Reimbursement Guidelines and Documentation
Get Paid for the Care You Deliver—Without Triggering Carrier “Traps”
Earn 3 CE Credits (Doctors of Chiropractic only)
No CE will be available in Alabama for this course.
Learn how to document, code, and validate care plans in a way that supports reimbursement, reduces audit risk, and prevents payer disputes—while staying compliant with legal discount and two-fee system requirements.
Course Overview
Reimbursement isn’t just about codes—it’s about demonstration. If your documentation doesn’t clearly validate medical necessity, clinical correlation, and appropriate treatment duration, you risk:
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Underpayment and denials
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Carrier audits and repayment demands
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Allegations of improper billing or “fraud traps”
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Documentation gaps that undermine your case files
This course teaches you real-world billing and documentation strategies designed specifically for chiropractors navigating payer scrutiny and reimbursement challenges.
Who This Course Is For
This program is built for Doctors of Chiropractic who want to:
✅ Improve reimbursement and reduce denials
✅ Strengthen E/M and SOAP documentation
✅ Avoid coding errors that trigger carrier scrutiny
✅ Compliantly offer discounts to cash patients
✅ Validate treatment plans in an evidence-based, audit-resistant way
Whether you’re a new practice owner or a seasoned clinician, the material is structured for immediate implementation.
What You’ll Learn (Practical Outcomes)
By the end of this course, you’ll be able to:
1) Code E/M with clarity and confidence
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Apply billing and coding for Evaluation & Management correctly
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Define trauma vs. non-trauma etiologies and understand how payers interpret them
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Identify common carrier “traps” and avoid improper coding pitfalls
2) Understand DMPO compliance (Discount Medical Plans)
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What a DMPO is and how it affects chiropractic billing
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How to structure a legal two-fee system
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How to offer discounts to cash patients without stepping into insurance fraud territory
3) Document to protect your reimbursements
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Create cleaner, stronger SOAP notes that match clinical reasoning
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Avoid the “fraud trap” documentation patterns payers use to deny or audit
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Demonstratively document long-term care when clinically indicated
4) Validate treatment plans the way auditors expect
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Demonstrable treatment plan validation that clinically correlates to diagnosis
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Documentation that reduces audit exposure and lawsuit risk
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Evidence-based approach to X-ray utilization
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The mechanisms of the chiropractic adjustment—supported and defensible
Syllabus
45 Minutes:
Billing and coding for “Evaluation and Management” guidelines. Defining trauma vs. non-trauma etiologies in coding. Identifying carrier “traps” with improper coding.
30 Minutes:
DMPOs – Legal Discount Medical Plan Organizations. The legalities of a two-fee system and avoiding insurance fraud issues by compliantly offering discounts to cash patients.
30 Minutes:
Proper evaluation and management and SOAP note documentation to avoid carrier “fraud traps.” How to demonstratively document to ensure reimbursement for long-term care when clinically indicated.
75 Minutes:
Demonstrable validation of treatment plans that clinically correlate to diagnosis. The validation that prevents audits and lawsuits and ensures reimbursement. An evidence-based approach to X-Ray utilization and the mechanisms of the chiropractic adjustment.
Speakers
Mark Studin, DC, FPSC, FASBE(C), DAAPM
A nationally recognized authority in documentation, coding, clinical correlation, and defensible care planning in chiropractic.
Dr. Don Capoferri, DC, FBST, FPSC
Clinical and reimbursement educator focused on practical documentation and compliance solutions designed for real-world practice environments.
CE Credit Information
3 CE Credits
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CE Credits are for Doctors of Chiropractic only.
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This course is approved in the state of Alabama through 7/27/25 only.
After that date, no CE will be available in Alabama for this course.
Why This Course Matters
Carriers are increasingly aggressive about denying, auditing, and reframing chiropractic care as “non-necessary” when documentation doesn’t demonstratively connect:
This program focuses on demonstration-driven documentation—the standard that protects your practice, supports clinical reasoning, and helps ensure reimbursement for appropriate long-term care.
Ready to protect your reimbursements and reduce audit risk?
Enroll now and start implementing documentation and coding strategies that payers can’t easily dismiss.
✅ Improve reimbursement
✅ Strengthen compliance
✅ Reduce denials and payer scrutiny
✅ Build audit-resistant treatment plan validation
FAQ
Is this course only for chiropractors?
Yes. CE is for Doctors of Chiropractic only.
Will this help with payer audits?
Yes. The course includes demonstrable documentation principles designed to prevent audits and protect 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:
- This course is supported by PC's and Mac devices
- Minimum 20mbs download speed
- 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.
