

Required Elements for 100% Reimbursement Online Course

2 CE Credits

*CE Credits are for Doctors of Chiropractic.

**Please note this course is not approved int he state of AL, CA, HI, OK, TX, WV, LA, WI

Ethical Billing & Documentation Masterclass

Code with Confidence. Document with Authority. Bill with Integrity.

If you’re a chiropractor or healthcare provider treating trauma cases, your documentation and coding decisions can determine everything — from reimbursement accuracy to audit risk to your credibility in legal and payer reviews.

This fast-paced, practical masterclass gives you the clarity and structure to confidently apply ICD and CPT codes based on time + elements, while building documentation that supports ethical billing relationships and defensible trauma case reporting.

✅ Four sessions. 30 minutes each. Immediate impact.
✅ Designed for providers handling personal injury / trauma documentation and coding.
✅ Led by a nationally recognized chiropractic billing and documentation authority and an attorney.

What You’ll Learn (30 Minutes Each)

30 Minutes: Coding

Get a streamlined, real-world roadmap to coding correctly under modern standards — without overcoding, undercoding, or leaving money on the table.

You’ll walk away able to:

• Identify common coding mistakes that create audit exposure

• Align coding with documentation so the record supports the bill

• Improve compliance while remaining clinically accurate

30 Minutes: Ethical Billing Relationships

Ethical billing is not just a moral issue — it’s a business protection strategy.

You’ll learn how to:

• Create billing practices that are defensible and transparent

• Reduce compliance risk in payer, attorney, and regulatory review

• Avoid language and practices that can be framed as “billing-driven care”

30 Minutes: Documentation of Trauma Cases

Trauma cases require a higher standard of reporting — because your documentation may be evaluated by payers, attorneys, and experts.

You’ll gain:

• A trauma documentation structure that supports clinical reasoning

• How to document in a way that strengthens case value without exaggeration

• Key factors that support medical necessity and future-care reasoning

30 Minutes: E&M ICD Elements

E/M is one of the most misunderstood billing areas in clinical practice — especially in trauma documentation.

You’ll learn:

• How ICD and CPT relate to time and elements

• How to properly document and code based on E/M requirements

• The essential ICD elements that must appear in the record

Your Outcome

By the end of this masterclass, you’ll be able to:

✅ Accurately use ICD & CPT codes based on time and required elements
✅ Build documentation that supports ethical, defensible billing relationships
✅ Reduce audit vulnerability and compliance exposure
✅ Increase clarity and confidence in trauma case reporting

Goal: To accurately use ICD and CPT codes based on time and elements included to ensure ethical billing relationships.

Who This Is For

This training is ideal for:

• Chiropractors and chiropractic teams

• Providers handling personal injury and trauma cases

• Practices that want to reduce audit risk and increase documentation strength

• Clinicians who want to align clinical reasoning with compliant coding

• Any provider who wants to protect their practice and improve reimbursement integrity

Why This Training Works 

This is not theory. It’s a structured, clinically grounded approach designed for the real-world scrutiny of:

• Payers and utilization review

• Legal review and deposition environments

• Compliance and documentation audits

• Case valuation and defensibility in trauma cases

You’ll get best practices taught through decades of experience in documentation, coding, and medico-legal standards.

Instructors

Mark Studin, DC, FASBE(C), DAAPM, DAAMLP

A nationally recognized leader in documentation, coding, and clinical case reporting — with advanced training in spine care, compliance, and medico-legal standards.

Dan Rosner, Esq.

Attorney and legal expert focused on the documentation, compliance, and defensibility issues that determine whether your records stand up under scrutiny.

Ready to code and document with confidence?

Join this four-part, fast-implementation masterclass and walk away with the structure and clarity to protect your practice and support your trauma cases.

? Enroll Now

Instructions: Once you purchase the course online, it will be immediately active in your account. If you have any issues, please contact Cara 631-804-2845 or CaraRoss220@Gmail.com

Templates & Shortcuts in Diagnosing and Documentation for all EHR and Paper Systems Free Webinar

Thursday, May 16^th

2-5 pm EDT

Hour #1

Sections needed in an evaluation and re-evaluation

Hour #2

Choosing a diagnosis that allows care and reimbursement

Hour #3

Clinical validation of care for reimbursement

3 CE Credits 

Templates & Shortcuts in Diagnosing and Documentation for all EHR and Paper Systems Free Webinar

3 CE Credits 

ICD-10 + CPT Coding That Gets Paid

Clinical Evaluation, Diagnosis Selection, and Medical Necessity Documentation—Taught by National Spine Documentation Experts

Stop guessing. Start coding with confidence.
This 3-hour training shows you the correct combination of ICD-10 and CPT codes based on a clinically defensible evaluation, so you can support medical necessity, improve reimbursement, and reduce denials.

✅ Understand what belongs in initial and re-evaluations
✅ Choose diagnoses that support appropriate care + reimbursement
✅ Clinically validate care to prove medical necessity
✅ Build documentation that withstands audits, payor scrutiny, and peer review

Instructors:
Mark Studin DC, FPSC, FASBE (C), DAAPM
Don Capoferri DC, FSBT, FPSC 

Primary Outcome:
You will know how to select ICD-10 and CPT codes correctly—based on a complete clinical evaluation and documented medical necessity.

CTA Button Options:

• Enroll Now

• Reserve My Seat

• Get Access to the Training

Trust Microcopy (under CTA):
Built for real-world reimbursement, clinical compliance, and defensible documentation.

Built for Doctors Who Want to Improve Reimbursement Without Compromising Clinical Integrity

This training aligns with how payors evaluate medical necessity—so your notes, coding, and clinical findings work together.

Ideal for: DCs, practice owners, associates, and documentation-focused teams who want stronger coding accuracy and fewer denials.

If coding feels like a guessing game, you’re not alone.

Many doctors treat appropriately—but get challenged because their documentation and coding don’t clearly show:

• Why the diagnosis supports the plan of care

• Why the CPT coding matches the evaluation findings

• Why care is still medically necessary at re-eval

• How clinical validation supports ongoing reimbursement

This is where denials happen.
Not because you didn’t deliver care—but because the case wasn’t written in a way payors recognize.

Coding is not the starting point. The clinical evaluation is.

This program teaches you how to build coding from the ground up:

1. What must be in your evaluation/re-evaluation

2. How to select the diagnosis that supports care + reimbursement

3. How to validate and document medical necessity for ongoing care

By the end, you’ll understand how to code based on the clinical story, not templates, habits, or what someone told you “usually works.”

3 Hours. 3 Critical Skills. One Integrated Outcome.

Hour #1 — Sections Needed in an Evaluation & Re-Evaluation

Build the foundation that supports coding and care.

You’ll learn exactly what needs to be included to establish medical necessity and support reimbursement.

You’ll be able to:

• Identify the essential components of a defensible initial evaluation

• Understand what payors expect in re-evaluations (and what’s often missing)

• Document findings in a clinically meaningful way that supports diagnosis selection

• Avoid gaps that trigger denials and undercut the case narrative

✅ Result: Your evaluation becomes a coding-ready clinical document.

Hour #2 — Choosing a Diagnosis That Allows Care and Reimbursement

Stop using diagnoses that limit authorization or invite denials.

You’ll learn how to select diagnoses that are clinically accurate and aligned with reimbursement standards.

You’ll be able to:

• Choose ICD-10 codes that match the clinical presentation

• Avoid diagnosis errors that weaken medical necessity

• Understand the relationship between diagnosis, severity, and care planning

• Support the plan of care with diagnoses that reflect functional impact and clinical need

✅ Result: Your ICD-10 selection supports care and reimbursement without compromising accuracy.

Hour #3 — Clinical Validation of Care for Reimbursement

Prove medical necessity with defensible, measurable clinical logic.

You’ll learn how to clinically validate ongoing care so your documentation supports what you do—especially when cases extend past “typical” visit counts.

You’ll be able to:

• Connect symptoms, findings, diagnosis, and CPT coding into a coherent case narrative

• Clinically justify frequency, duration, and treatment progression

• Improve documentation language that supports medical necessity and continued care

• Reduce audit risk by showing objective, defensible decision-making

✅ Result: Your CPT coding and narrative are anchored to clinical findings and medical necessity.

Your Goal = Your Outcome

Understand the Correct Combination of ICD-10 and CPT Codes—Based on a Clinical Evaluation

You’ll leave this training knowing:

• What must be documented to support care and reimbursement

• Which diagnoses support the clinical picture and payor standards

• How to validate ongoing care through clinical findings and medical necessity

• How ICD-10 and CPT must work together for compliant reimbursement

This is not theory. It’s a practical framework you can apply immediately.

Who This Training Is For

✅ Doctors who want fewer denials and stronger reimbursement
✅ Doctors who want to improve documentation without writing novels
✅ Doctors who want coding confidence tied to clinical reasoning
✅ Doctors who want defensible evaluations and re-evaluations
✅ Doctors managing PI, cash, insurance, or hybrid practices
✅ Doctors who want to reduce audit risk

Meet Your Instructors

Mark Studin DC, FPSC, FASBE (C), DAAPM

Internationally recognized for work in spinal documentation, medical necessity, and clinical reporting frameworks used across chiropractic, medical, and legal communities.

Don Capoferri DC, FSBT, FPSC

Known for expertise in documentation strategy, coding compliance, and the clinical narrative required for reimbursement integrity and case defensibility.

Together, they bring decades of real-world experience helping doctors document and code in ways that withstand scrutiny.

Included With Your Training Access:

• 3 hours of structured, step-by-step instruction

• A repeatable framework for ICD-10 + CPT coding alignment

• Practical evaluation and re-evaluation structure guidance

• Clinical validation strategies that support ongoing reimbursement

• Immediate clinical implementation takeaways

• Enroll Now

• Get Training Access

• Start Improving Coding Accuracy Today

FAQ 

Will this help me reduce denials?
Yes—because it focuses on aligning evaluation findings, diagnosis selection, and documented medical necessity with CPT coding.

Is this only for insurance practices?
No. Even cash and PI practices benefit from stronger documentation and coding logic—especially for defensibility.

Do I need advanced coding knowledge?
No. This training is designed to be practical and usable immediately, regardless of experience level.

Is this compliant

***Please note this is a live course that took place on 9/12/2024.  If it is past this date this course is no longer active and you would have to take the online version of it which is in the link below.

https://university.teachdoctors.com/index.php?option=com_content&view=article&id=36&pid=164%3E%3Cspan%20style=

Patient Triage, Coding & Documentation

Syllabus Webinar

9-12-2024  2-5 PM EDT

3 CE’s

Course Description: This program equips you with the practical skills to interpret the results and comorbidities of a clinical evaluation and advanced imaging or electrodiagnostics testing. These insights will directly inform your patient triage decisions and collaborative care planning. The course content is designed to be immediately applicable in your professional practice. 

30 Minutes: Evaluation and Management Documentation Guidelines

Triage starts with clinical evaluations. What to look for regarding direct findings and comorbidities in the evaluation and management process.

60 Minutes: Clinical Findings and required documentation for patient triage

Diagnosing and documenting clinical and imaging findings in conjunction with comorbidities to determine the necessity for triage out of your office or providing direct care. 

30 Minutes: Imaging and Testing necessary to correlate clinical findings

MRI spinal pathology results and underlying systemic or metabolic issues to finalize a treatment plan

60 Minutes: Radiculopathy vs. Myelopathy, with Cord Edema vs. Myelomalacia

Diagnosing and utilizing ICD-10 coding in reporting long-term care needs when comorbidities are present. Also, how to make it understandable to patients and carriers in reports. This includes how to triage incidental pathological findings on imaging.

Objective: To document specific comorbidities, conclusively document the demonstrative cause of the patient’s pain, and create a care path that includes triage and collaborative care.

Expected Learner Outcome: To be able to triage and diagnose trauma and non-trauma cases.

Instructors:

Mark Studin DC

Don Capoferri DC

Patient Triage, Coding & Documentation

3 CE’s

* CE Credits are for Doctors of Chiropractic only

** No CE available in CA, WV.

Triage & Collaborative Care Planning

Clinical Evaluation + Advanced Imaging + Electrodiagnostics for Real-World Patient Decision-Making

When a patient presents with pain, weakness, neurologic signs, or complex comorbidities, your next steps must be accurate, defensible, and clearly documented—especially when imaging and electrodiagnostic testing complicate the clinical picture.

This program equips you with the practical skills to interpret clinical evaluation findings, correlate them with advanced imaging and electrodiagnostic results, and recognize comorbidities that change patient risk, treatment strategy, or referral urgency. You’ll learn how to build a clear triage pathway and create collaborative care plans that support both clinical outcomes and documentation integrity.

Designed for immediate use in practice, this training helps you confidently determine:

• Who can be treated in-office

• Who requires triage out of your office

• Who needs co-management or referral

• How to document why your decisions were medically necessary

What You’ll Be Able to Do After This Course

By the end of this program, you will be able to:

✅ Identify clinical findings and comorbidities that drive triage decisions
✅ Correlate symptoms with MRI, testing, and neuro findings with confidence
✅ Differentiate radiculopathy vs. myelopathy—and recognize serious cord pathology
✅ Document the demonstrative cause of pain in a way that is clear to patients and carriers
✅ Apply ICD-10 coding strategically for long-term care needs when comorbidities exist
✅ Create a defensible care path that includes triage, referral, and collaborative care

Program Objective

To document specific comorbidities, conclusively establish the demonstrative cause of the patient’s pain, and create a care path that includes triage and collaborative care when clinically indicated.

Expected Learner Outcome

Participants will be able to triage and diagnose both trauma and non-trauma cases while ensuring documentation supports medical necessity and long-term care planning.

Course Modules (3.5 Hours Total)

30 Minutes — Evaluation & Management Documentation Guidelines

Triage starts with the clinical evaluation.

You’ll learn what to look for in the E/M process, including:

• Red flags and direct findings that require escalation

• How to identify and document comorbidities that influence triage decisions

• Documentation essentials that support medical necessity

Outcome: You’ll improve the defensibility of your clinical findings, not just your note-taking.

60 Minutes — Clinical Findings + Required Documentation for Patient Triage

This module focuses on the practical clinical and documentation elements that determine whether a patient should be:

• Triaged out of your office

• Managed directly

• Co-managed with a specialist

You’ll cover:

• Diagnosing and documenting clinical findings with precision

• Matching exam findings to imaging and diagnostic results

• Identifying comorbidities that change treatment appropriateness and risk

Outcome: You’ll build a repeatable process for making triage decisions supported by documentation.

30 Minutes — Imaging & Testing Needed to Correlate Clinical Findings

MRI findings alone are not enough—correlation is everything.

You’ll learn how to interpret:

• Common spinal pathology patterns on MRI

• Systemic, metabolic, or underlying issues that alter treatment planning

• How to finalize a treatment plan using both clinical and imaging data

Outcome: You’ll avoid “imaging-only” decision-making and strengthen clinical justification.

60 Minutes — Radiculopathy vs. Myelopathy: Cord Edema vs. Myelomalacia

This module trains clinicians to recognize the difference between findings that are urgent, progressive, or permanent.

You’ll learn:

• Radiculopathy vs. myelopathy: what differentiates them clinically and radiologically

• Cord edema vs. myelomalacia: what it means for prognosis and care urgency

• ICD-10 coding strategies that support long-term care needs in cases involving comorbidities

• How to write reports that make complex findings understandable to:

  • Patients

  • Carriers

  • Third parties

You’ll also learn how to triage incidental pathological findings on imaging—without missing what matters.

Outcome: You’ll be able to clearly document severity, permanency risk, and necessity for collaborative care.

Who This Course Is For

This program is ideal for clinicians who manage patients with:

• Spine pain with neurologic symptoms

• Complex imaging results

• Systemic or metabolic comorbidities

• Trauma and non-trauma presentations

• Cases where documentation must support triage, co-management, or referral

If you want a repeatable system for triage decisions, documentation clarity, and defensible collaborative care planning—this is built for you.

Instructors 

Mark Studin, DC, FPSC, FASBE(C), DAAPM
Don Capoferri, DC, FSBT, FPSC

This course is led by recognized clinical educators with extensive expertise in spine-based triage, trauma and non-trauma diagnosis, documentation strategy, and interdisciplinary care planning.

Ready to Strengthen Your Triage Confidence + Documentation Defensibility?

Learn the clinical interpretation and documentation strategies that help you triage accurately, protect patients, and communicate findings clearly—without guesswork.

Enroll now to gain immediately applicable skills you can implement with your next complex case.

Instructions: Once you purchase the course online, it will be immediately active in your account. If you have any issues, please contact Cara 631-804-2845 or CaraRoss220@Gmail.com

Coding and Care Plan from Acute Through Rehabilitation Online

3 CE Hours

$99

*CE Credits are for Doctors of Chiropractic.

**Please note this course will no longer be approved in the state of CA, OK, TX, WV 

Master Clinical Documentation + Coding for Chiropractic & Spine Care

ICD-10 • CPT • E&M • Rehab • Demonstrable Medical Necessity

If you’re still losing reimbursement—or watching claims get delayed, reduced, or denied—this training is designed to fix it. You’ll learn a repeatable, documentation-driven system for coding accurately, linking services to diagnosis, and proving medical necessity across the full care timeline—from initial evaluation to post-acute rehabilitation.

Built for chiropractors and spine-focused providers who want to:

• Code E&M and treatment confidently (without guesswork)

• Reduce denials with diagnosis-linked documentation

• Support treatment frequency, duration, and progression with objective findings

• Create “audit-ready” notes that communicate medical necessity clearly

Format: 3-hour intensive training
Audience: DCs, documentation teams, billing/coding staff, and interdisciplinary spine clinics
Best for: Practices in [City, State] and across the U.S. looking to improve compliance and collections

Meet the Instructors

Mark Studin, DC, FPSC, FASBE(C), DAAPM

Primary Spine Care • Documentation • Compliance • Outcomes-Based Reporting

Dr. Mark Studin is recognized for training chiropractors and spine-care professionals in the clinical and administrative systems that support defensible, reimbursable, evidence-based care. His work emphasizes documentation that clearly communicates diagnosis, functional loss, and the objective need for treatment—especially in cases requiring higher scrutiny.

What Dr. Studin brings to this training:

• Real-world documentation frameworks used in high-accountability environments

• Diagnosis-to-service cross-linking strategies that withstand payer review

• Demonstrable documentation approaches that translate clinically and administratively

Don Capoferri, DC, FSBT, FPSC

Spine Care • Rehab Integration • Practical Documentation Systems

Dr. Don Capoferri brings a dual clinical and systems-based perspective to coding and documentation, integrating rehabilitation principles with accurate ICD-10/CPT application and consistent, defensible note structures.

What Dr. Capoferri brings to this training:

• Practical, clinic-tested workflows for post-acute and rehab documentation

• Care progression strategies that connect objective findings to coding

• Documentation methods that support active care, HEP, and functional improvement

What You’ll Learn (3-Hour Syllabus)

Hour 1 — Coding Initial Care: E&M → Treatment (Diagnosis-Linked)

You’ll learn how to code the initial encounter correctly—starting with E&M and moving into treatment, while properly connecting every service to diagnosis.

You’ll cover:

• ICD-10 selection and structure for initial evaluation

• CPT coding for treatment services during the early phase of care

• Cross-linking diagnosis to services to strengthen defensibility

• Reducing vulnerability in payer review by documenting intent, findings, and plan

Outcome: Your initial visit documentation supports both clinical decision-making and accurate reimbursement.

Hour 2 — Coding Post-Acute Care Through Rehabilitation (Including HEP)

This hour focuses on building clean, compliant, and reimbursable coding systems for the post-acute phase—where audits and denials often increase due to weak documentation.

You’ll cover:

• ICD-10 and CPT coding for post-acute care and rehab progression

• How to document and code home exercise programs properly

• Cross-linking diagnosis to rehab services and exercise-based interventions

• Demonstrating progression and necessity beyond symptom reporting

Outcome: You’ll be able to code and document rehab care in a way that makes the “why” crystal clear to payers.

Hour 3 — Proving Medical Necessity with Demonstrable Documentation

This is the “make-or-break” segment: learning how to validate necessity of care using objective, measurable findings—not subjective symptoms alone.

You’ll cover:

• How to build a defensible story using objective documentation

• X-ray digitizing and how to reference imaging correctly in care justification

• Range of motion documentation that supports functional loss and progress

• Muscle testing and its role in documentation and care necessity

• Comparing:

  • Global dysfunction (whole system movement impairment) vs.

  • Motor unit dysfunction (segmental/region-specific dysfunction)

• How to write notes that show clear need for continued care and progression

Outcome: Your documentation becomes demonstrable—stronger for reimbursement, audits, referrals, and medico-legal scrutiny.

Why This Training Works

This isn’t “coding theory.” It’s a practical system used in real clinics—built to help you document like a clinician and communicate like a payer needs to see it.

You’ll walk away with:

• A coding-and-documentation framework you can implement immediately

• Diagnosis-to-service linkage clarity across phases of care

• Objective findings strategies to support medical necessity

• More consistent reimbursement and fewer preventable denials

Call-to-Action 

Enroll Now and build documentation that supports your care—and your reimbursement.

Instructions: Once you purchase the course online, it will be immediately active in your account. If you have any issues, please contact Cara 631-804-2845 or CaraRoss220@Gmail.com

 Troubleshooting Suggestions: 

1. This course is supported by PC's and Mac devices
2. Minimum 20mbs download speed
3. Mobile device are not ideal as tracking is automated and often not mobilized

This course is Pace approved by the Federation of Chiropractic Licensing Boards

X-Ray Essentials – Clinical Grand Rounds

 6 CE Credits

Spine Imaging Mastery (6 Hours)

Trauma, Instability, Curvatures, Fracture Recognition, and Outcome-Driven Clinical Decision-Making

If you want to confidently identify cervical trauma patterns, subtle instability, and critical red flags—and document them with clarity that stands up in clinical, collaborative, and case-review environments—this training is built for you.

This 6-hour program delivers focused, step-by-step instruction through 10 targeted modules plus a full image review + testing hour, emphasizing the radiographic anatomy and biomechanical interpretation clinicians need to make defensible, outcome-driven decisions.

What You’ll Be Able to Do After This Course

By the end of this training, you’ll be able to:

• Identify normal vs. abnormal alignment and joint spacing in the spine and extremities

• Interpret cervical and thoracic curvature patterns and recognize structural deviations

• Recognize fractures, ligamentous injury indicators, and instability mechanisms

• Evaluate upper cervical instability metrics including key interval measurements

• Identify clinically meaningful findings such as DISH, calcified ligaments, cervical ribs, and more

• Connect imaging findings to radiculopathy, disc protrusion, biomechanical failure, and outcomes

• Improve documentation for clinical collaboration, case management, and medical necessity justification

• Build diagnostic confidence through live image review, testing, and pattern recognition training

Who This Program Is For

This course is designed for:

• Chiropractors and spine-focused clinicians

• Providers involved in trauma, PI/MVA, or complex cervical cases

• DCs seeking stronger imaging interpretation, more confident reporting, and better care decisions

• Clinicians who want a stronger understanding of spinal instability and trauma indicators

• Providers who coordinate with medical providers, attorneys, or multidisciplinary teams

Format & Total Time

✅ 10 Modules (30 minutes each)
✅ 60 Minutes: Image Review + Testing
✅ Total Course Time: 6 Hours

This structure keeps each lesson concise while ensuring deep clinical repetition and retention.

Course Modules (Curriculum)

Module 1 (30 Minutes)

Anatomy, Alignment, and Joint Spacing

Learn the foundational relationships that drive interpretation accuracy:

• Functional spinal anatomy

• Alignment metrics

• Joint spacing patterns in spine and extremities

• What “normal” actually looks like—so abnormalities are unmistakable

Module 2 (30 Minutes)

Normal Curvatures, Soft Tissue Windows & Vertebral Zones

This module builds your ability to interpret structure and soft tissue context:

• Normal spinal curvatures and why they matter

• Soft tissue windows that reveal hidden problems

• Four vertebral zones

• Cortical borders and what they can (and cannot) confirm

Module 3 (30 Minutes)

Fractures, Retropharyngeal Space & Ligamentous Ossification

Develop a sharper eye for trauma and safety concerns:

• Recognizing spinal fracture patterns

• Retropharyngeal spaces and why they matter in trauma workups

• Ligamentous ossifications: patterns, risks, and documentation

Module 4 (30 Minutes)

DISH, Intercalary Bones, Calcified Ligaments, Cervical Ribs & Calcified Thyroid

Improve diagnostic clarity for often-missed findings:

• Idiopathic Skeletal Hyperostosis (DISH) recognition

• Intercalary bones

• Ligament calcification patterns

• Cervical ribs

• Calcified thyroid findings and clinical context

Module 5 (30 Minutes)

Lamina & Pedicle Fractures, Column Displacement & Upper Cervical Instability Metrics

Learn what matters most in high-stakes imaging interpretation:

• Lamina and pedicle fractures

• Fracture displacement and column disruption

• Atlanto-dental interval significance

• Upper cervical instability identification

Module 6 (30 Minutes)

Trauma Patterns Beyond the Spine: Airway, Lungs, and Pathology Red Flags

Expand your interpretive lens to non-spinal indicators:

• “Raindrop” (teardrop) injury patterns and implications

• Mandibular fracture indicators

• Trachea, airway, lung fields

• Hilar masses

• Rib metastasis and destructive patterns

Module 7 (30 Minutes)

Cervical Central Disc Protrusions with Radiation & Spinal Instability

Connect imaging findings to symptom patterns:

• Central disc protrusion recognition

• Radiation patterns and correlation

• Instability findings that change clinical decision-making

Module 8 (30 Minutes)

Cervical Radiculopathy, Biomechanical Failure & Chiropractic Outcome Assessment

Translate imaging findings into outcomes and care strategy:

• Imaging and radiculopathy correlation

• Biomechanical failure interpretation

• Chiropractic outcome assessment frameworks

• Documentation strategies that support clinical reasoning

Module 9 (30 Minutes)

Multiple Cervical Ligamentous Injuries Diagnosed on Motion Radiographs

Build confidence with motion-based diagnostic interpretation:

• Pattern recognition for ligamentous injury

• Key motion radiographic indicators

• How to document instability in a clear, defensible way

Module 10 (30 Minutes)

Anterior Cervical Disc Fusion (C5–C6): Interpretation and Clinical Implications

Learn what to look for and what matters clinically:

• Post-surgical cervical fusion findings

• Common pitfalls in interpreting fused segments

• Adjacent segment implications and clinical considerations

Image Review & Testing (60 Minutes)

Pattern Recognition, Case-Based Interpretation & Competency Check

This final hour is where learning becomes skill:

• Guided image review

• Clinical testing to reinforce accuracy

• Interpretation confidence through repetition

• Practical application to real-world cases

Instructors

Mark Studin, DC, FPSC, FASBE(C), DAAPM

A nationally recognized leader in spine imaging interpretation, clinical documentation, and outcomes-driven spine care education.

Jason LoVette, DC, FPSC

Specializing in advanced spinal evaluation and clinical biomechanics with practical, case-based instruction.

Peter Zilahy, DC, FPSC

Focused on real-world diagnostic application, imaging patterns, and clinical correlation.

Why This Training Works

Most clinicians were taught to “look for problems.”
This course teaches you to recognize patterns—and document them in a way that improves:

• patient safety

• clinical accuracy

• diagnostic confidence

• interprofessional credibility

• outcomes tracking

• defensible clinical decision-making

Ready to Improve Your Imaging Confidence?

If you want a clear, structured, clinically grounded approach to cervical spine imaging, trauma interpretation, and instability recognition, this course gives you the system.

? Enroll now 

Instructions: Once you purchase the course online, it will be immediately active in your account. If you have any issues, please contact Cara 631-804-2845 or CaraRoss220@Gmail.com

Mandatory Standards in Report Writing and Diagnosing

3 CE

Clinical Triage & Vascular Insufficiency: Neurological Evaluation + Demonstrable Spine Pathology Reporting 

Learn how to triage patients, perform a complete neurological evaluation, and recognize the signs and symptoms of vascular insufficiency—while strengthening your documentation, imaging interpretation, and collaboration with medical specialists.

✅ Total Education Time: 180 minutes (3 hours)
✅ Format: On-demand video training
✅ Focus: Neurological evaluation, vascular insufficiency triage, demonstrable biomechanical pathology reporting, and documentation systems that hold up under scrutiny.

Enroll now to sharpen clinical confidence and documentation clarity.

[Primary CTA Button: Watch the 3-Hour Training Now]
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Taught by Two Leaders in Spine Care Documentation & Clinical Evaluation

Mark Studin, DC, FPSC, FASBE(C), DAAPM
A recognized authority in demonstrable biomechanical pathology reporting, advanced imaging integration, and documentation systems that support interdisciplinary case management.

Don Capoferri, DC, FSBT, FPSC
Specialized in clinical evaluation, neurological testing, and evidence-based documentation for complex musculoskeletal and neurological presentations.

If your notes don’t clearly explain why the patient is symptomatic—your diagnosis, referrals, and case value suffer.

This training shows you how to:

• Document pain, exacerbations, and elicitation of symptoms in a way that supports clinical reasoning

• Capture past, family, and social history without missing high-risk red flags

• Perform a complete neuro evaluation and interpret findings with confidence

• Recognize signs and symptoms consistent with vascular insufficiency and triage appropriately

• Report biomechanical spine pathology demonstrably using clinical evaluation, X-rays, and advanced imaging

• Build documentation that improves interprofessional collaboration and cleanly supports referrals, co-management, and record sharing

Whether you’re in clinical practice, PI, or multidisciplinary settings, this training upgrades your workflow and strengthens your clinical narrative.

Inside the 180-Minute Training

1) Reporting Pain, Exacerbations & Symptom Elicitation

Learn how to document:

• pain patterns, triggers, and modifiers

• symptom reproduction and functional impact

• meaningful changes over time that strengthen clinical clarity

2) Past, Family & Social History

Identify and record relevant history that influences:

• risk profiles

• triage and referral decisions

• clinical suspicion for vascular involvement

3) Vitals + Review of Systems

Understand how to:

• document vitals properly

• capture ROS in a way that supports medical necessity and triage

• connect findings to clinical decision-making

4) Demonstrable Biomechanical Pathology of the Spine

Improve your ability to describe:

• structural and biomechanical pathology

• functional implications that connect imaging + exam findings

• defensible reporting language that can be shared across disciplines

5) Diagnosing from Clinical Evaluations, X-rays & Advanced Imaging

Develop a repeatable approach to:

• integrate exam findings with imaging results

• avoid documentation gaps that weaken diagnostic confidence

• elevate clarity for referral and co-management

6) Collaboration, Documentation Creation & Sharing

Learn how to structure documentation for:

• medical specialists

• case managers / attorneys (when applicable)

• continuity of care across multidisciplinary teams

Goals & Objectives

Training Goal

Understand how to triage patients and diagnose vascular insufficiency.

Training Objectives

By the end of this program, you will be able to:

• Perform a complete neurological evaluation

• Identify key signs and symptoms of vascular insufficiencies

• Improve triage decision-making based on clinical presentation and red flags

• Document findings clearly to support collaborative care and diagnostic reasoning

Who This Training Is For 

Ideal for:

• Chiropractors seeking stronger triage and neuro evaluation skills

• Providers who want better documentation, imaging integration, and reporting language

• Clinicians working in interdisciplinary environments

• PI-focused providers who need documentation that’s clinically accurate and demonstrable

• Any clinician who wants clearer pathways for referrals and specialist collaboration

Why This Matters 

Vascular insufficiency is a “can’t-miss” clinical scenario.

When symptoms overlap with musculoskeletal complaints, it’s easy to under-triage—or document incompletely.

This training helps you build a clear, defensible clinical process so your documentation reflects your reasoning, your evaluation is complete, and your triage decisions are aligned with best practices.

Program Details

• Format: On-demand video training

• Total Education Time: 180 minutes

• Access: Watch anytime, anywhere

• Instructors: Mark Studin, DC + Don Capoferri, DC

FAQ 

Is this training only for PI providers?

No. While the documentation systems are helpful for PI, the core focus is clinical: triage, neurological evaluation, imaging integration, and recognizing vascular insufficiency red flags.

Does this teach a complete neuro exam?

Yes—this training is structured to help you perform a complete neurological evaluation and understand how findings relate to vascular insufficiency and triage decisions.

Is this live or recorded?

This is a three-hour recorded video you can watch on demand.

Upgrade your triage confidence. Strengthen your neuro exam. Improve documentation clarity.

If you want to improve how you evaluate and document complex presentations—especially those involving possible vascular insufficiency—this training gives you a structured, repeatable method you can use immediately.

Instructions: Once you purchase the course online, it will be immediately active in your account. If you have any issues, please contact Cara 631-804-2845 or CaraRoss220@Gmail.com

Primary Spine Care 17

Advanced Imaging, Diagnosing & Reporting Online

15 CE and CME Hours

*Please note, this course is only approved for 10/15 CE in the State of Texas.

Advanced Imaging, Triage & Collaborative Case Leadership

15-Hour Clinical Skills Training for Chiropractors Who Want to Lead Spine Care (Not Just Support It)

If you want to serve as the primary provider for spine care—and confidently collaborate with medical specialists based on evidence-based clinical findings—this course is built for you.

You’ll learn the imaging and diagnostic tools required to make accurate spine diagnoses, triage appropriately, identify neurological red flags, and interpret advanced imaging—including MRI and CT—with clinical and collaborative precision.

This is not theory. It’s a practical, clinic-ready training designed to help you deliver better outcomes, improve referral relationships, and elevate your documentation and credibility across healthcare and medical-legal environments.

Who This Course Is For

This program is ideal for chiropractors and spine-focused clinicians who want to:

• Serve as the primary spine care provider

• Improve diagnostic confidence and triage accuracy

• Strengthen collaborative relationships with MD PCPs, specialists, ERs, and urgent care

• Interpret MRIs/CTs with greater clinical certainty

• Improve documentation to support patient care, referrals, and case outcomes

• Expand credibility in medical-legal and multidisciplinary settings

What You’ll Be Able To Do After This Course

By the end of the program, you’ll be able to:

✅ Triage spine patients more effectively (urgent vs. non-urgent decision-making)
✅ Perform and interpret neurodiagnostic indicators and neurological differentials
✅ Confidently interpret advanced imaging (MRI, CT, X-ray) for spine pathology
✅ Detect ancillary tumors and critical non-musculoskeletal findings
✅ Apply evidence-based documentation that improves clinical collaboration and outcomes
✅ Build stronger interprofessional credibility through demonstrative reporting

Course Description

This course provides essential clinical skills for chiropractors who want to function as the primary provider for spine care, emphasizing the imaging and diagnostic tools required for accurate diagnosis and confident clinical decision-making.

You’ll learn how to coordinate patient care through effective collaboration with medical specialists—where the chiropractor leads case management based on evidence, advanced imaging interpretation, and diagnostic findings.

Key competencies include:

• Triage

• Neurodiagnostics

• Advanced imaging interpretation (MRI, CT, X-ray)

• Ancillary tumor detection

• Differential diagnosis and clinical decision pathways

Everything taught is designed to be applied immediately in practice.

Key Learning Objectives

1) Triage Skills

Learn how to assess and prioritize spine patients based on urgency, red flags, and diagnostic evidence—ensuring optimal outcomes while reducing missed pathology risk.

2) Neurodiagnostics

Build competence in identifying neurological disorders using proven diagnostic tools and clinical reasoning that supports collaborative case leadership.

3) Advanced Imaging Interpretation

Develop the ability to interpret MRIs, CT scans, and X-rays with clarity—supporting accurate diagnoses, stronger care plans, and better outcomes.

Course Goals

This training is designed to help you:

• Collaborate with medical specialists more effectively

• Deliver better patient care through enhanced diagnostic clarity

• Strengthen your clinical and professional authority through demonstrative documentation

Program Curriculum (15 Academic Hours)

Module 1 (2 Hours)

Current & Future Trends in Documentation and Practice Growth

Track: History Taking & Examination
Faculty: Mark Studin, DC | Don Capoferri, DC

Evidence-based demonstrative documentation is increasingly the defining factor in successful patient-centered collaborative care. This module outlines how documentation has become a reputation-building tool that supports stronger relationships with MD PCPs, specialists, ERs, and urgent care centers—and helps eliminate the outdated “non-specific back pain” dogma through evidence, imaging, and outcomes.

You’ll learn how to document in ways that elevate clinical credibility, support case coordination, and improve utilization based on proof—not opinion.

Module 2 (2 Hours)

MRI Spine: Ancillary Tumor Detection + Advanced Imaging Stroke Detection

Track: Diagnostic Testing & Differential Diagnosis
Faculty: Patricia Roche, DO, CAQ (Radiology/Neuroradiology) | Mark Studin, DC

A clinical case-based review of spinal MRI interpretation including:

• Sagittal and axial analysis

• Sequence proficiency: T1, T2, STIR, proton density

• Detection of spinal abnormalities and overlooked pathology

• Ancillary tumor findings including:

  • Renal

  • Ovarian

  • Extradural/intradural tumors

• Abdominal aorta morphology review for stroke risk indicators

This module strengthens your ability to identify critical findings that go beyond musculoskeletal pain—improving safety, outcomes, and collaborative clinical leadership.

Module 3 (1 Hour)

Advanced Credential Reporting and Authority Building

Track: Documentation
Faculty: Mark Studin, DC | Don Capoferri, DC

Guests: Jordan Kovacs, DC, FPSC | Dallas Humble, DC, FPSC

Learn how to develop a professional bio and CV that establishes credibility in clinical, collaborative, and medical-legal environments. You’ll also learn how to incorporate outcome statistics into demonstrative reporting so your work reflects measurable real-world impact.

This module includes:

• How to structure a professional bio and CV

• How to present and frame outcome statistics ethically

• How demonstrative reporting increases credibility and opportunity

• What it takes to become published and how scientific publication elevates authority

Module 4 (2 Hours)

Age-Dating Herniated Discs and Trauma

Track: Diagnostic Testing & Differential Diagnosis
Faculty: Mark Studin, DC | Don Capoferri, DC

Age-dating disc herniations and traumatic injury is a core skill for the advanced spine clinician. This module teaches evidence-based analysis using MRI, X-ray, and pathology interpretation to determine chronicity and clinical relevance.

You’ll learn how to:

• Compare imaging findings with joint pathology and injury mechanisms

• Establish defensible conclusions grounded in evidence

• Use age-dating to support prognosis, care plans, and collaborative discussions

• Strengthen medical-legal credibility through reproducible rationale

Module 5 (1 Hour)

Case History Presentation: Clinical Grand Rounds

Track: History Taking & Examination
Faculty: Mark Studin, DC | Don Capoferri, DC

Guest: Melissa Studin, ESQ - Focusing on what the courts accept as experts and necessary functional loss reporting

A guided clinical grand rounds session focusing on:

• Disc, ligament, and spinal pathology interpretation

• Diagnosis and prognosis formulation

• Treatment plan development

• High-risk clinical conditions:

  • Cord edema

  • Myelomalacia

  • Myelopathy

  • Tethered cords

Learn how follow-up exams refine diagnosis and how care plans must adapt as new findings emerge.

Module 6 (2 Hours)

Updated Trends in Spinal Biomechanics and Ligamentous

...

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Research and Diagnosing

Syllabus

30 Minutes

Research Trends in Spinal Care

30 Minutes

Research Trends in Chiropractic vs. MDs vs PT for Spine Management

30 Minutes

Clinical Diagnosis – ICD-10 plus Relative Weights

30 Minutes

Imaging Diagnosis – ICD-10 plus Relative Weights

30 Minutes

Evaluation and Management Documentation of complicated and non-complicated cases

30 Minutes

Medical-Legal Documentation of complicated and non-complicated cases

Total Time: 120 Minutes

Instructors:

Mark Studin DC, FPSC, FASBE(C), DAAPM

Don Capoferri DC, FSBT, FPSC, BCN

Evidence-Based Chiropractic Outcomes

& MRI Spine Interpretation

Syllabus

45Minutes

Evidence-Based explanation of the chiropractic lesion and adjusting mechanism

45 Minutes

Outcome studies of chiropractic, physical therapy, osteopathy and medicine for mechanical spine pain.

45Minutes

Spinal disc pathologies: bulges, herniations, extrusions, protrusions, and fragments.

45Minutes

MRI Case studies showing the various types of pathology.

Total Time: 120 Minutes

Instructors:

Mark Studin, DC, FPSC, FASBE(C), DAAPM

MRI Spine Evaluation

6 CE Credits

Disc Pathology on MRI: Visualize, Classify, and Age-Date Injury With Confidence

6-Hour Training + Case-Based Image Review (150+ Cases)

If you interpret spine MRIs—or rely on them for clinical, diagnostic, or injury documentation—this training gives you the practical framework to recognize disc pathology variants, confirm imaging findings, and age-date disc injuries using established physiological methods.

You’ll move from foundational disc morphology to advanced injury dating and high-volume case review, with a focus on what matters most: accuracy, reproducibility, and defensibility.

What You’ll Learn (Syllabus + Modules)

Module 1 (30 Minutes): Spinal Disc Morphology

Build the anatomical and morphological base needed to interpret disc pathology correctly.
Key takeaways: disc anatomy, structural boundaries, and morphology markers used in reporting.

Module 2 (30 Minutes): Disc Pathology Variations

Understand—and clearly differentiate—disc variations including:

• Bulge

• Protrusion

• Extrusion

• Sequestration

• Herniation subtypes

Key takeaways: consistent classification language, radiologic terminology, and common misinterpretations.

Module 3 (30 Minutes): MRI Physics

Learn the MRI essentials that directly affect disc pathology visibility.
Key takeaways: sequences, signal behavior, artifact impact, and the “why” behind what you see.

Module 4 (30 Minutes): Annular Fissures + Visualization of Disc Pathology

Identify annular fissures and the imaging patterns that support disc injury findings.
Key takeaways: recognizing fissure variants, high-intensity zones (HIZ), and correlating disc injury features.

Module 5 (30 Minutes): Disc Fragment Visualization + Image Review

Train your eye to detect fragments and understand how fragment morphology changes across cases.
Key takeaways: subtle findings, fragment migration patterns, and the “missed injury” problem.

Module 6 (30 Minutes): Spinal Cord Compressions + Image Review

Recognize cord involvement, compressive effects, and the significance of imaging findings.
Key takeaways: clinical relevance, imaging thresholds, and documentation considerations.

Module 7 (60 Minutes): 20 Physiological Methods to Age-Date Disc Pathology

This is the flagship module: a structured, teachable system for age-dating disc injury.
Key takeaways: injury timing indicators, physiological processes, acute vs. chronic differentiation, and defensible reasoning.

Module 8 (30 Minutes): Case Review — 50+ Images of Disc Focal Herniation

High-volume image review to reinforce focal herniation patterns with repetition and clarity.
Key takeaways: pattern recognition, reporting language, and diagnostic confidence.

Module 9 (30 Minutes): Case Review — 50+ Images of Disc Extrusion

Learn the imaging signatures of extrusion through extensive image review.
Key takeaways: extrusion characteristics, sequestration risk indicators, and documentation of severity.

Module 10 (30 Minutes): Case Review — 50+ Images of Herniation, Bulge + Cord Involvement

Integrated cases that combine disc pathology with spinal cord implications.
Key takeaways: mixed pathology differentiation and high-stakes interpretation precision.

Module 11 (30 Minutes): Live Questions + Answers

Bring your real-world questions—clinical, documentation, or interpretation-based.
Key takeaways: clarity, reinforcement, and practical application.

Total Training Time

✅ 6 Hours

Faculty / Instructors  

This training is taught by a dual-discipline team combining spine care, documentation expertise, and advanced radiology/neuroradiology insight.

Mark Studin, DC, FPSC, FASBE(C), DAAPM

A leading voice in MRI-based spine injury interpretation, documentation strategy, and medically defensible clinical reporting.

Patricia Roche, DO, CAQ — Radiology, Neuroradiology

Board-certified physician expertise in radiology and neuroradiology, delivering advanced imaging interpretation and high-level clinical correlation.

Who This Course Is For

• Chiropractors

• Medical physicians

• Radiology-focused clinicians

• Spine care providers

• Providers managing trauma and injury-based documentation

• Professionals who must support imaging conclusions with clarity and defensibility

Outcomes You Can Expect

By the end of this 6-hour course, you’ll be able to:

• Differentiate disc pathology with precision

• Improve confidence in annular fissure and fragment detection

• Identify cord compression patterns and clinical significance

• Apply 20 physiological indicators to age-date disc pathology

• Strengthen documentation quality for clinical and medico-legal environments

Instructions: Once you purchase the course online, it will be immediately active in your account. If you have any issues, please contact Cara 631-804-2845 or CaraRoss220@Gmail.com

Concussion/mTBI & Documentation

Thursday August 14, 2025

1-4 pm EST

Syllabus

45 Minutes

Evidence-Based explanation of concussion/mTBI and TBI

45 Minutes

Diagnosing and reporting of mTBI and TBI

45 Minutes

Elements required for 99202-99203-99204-99205, inclusive of history and a complete examination

45Minutes

Diagnosing for trauma, non-trauma and comorbidities.

Total Time: 120 Minutes

Instructors:

Mark Studin, DC, FPSC, FASBE(C), DAAPM

Documentation for Referrals Free Webinar

Syllabus

Module 1 – Documentation

Documentation Mandates

45 Minutes

This course reviews carrier documentation mandates with a focus on requirements that can trigger or support carrier investigations. Participants will learn how to meet compliance standards while avoiding common documentation pitfalls. The syllabus also covers the mandatory elements required for codes 99202–99205. Emphasis is placed on accurate, thorough, and defensible reporting to protect both providers and patients.

Module - 2

Medical-Legal Documentation - Ethics

45 Minutes

Training clinicians in medical-legal documentation establishes clear causality between traumatic events and patient injury. It emphasizes demonstrative reporting to illustrate objective bodily injury and pathology. Instruction focuses on documenting persistent functional losses with precision to withstand legal scrutiny. Participants will gain the skills to produce authoritative reports that support both clinical care and medical-legal proceedings.

Module - 3

Diagnosing -Documentation

45 Minutes

This module focuses on effective and precise diagnosis of musculoskeletal pathology, with a strong emphasis on biomechanical assessment. Participants will learn to integrate clinical findings with imaging and functional analysis to establish accurate diagnoses. The module highlights the role of biomechanics in identifying underlying pathology and guiding evidence-based treatment planning. Clinicians will acquire the skills necessary to enhance diagnostic accuracy, optimize patient outcomes, and facilitate collaborative care.

Module - 4

Evidence-Based Chiropractic Outcomes – Research

45Minutes

This module reviews chiropractic research with a focus on comparative clinical outcomes. It examines the effectiveness of chiropractic care relative to physical therapy, medical doctors, and osteopathic physicians. The course also evaluates patient results when comparing chiropractic interventions to drug-based treatments. Emphasis is placed on evidence-based data that highlights chiropractic outcomes within diverse healthcare models.

Total Time: 180 Minutes

Instructors:

Mark Studin, DC, FPSC, FASBE(C), DAAPM

Don Capoferri, DC, FBST, FPSC, BCN