Pathobiomechanics and Documentation Online

Syllabus

8 CE credits

***This course is only approved for 5 CE in the state of New Hampshire.

This program is focused on pathobiomechanics. It covers how to diagnose and document pathobiomechanics. This then program covers the use of pathobiomechanics and explains pain patterns and prognosticating premature degeneration based upon Wolff’s Law. This program also explains the demonstrative necessity for long-termed chiropractic care and how to identify primary lesions of the spine vs. treating compensation.

Module 1 - Mark Studin DC

Documenting an Initial E&M Report:

Review of CPT Coding Guidelines for Initial and Established Patients with particular attention paid to Patient History, Review of Systems, Social and Family History, Physical Examination and Medical Decision making.  Specific differences in coding levels and required elements for a 99202-99203-99204-99205 will be outlined and demonstrated. 

Module 2 - Mark Studin DC, Dan Rosner ESQ

Using Documentation to Create Ethical Relationships:

Pathways to improve coordinatation of care and interprofessional communication with collaborating physicians will be outlined and demonstrated.  Discussion will focus on maintiaining ethical relationships in the medical-legal community through compliant reporting and communication of demonstrable patient/client diagnosis, prognosis and treatment plans.

Module 3 - Spinal Biomechanical Engineering:William Owens DC

A brief history of clinical biomechanics will be discussed with a particulary emphasis on the diagnosis and management of spine pain of mechanical/functional origin.  Evidence based symptomatic vs asymptomatic parameters will be reviewed using peer-reviewed medically index literature.  Detailed analysis using computerized mensuration programs to analyze spinal biomechanical pathology will be demonstrated and discussed. Outlines of the comparisoin of demonstrable spinal biomechanical failure on imaging to a clinical evaluation and physicial examination will be presented.  Future implications of clinical biomechanics in the management of the spine pain patient will be reviewed

Module 4 - Clinical Grand Rounds: William Owens DC, Mark Studin DC, John Edwards MD, Neurosrugeon

Case reviews utilizing E/M, MRI and x-ray mensuration reports to conclude an accurate diagnosis, prognosis and treatment plan will be presented. Focus will be on common diagnosis require interprofessional collaboration with a discussion of diagnostic delemas and proper communication methods. Interprofessional communication methods will include clinical documentation, triage, referral protocols and phone consultations. 

Total Education Time 8 Hours

Spinal Disc and Ligaments Neurology and Pathology

7 CE Credits

*CE Credits are issued for Doctors of Chiropractic only.

*Please note this course is only approved for 6 CE credits in the state of HI.

*Please note this course is only approved for 5 CE credits in the state of NH.

*Please note this course is only approved for 5.5 CE credits in the state of CA.

The neurology of ligament pathology is an inclusive course covering ligaments and spinal disc (also ligaments). As discs are integral in spinal biomechanics, we discuss the role that a herniated or bulged disc plays in aberrant biomechanics and when the patient can undergo corrective care vs. management of care. The course also explains why long-termed chiropractic care is clinically indicated. 

This course details the roles of mechanoreceptors, proprioceptors and nociceptors in a pathological spine and one that is undergoing compensation as sequellae to trauma and tissue pathology. This course prepares you to be expert on spinal pathology and the mechanisms of compensation in addition to the why a patient “might” need lifetime care, no different than the diabetic, who needs lifetime care. In addition, this course will prepare you for patients who have “shifting pain” as a natural course of compensation. 

PRE-TEST

Module #1: Introduction, Ligament physiology and pathology                                              81 minutes recording, 28 slides

Module #2: Spinal Biomechanics & Disc Pathology                                                                53 minutes, 84 slides + Handout

Module #3: Innervation of disc and brain as sequellae to herniation                                   120 minutes, 80 slides

POST -TEST

Total Hours: 7

Our ONLY LIVE Seminar this year

Every Top office in the country ALWAYS attends out live seminars… Be HERE!!!!!!

Friday, October 26, 2018 9am - 5pm (Bonus Members Only Day)

Dr. Wiegand: Spinal Biomechanics

Dr.’s Studin/Owens: Collections/Documentation

Friday Night Extravagant (really) Dinner for Fellow and Trauma Team Members

Saturday, October 27, 2018 8am - 6pmSunday, October 28, 2018   8am - 1pm 

Managing & Triaging Cases, Early Stroke Diagnosis, DC vs. PT & Ensuring Chiropractic as the 1^st Referral Option

Guest Panel

Robert Peyster MD, Neuroradiology

Magdy Shady MD, Neurosurgery, Neuro Trauma Fellow, Masters in Lumbar Spine Pathology

Candace Perkins MD, Neurology, Vascular Neurology

PRIMARY SPINE CARE SERIES #6

Topics

1. When to Order Diagnosing Testing2. Early Detection for (all types) Stroke3. The Research of Why Chiropractic over PT for Spine4. Get Long-Term Chiropractic Care Approved5. Be the First Referral Option for:     a) Emergency Rooms     b) Spine Surgeons     c) Medical Primary Care Providers     d) Lawyers

Melville Marriott Long Island

Address: 1350 Walt Whitman Rd, Melville, NY 11747

Fellowship in Spinal Biomechanics and Trauma - Clinical Rotation 1 - Pain Management 

Forensic Documentation

20 "Online" CE Credits

Please note this course is only approved for 10/20 CE credits in the state of TX.

*CE Credits are issued for Doctors of Chiropractic only.

The forensic documentation course has been engineered to allow you to thrive in the most confrontational medical legal environment: the courtroom. The modules were created to help you understand how to create demonstrative documentation so that your clinical findings are easily understood and can withstand scrutiny upon cross examination. This course gives you the tools to take your evaluation, reevaluation and treatment notes to be fully understood and teaches you how to craft them in such a manner to withstand the courtroom environment.

Part 1: An Introduction to report writing in medical-legal environment.  This section discusses how to organize your charts and prepare  demonstrative examples based upon your clinical findings.

Part 2: Reviews how to document spinal biomechanical findings in both words and images.

Part 3: Illustrates how to document causality and bodily injury in cervical flexion and extension injuries.

Part 4: How to forensically document bodily injuries, inclusive of utilizing imaging studies that are labeled as part of your documentation.

Part 5:Understating that your curriculum vitae is part of your documentation; how to prepare it and present it in the medical-legal environment.  How to use peer-reviewed medical literature in your documentation inclusive of appropriate citations.

Part 6: Documenting your credentials so they are admissible in a medical-legal environment.

Part 7: Organizing and presenting your documentation in a medical-legal environment. (Direct Examination) Part 1

Part 8: Organizing and presenting your documentation in a medical-legal environment. (Direct Examination) Part 2

Part 9: Organizing and defending your documentation in a medical-legal environment. (Cross Examination) Part 1

Part 10: Organizing and defending your documentation in a medical-legal environment. (Cross Examination) Part 2

   FEE: $750.00

Instructors:
The doctor's CV can be found by clicking on "Faculty" on the top toolbar

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

Dan Rosner Esq.

Accepted language to be added to your CV

Forensic Documentation

CV Citations

Module 1:

Forensic Documentation-Report Writing, Report writing in a medical-legal case inclusive of causality, bodily injury, persistent functional loss and restrictive sequela from trauma. Demonstratively documenting bodily injury utilizing models, graphs and patient image of x-ray and advanced imaging. Cleveland University, Kansas City, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division, Long Island NY, 2019

Module 2:

Forensic Documentation- Demonstrative Documentation, Demonstratively reporting spinal biomechanical failure and spinal compensation. How in a medical-legal environment to ethically report pre-existing injuries vs causally related current injuries and what is permissible in a legal proceeding. Cleveland University, Kansas City, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division, Long Island NY, 2019

Module 3:

Forensic Documentation- Reporting Direct Opinions , Cauality, bodily injury and persistent functional losses documented and reported in a medical-legal environment as your direct opinion. Avoiding hearsay issues to ensure ethical relationships. Cleveland University, Kansas City, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division, Long Island NY, 2019

Module 4:

Forensic Documentation- Initial, Final and Collaborative Reporting ,Preparing demonstrative documentation in a medical-legal case ensuring that you are familiar with all other treating doctor’s reports. Correlating your initial and evaluation and management (E&M) report and your follow-up E&M reports with the narrative upon maximum medical improvement documenting continuum of care.  Cleveland University, Kansas City, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division, Long Island NY, 2019

Module 5:

Forensic Documentation- Qualifications and Preparation of Documentation, How to prepare your documentation for courtroom testimony and ensuring your qualifications are documented properly on an admissible, professional curriculum vitae. How to include indexed peer-reviewed literature in medical-legal documentation,  Cleveland University, Kansas City, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division, Long Island NY, 2019

Module 6:

Forensic Documentation- Reporting Patient History and Credentials ,Preparing patient history in a medical-legal case based upon your initial intake forms and understanding the work, social, academic, household and social activities of your patient. Understanding and explaining your doctoral and post-doctoral credentials in the courtroom.  Cleveland University, Kansas City, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division, Long Island NY, 2019

Module 7:

Forensic Documentation- Reporting Chiropractic Care and Injured Anatomy , Preparing demonstrative documentation in a medical-legal case to report the bodily injuries of your patients , inclusive of loss of function and permanent tissue pathology.  Cleveland University, Kansas City, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division, Long Island NY, 2019

Module 8:

Forensic Documentation- Reporting Temporary vs. Permanent Issues, Preparing documentation in a medical-legal case ensuring that you can communicate permanent vs. temporary functional losses and permanent vs. temporary tissue pathology. How to maintain and explain ethical relationships in medical-legal cases, Cleveland University, Kansas City, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division, Long Island NY, 2019

Module 9:

Forensic Documentation- Reporting Bodily Injury, How to report bodily injury and functional losses as supported by your credentials in a medical-legal case. Clinically correlating causality and permanent tissue pathology as sequela to trauma, Cleveland University, Kansas City, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division, Long Island NY, 2019

Module 10:

Forensic Documentation- Record Review and Documentation Reporting, How to report records of collaborative treating doctors and communicating your scope of practice in the management of your case. How to ethically report your role as a doctor in medical-legal cases, Cleveland University, Kansas City, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division, Long Island NY, 2019

Objective: To get the doctor to understand how to document demonstratively bodily injuries and functional losses in a forensic

Clinical Excellence

The course is only available for credits for DC.

This course is only approved for 9 credits in the state of CA.

This course is only approved for 5 credits in the state of NH.

The Basis for Creating an Accurate Diagnosis, Prognosis and Treatment Plan in Private Practice and Collaborative Relationships

Primary Spine Care 7: Spinal Biomechanical Pathology and Collaborative Management

Online

ALL BASED ON YOUR CLINICAL EXCELLENCEWe are in possession of the latest research validating chiropractic. This includes the treatment of pain AND systemic disease from a central nervous system connection in conjunction with the required algorithms lawyers MUST have to prevail (yes they are ALL connected).
 Positioning YOUR practice with this research is the KEY to being the 1^st referral option for emergency rooms, MD Specialists, MD primary care providers and lawyers. FACULTYDr. Mark Studin (CV Link)Dr. William Owens(CV Link)     
 Obligatory TESTIMONIALS
1.  I now get 30 new cases EVERY WEEK from MD’s… NY
2.  51 new PI Cases this month ...GA
3.  MD immediately sent me 3 PI cases...WA
4.  I went from 17 to 110 new PI cases monthly...NV
5.  The last seminar was the most fun I had in chiropractic. I didn’t blink for 2 days...NJ
6.  I now get at least 2 PI cases daily...OH
7.  I now average 42 new PI cases monthly GA
8.  3xPI Cases...4x Income for 4 yrs.  NJ
 

Guest Speaker: William J. Owens DC, DAAMLP

• Date of Original release: 9/17/2021
• Termination date: 9/17/2024
• Software Needed
• Activity hours – 12
• Learning Objectives/activity description

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 CMCS Management, Inc.

The University at Buffalo Jacobs School of Medicine and Biomedical Sciences is accredited by the ACCME to provide continuing medical education for physicians.

CERTIFICATION The University at Buffalo School of Medicine and Biomedical Sciences designates this Internet Enduring Material activity for a maximum of 12.0 AMA PRA Category 1 Credit(s)TM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

PLANNING COMMITTEE & SPEAKER DECLARATIONS

The Accreditation Council for Continuing Medical Education (ACCME) and the University at Buffalo Jacobs School of Medicine and Biomedical Sciences Standards for Commercial Support require that presentations are free of commercial bias and that any information regarding commercial products/services be based on scientific methods generally accepted by the medical community. The following planners and presenter(s) have disclosed financial interest/arrangements or affiliations with organization(s) that could be perceived as a real or apparent conflict of interest in the context of the subject of their presentation(s).  Only the current arrangements/interests are included. *Planning Committee

LIST OF PRESENTER/PLANNERS/AUTHORS and their disclosures or “Nothing to Report”

Mark Studin DC, FASBE(C), DAAPM, DAAMLP - Nothing to Report

EVALUATION & MANAGEMENT

*Please note this course is only approved for 10 CE credits in the state of Texas.

*Please note this course is only approved for 5 CE credits in the state of New Hampshire.

This 12 Hour course covers how to get the doctor to understand the evaluation and management process from a documentation prospective.

The Evaluation and Management course has been engineered to allow the doctor to understand how to document the initial, re-evaluation and visit encounters. These educational modules were created to help you understand how to be compliant in covering the required elements based upon the level of evaluation and subsequently billed.  This program offers a single solution for all financial classes (Fee for Service, Personal Injury, Workers Compensation, Medicare and Managed Care) as they all need similar required elements predicated on the level of service billed.

Part 1: An Introduction to documentation. This section discusses why note taking is critical to tell the story of your patient’s condition at the time of your evaluation, inclusive of co-morbidities, pre-existing conditions, family and social considerations and medical-legal implications. It also covers hand written notes vs. electronic medical records and the importance of documenting at the academic standard.

Part 2: Reviews on how to conclude a chief complaint, history and what needs to be considered in a physical examination. This covers in dept the required elements for chief complain, history of present illness, review of systems, and past, family, and/or social history. This module also covers the following components of a physical examination: observation, palpation, percussion, and auscultation.

Part 3: Coding and Spinal Examination: This module covers 99202-99205 and 99212-99215 inclusive of required elements for compliant billing. It reviews the elements for an extensive review of systems, cervical and lumbar anatomy and basic testing. The course also covers the basics of vertebra-basilar circulation orthopedic assessment.

Part 4: Neurological Evaluation: This module covers a complete motor and sensory evaluation inclusive of reflex arcs with an explanation of Wexler Scales in both the upper and lower extremities. The course breaks down testing for upper and lower motor neuron lesions along with upper and lower extremity motor and sensory testing examinations.

Part 5: Documenting Visit Encounters: This module covers the S.O.A.P. note process for visit encounters. It discusses the necessity for clinically correlating symptoms, clinical findings and diagnosis with the area(s) treated. It also discusses how to modify treatment plans, diagnosis, document collaborative care and introduce test findings between evaluations.

Part 6: Case Management and Treatment Orders: This module discusses how to document a clinically determined treatment plan inclusive of both manual and adjunctive therapies. It discusses how to document both short-term and long-term goals as well as referring out for collaborative care and/or diagnostic testing.  It also includes how to prognose your patient and determine when MMI (Maximum Medical Improvement) has been attained.

 FEE: $325.00

CE approved in 30 states & territories

              Click here to view

1.  Minimum 20mbs download speed

2.  Firefox Browser preferable

3.  Do NOT to use a mobile device. It is not allowable and not ideal for learning as the graphics will be too small. 

Below is the description of the course and the citations/language for your curriculum vitae.

Instructor
The doctor's CV can be found by clicking on "Faculty" on the top toolbar

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

Michael Barone DC, DISCN, DIBE

Bryan Weissman DC

Accepted language to be added to your CV

CV Citations

Module 1:

Evaluation and Management, An overview of the evaluation and management process inclusive of utilizing electronic medical records to conclude evidenced-based conclusions with the utilization of macros. The importance of adhering to an academic standard and considering co-morbidities. Cleveland University, Kansas City, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division, Long Island NY, 2019

Module 2:

Evaluation and Management, Concluding a chief complaint, history and what needs to be considered in a physical examination. This covers in dept the required elements for chief complain, history of present illness, review of systems, and past, family, and/or social history. This module also covers the following components of a physical examination: observation, palpation, percussion, and auscultation. Cleveland University, Kansas City, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division, Long Island NY, 2019

Module 3:

Evaluation and Management, Coding and Spinal Examination: Detailing 99202-99205 and 99212-99215 inclusive of required elements for compliant billing. It reviews the elements for an extensive review of systems, cervical and lumbar anatomy and basic testing. The course also covers the basics of vertebra-basilar circulation orthopedic assessment. Cleveland University, Kansas City, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division, Long Island NY, 2019

Module 4:

Evaluation and Management, Neurological Evaluation: Reviewing complete motor and sensory evaluation inclusive of reflex arcs with an explanation of Wexler Scales in both the upper and lower extremities. The course breaks down testing for upper and lower motor neuron lesions along with upper and lower extremity motor and sensory testing examinations. Cleveland University, Kansas City, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division, Long Island NY, 2019

Module 5:

Evaluation and Management, Documenting Visit Encounters: Forensically detailing the S.O.A.P. note process for visit encounters and discussing the necessity for clinically correlating symptoms, clinical findings and diagnosis with the area(s) treated. It also details how to modify treatment plans, diagnosis, document collaborative care and introduce test findings between evaluations. Cleveland University, Kansas City, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division, Long Island NY, 2019

Module 6:

Evaluation and Management, Case Management and Treatment Orders: This module discusses how to document a clinically determined treatment plan inclusive of both manual and adjunctive therapies. It discusses how to document both short-term and long-term goals as well as referring out for collaborative care and/or diagnostic testing.  It also includes how to prognose your patient and determine when MMI (Maximum

Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV) Diagnosis & Interpretation

*CE Credits are issued for Doctors of Chiropractic only.

Part 1: Anatomy and Physiology of Electrodiagnostics:.  This section is an in-depth review of basic neuro-anatomy and physiology dermatomes and myotomes to both the upper and lower extremities. It covers the neurophysiology of axons and dendrites along with the myelin and function of saltatory for conduction. This section goes into depth into explaining the sodium and potassium pump’s function in action potentials.

Part 2: Nerve Conduction Velocity (NCV) Part 1: This section discusses nerve conduction velocity testing, the equipment required and the specifics of motor and sensory testing. This section covers the motor and sensory NCV procedures and interpretation including latency, amplitude (CMAP) physiology and interpretation including the understanding of the various nuances of the wave forms.

Part 3: Nerve Conduction Velocity (NCV) Part 2: This section covers a continuation of compound motor action potentials (CMAP) and sensory nerve action potentials (SNAP) testing and interpretation including the analysis and diagnosis of the wave forms. It also covers compressive neuropathies of the median, ulnar and posterior tibial nerves; known as carpal tunnel, cubital tunnel and tarsal tunnel syndromes. This section offers interpretation algorithms to help understand the neurodiagnostic conclusions 

Part 4: Needle Electromyogram (EMG) Studies: This section covers what  EMG do inclusive of how the test is performed and the steps required in planning and electromyographic study. This covers the spontaneous activity of a motor unit action potential, positive sharp waves and fibrillations. It covers insertional activity (both normal and abnormal), recruitment activity in a broad polyphasic presentation and satellite potentials. This covers the diagnosing of patterns of motor unit abnormalities including neuropathic demyelinated neuropathies along with acute myopathic neuropathies. This section also covers the ruling out of false positive and false negative results.

Part 5: Electrodiagnostic (EMG/NCV) Overview and Clinical Grand Rounds: This module a complete overview of what EMG and NCV procedures, results, diagnoses and documentation. It covers the clinical incorporation of electrodiagnostic studies as part of a care plan where neuropathology is suspected. It also covers how to use electrodiagnostics in a collaborative environment between the chiropractor as the primary spine care provider and the surgeon, when clinically indicated. This section covers sample cases and health conclude and accurate treatment plans based upon electro-neurodiagnostic findings when clinically indicated.

 FEE: $325.00

PAYMENT CODE:

1.  Minimum 20mbs download speed

2.  Firefox Browser preferable

3.  Do NOT to use a mobile device. It is not allowable and not ideal for learning as the graphics will be too small. 

Below is the description of the course and the citations/language for your curriculum vitae.

Instructors
The doctor's CV can be found by clicking on "Faculty" on the top toolbar

Anthony Inglese DC, FIANC, DABCE, DIBCN, DIBE

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

John Edwards MD, Neurosurgery

Michael Barone DC, DISCN, DIBE

Accepted language to be added to your CV

Concussion &Traumatic Brain Injury

*CE Credits are issued for Doctors of Chiropractic only.

*The following states are pending approval: Florida, Oklahoma, Arizona, California, District of Columbia, Hawaii, Kansas, Minnesota, Missouri, New Hampshire, New Jersey, New Mexico, Pennsylvania, Texas.

This 10-hour course covers how to understand traumatic brain injury in concussion. When there is a head injury inclusive of direct trauma or coup-contrecoup type trauma the brain can sustain a myriad of injuries. The primary spine care provider must understand the signs and symptoms for early detection as this can have either pathological cognitive sequella or death at the most extreme. This course covers the clinical examination, advanced imaging and advanced neurodiagnostic testing to conclusively diagnose traumatic brain injuries and any necessary triage. Also, this program emphasizes the urgency of triage pending a clinical evaluation.

Part 1: Traumatic Brain Injury and Concussion Overview:.  This section is an in-depth overview of traumatic brain injury in concussion. It discusses that all brain injuries are traumatic and dispels the myth of a “mild traumatic brain injury.” Also, this covers triage protocols and the potential sequela of patients with traumatic brain injuries.

Part 2: Head Trauma and Traumatic Brain Injury Part 1: This section discusses gross traumatic brain injuries from trauma and significant bleeding with both epidural and subdural hematomas. There are numerous case studies reviewed inclusive of neurosurgical intervention and postsurgical outcomes.

Part 3: Head Trauma and Traumatic Brain Injury Part 2: This section continues with multiple case studies of gross traumatic brain injuries from trauma requiring neurosurgical intervention and also discusses recovery sequela based upon the significance of brain trauma. This module also concludes with concussion protocols in traumatic brain injury short of demonstrable bleeding on advanced imaging.

Part 4: Concussion And Electroencephalogram Testing: This this section covers concussion etiology and cognitive sequela where gross bleeding has not been identified on advanced imaging. It discusses the significance of electroencephalogram testing in determining brain function and pathology (if present). This module also covers the understanding of waveforms in electroencephalogram testing in both normal and abnormal scenarios.

Part 5: Concussion And Electroencephalogram Testing Pathological Results: This module covers amplitude, conduction and conduction delays as sequela to traumatic brain injury to diagnose concussion and traumatic brain injury in the absence of gross bleeding and advanced imaging. This section covers electroencephalograms and event-related potentials which measures the brain response that is a direct result of specific sensory or motor events. It is a stereotype electrophysiological response to a stimulus and provides a noninvasive means of evaluating brain function. In this module multiple case studies are discussed with ensuing triage protocols pending the results.

 FEE: $325.00

Approved for Chiropractic CE through Cleveland University- Kansas City & PACE Approved for the Federation of Chiropractic Licencing Boards

Approved for Medical CME Category 1 AMA PRA Credits through the ACCGME in consjunct5ion with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences

Educating the Lawyer Chiropractic-Legal Ethics

*Please Note, This course is only approved for 10.5 CE in the state of California for dates 7/1/20-6/30/21 - the new approval is for 12 credits.

*Please Note, This course is not approved in the state of Florida.

*Please Note, This course is not approved in the state of Kansas.

*Please Note, This course is only approved for 10 CE in the state of Texas.

*Please Note, This course is only approved for 5 CE in the state of New Hampshire.

12 “Online” Hours

Faculty

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

Daniel Rosner Esq, Certified Civil Trial Attorney

Pre-Test 30 Minutes

Module 1 – Introduction, Documentation Standards and Chiropractic Specialities – 90 Minutes

This module is an introduction to ethical reporting and the pitfalls of industry suggestions on how to re-structure your notes to maximize cases for lawyers and patients. It is a lesson on following the academic and Federal standards (they are the same) in the documentation of an evaluation and management visit. This module also covers the different types of specialties within the chiropractic profession compared to medicine.

Module 2 – “Failure To” in Clinical Practice– 90 Minutes

This module explains the clinical “academic” standards in ordering diagnostic tests and what can potentially be missed in concluding and accurate diagnosis, prognosis and treatment plan. It also explains how that can be reflected in the chiropractic-legal arena and both destroy your reputation and prevent your patient from having the truth in a medical-legal arena.

Module 3 – Chiropractic Credentials – 90 Minutes

How to fully explain your doctoral and post-graduate credentials. Understanding the difference between “certified” and “credentialed-in.” Ensuring that you report your full credentials in a manner consistent with both your licensure board and the courts. The accurate reporting of post-doctoral courses on an admissible curriculum vitae. 

Module 4 – Creating Ethical Chiropractic-Legal Relationships Utilizing the Patient’s Entrance Documentation  – 90 Minutes

Preparing documentation that resolves; 1) Release of information 2) Right to Receive Information 3) Right to Receive Payment 4) Assignment of Rights 5) Right to Lien 6) Right for Information. These are legal standards, which guide your ethical relationships.

Module 5 – Preventing and Resolving Potential Unethical Relationships – 90 Minutes

This module is a lesson on the “Rules of Professional Conduct” mandated by license for lawyers. It explains why lawyers act in many circumstances and help guide you to maintain ethical chiropractic-legal relationships.

Module 6 – Lien Negotiations and Documentation – 90 Minutes

A significant arena in practice regarding ethics is negotiating lien settlements with understanding “anti-kickback” laws and being legally defensible in the setting of your fees. This module teaches you how to use your initial patient documentation to conclude a case and ensure you are within the ethical boundaries of getting paid.

Review of Powerpoint slides for each module: 2 Hours

Post Test – 30 Minutes

Total Hours: 12

Case Management, Spinal MRI and Documentation Flyer

15 "Online" CE Credits

**Please Note: This course is only approved for 10/15 CE Credits in the state of Texas.

**Please Note: This course is only approved for 5/15 CE Credits in the state of New Hampshire.

The Case Management, Spinal MRI and Documentation course is an 15 hour, 7-part course.

Module 1: Documenting Herniated Discs, Age-Dating Disc Pathology, and Connective Tissue Pathology as Sequella to Trauma

75 Minutes – Instruction

45 Minutes -Study 79 Image Slides

Module 2: Case Management of Traumatic Spinal Injuries

75 Minutes – Instruction

45 Minutes -Study 79 Image and literature-based Slides

Module 3: Managing Herniated and Bulging Discs, Serious Injury in Non-Herniated Cases from Trauma

75 Minutes – Instruction

45 Minutes -Study 85 Image and literature-based Slides

Module 4: Herniated Discs and Permanent Brain Malfunction & Biomechanical Failure 

75 Minutes – Instruction

45 Minutes -Study 84 Image and literature-based Slides

Module 5: Demonstrative Documentation of Disc Herniationand MRI Physics

75 Minutes – Instruction

45 Minutes -Study 74 Image and literature-based Slides

Module 6: Post-Traumatic Herniated Discs, Related Migraines-Headaches & Strain/Sprain Permanences

75 Minutes – Instruction

45 Minutes -Study 61 Image and literature-based Slides

Module 7: Documentation of LowSpeed Crashes in Determining Etiology of Serious Bodily Injuries

75 Minutes – Instruction

45 Minutes -Study 60 Image and literature-based Slides

Examination: 1 hour

FEE: $625

[img src="file:///C:/Users/Chris/AppData/Local/Temp/msohtmlclip1/01/clip_image004.png" width="206" height="167">

CE approved in 30 states & territories

Extremity MRI & X-Ray Interpretation Flyer

**Please Note this course is only approved for 5/27 credits in the state of New Hampshire.

**Please Note this course is only approved for 16/27 credits in the state of New Mexico for the dates of 7/1/20-6/30/21, it is approved for 27 credits for the dates of 7/1/21-6/30/22.

**Please Note this course is only approved for 10/27 credits in the state of Texas.

27 CE Credits

Module 1: Shoulder Part 1

Normal Anatomy [X-Ray & MRI], Fractures, Arthritic Changes

90 Minutes - Instruction

30 Minutes -Study 19 Image Slides

Module 2: Shoulder Part 2

Fractures, Benign Tumors, Metastatic Tumors

90 Minutes - Instruction

45 Minutes -Study 38 Image Slides

Module 3: Elbow

Normal Anatomy [X-Ray & MRI], Fractures, Arthritic Changes, Benign Tumors, Metastatic Tumors

90 Minutes - Instruction

45 Minutes -Study 37 Image Slides

Module 4: Wrist

Normal Anatomy [X-Ray & MRI], Fractures, Arthritic Changes, Benign Tumors, Metastatic Tumors

90 Minutes - Instruction

60 Minutes -Study 52 Image Slides

Module 5: Hand

Normal Anatomy [X-Ray & MRI], Fractures, Arthritic Changes, Benign Tumors, Metastatic Tumors

90 Minutes - Instruction

60 Minutes -Study 52 Image Slides

Module 6: Hip Part 1

Normal Anatomy [X-Ray & MRI], Fractures, Arthritic Changes

90 Minutes - Instruction

60 Minutes -Study 63 Image Slides

Module 7: Hip Part 2

Fractures, Benign Tumors, Metastatic Tumors

90 Minutes - Instruction

30 Minutes -Study 23 Image Slides

Module 8: Knee Part 1

Normal Anatomy [X-Ray & MRI], Fractures, Arthritic Changes, Benign Tumors, Metastatic Tumors

90 Minutes - Instruction

30 Minutes -Study 25 Image Slides

Module 9: Knee Part 2

Normal Anatomy [X-Ray & MRI], Fractures, Arthritic Changes, Benign Tumors, Metastatic Tumors

90 Minutes - Instruction

60 Minutes -Study 51 Image Slides

Module 10: Ankle

Normal Anatomy [X-Ray & MRI], Fractures, Arthritic Changes, Benign Tumors, Metastatic Tumors

90 Minutes - Instruction

60 Minutes -Study 50 Image Slides

Module 11: Foot

Normal Anatomy [X-Ray & MRI], Fractures, Arthritic Changes, Benign Tumors, Metastatic Tumors

90 Minutes - Instruction

60 Minutes -Study 50 Image Slides

Examination: 1.5 Hours

TOTAL EDUCATION TIME: 27 Hours

Fee $1000.00

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Primary Spine Care 10

Chiropractic Spine Management

**Please Note: This course is only approved for 2/12 credits in the state of California.

**Please Note: This course is only approved for 10/12 credits in the state of Hawaii.

**Please Note: This course is only approved for 5/12 credits in the state of New Hampshire.

**Please Note: This course is only approved for 10/12 credits in the state of Texas.

Online

12 CE Credits

Trends in Spine Management inclusive of spinal biomechanical engineering models and demonstrative modeling of pathobiomechanics. This course allows you to understand collaborative models with patient care and gives you the tools to determine the necessity of a co-treating medical specialist. This course clearly outlines how to document the necessity for long-term chiropractic care demonstratively and how inclusive E&M reporting will foster strong ethical relationships with the medical-legal community.

Timed Agenda:

Instructors:

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

Module 1: 2 Hours 

Chiropractic Trends – Documentation, professional collaboration and the credentials/knowledge-based required to ensure compliance and be considered a peer in spine care

Module 2: 1.5 Hour

MRI Spine Interpretation. Updated evidenced-based nomenclature changes in diagnosing and reporting disc bulges from trauma and how that affects spinal diagnosis in traumatically induced pathology. Triage of patients based upon pathology and updating current standards in ordering MRI's as well as the correct triage based on the pathology diagnosed. Age-dating herniated discs based upon the literature and the aberrant biomechanics that occur as sequella.

Module 3: 1.5 Hour

Evidenced-Based Treatment Protocols:  Utilizing evidenced-based updated literature in the medical-legal environment while maintaining ethical relationships in determining causality, bodily injury and persistent functional loss when clinically applicable as evidenced demonstrably.

Module 4: 1 Hour

Management and Triage. What tests to order and when to consider collaborating with medical specialists based upon clinical and test results. An in-depth review of imaging and neurodiagnostic testing as correlates to clinical findings. The following modalities will be discussed: MRI, CAT, X-Ray, EMG/NCV, pf-NCS, SSEP, BAER, V-ENG, VEP, Bone Scan. Application of diagnostic findings in contemporary chiropractic practice.

Module 5: 2 Hours

Demonstrative Spinal Biomechanics – An evidenced-based approach to demonstratively documenting spinal biomechanical engineering and identifying the primary lesions of the spine to be treated vs. treating compensation. Creating treatment plans in a patient-centerrd approach to  case management.

Module 6: - 2 Hours

Chiropractic evidenced-based model: An updated basis for Interprofessional care and the foundation for chiropractic care to be delivered in a hospital system inclusive of emergency rooms and appropriate care paths. This protocol is based upon connective tissue disorders and the neurological connection between spine, ligament and the central nervous system based upon the literature and chiropractic and medical academia.

Module 7: 2 Hours

Interprofessional Grand Rounds - Case management and triage of multiple cases in a clinical setting and in a collaborative setting with Robert Peyster MD, Neuroradiologist, Magdy Shady MD, Neurosurgeon, Neuro-Trauma Fellow, John Edwards MD, Neurosurgeon, Candace Perkins MD, Vascular Neurologist.

Final Exam

Total Education Time: 12 Hours

Goal: To learn how to utilize the research in positioning the chiropractor as an expert based upon outcomes.

Objective: To teach the doctors how to utilize research and outcome studies in positioning themselves in the medical community to create peer-peer relationships when building a collaborative medical team to triage as clinically indicated.

Guest Speaker(s): William J. Owens DC, DAAMLP

• Date of Original release: 9/17/2021
• Termination date: 9/17/2024
• Software Needed
• Activity hours – 12
• Learning Objectives/activity description

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 CMCS Management, Inc.

The University at Buffalo Jacobs School of Medicine and Biomedical Sciences is accredited by the ACCME to provide continuing medical education for physicians.

CERTIFICATION The University at Buffalo School of Medicine and Biomedical Sciences designates this Internet Enduring Material activity for a maximum of 12.0 AMA PRA Category 1 Credit(s)TM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

PLANNING COMMITTEE & SPEAKER DECLARATIONS

The Accreditation Council for Continuing Medical Education (ACCME) and the University at Buffalo Jacobs School of Medicine and Biomedical Sciences Standards for Commercial Support require that presentations are free of commercial bias and that any information regarding commercial products/services be based on scientific methods generally accepted by the medical community. The following planners and presenter(s) have disclosed financial interest/arrangements or affiliations with organization(s) that could be perceived as a real or apparent conflict of interest in the context of the subject of their presentation(s).  Only the current arrangements/interests are included. *Planning Committee

LIST OF PRESENTER/PLANNERS/AUTHORS and their disclosures or “Nothing to Report”

Mark Studin DC, FASBE(C), DAAPM, DAAMLP - Nothing to Report

VIII. MSK Mini-Fellowship in MRI, X-Ray and CAT Scan Imaging of Extremities

Fee: $3,000

The Mini-Fellowship in MSK MRI Extremity is for those doctors who have completed the MRI extremity program and want to advance their training. This program is a hybrid of both live training (one-on-one) with an MSK Radiologist who teaches the Fellowship program at the State University of New York at Stony Brook, School of Medicine after a rigorous course of study of research findings in MRI applications, diagnostics, technology and co-morbidities.

This 3-part program includes 8 hours of live training in New York with Kevin Baker MD, MSK Radiology. This course offers 40 chiropractic continuing education credits recognized by Cleveland University-Kansas City, Chiropractic and Health Sciences and PACE Recognized by the Federation of Chiropractic Licensing Boards. The course is administered through the Academy of Chiropractic. 

PART 1 Research Topics:                                                                                                                                                                  22 Hours

The candidate must study 15 contemporary research articles related to MSK Radiology related to every joint in the body outside of brain and spine and take 15 examinations related to the above topics. 

PART 2 Live Study:                                                                                                                                                                           8 Hours

The candidate must sit (either in person or virtual) before Kevin Baker MD, MSK Radiology and review 60 MRI sequences (over 2500 images) and identify pathology in every joint in the body inclusive of normal vs. fracture vs. metastasis vs. various types of arthritis.

Other Topics Taught: 

1) Arthritis - Inflammatory and Degenerative
2) Advanced cartilage assessment
3) Rotator Cuff Tears
4) Labral tears (shoulder and hip)
5) Tendon injuries and degeneration
6) Meniscal tears
7) Ligamentous injuries
8) Common fractures
9) Sports related injury patterns
10) Plantar fasciitis

PART 3 Publish a Case Report:                                                                                                                                                       10 Hours 

The candidate must publish an original "case report" where extremity MRI has impacted either a diagnosis, prognosis or treatment plan in clinical practice. This paper must include images, appropriate references and will be peer-reviewed by a panel of peers for acceptance. The Academy of Chiropractic will be responsible for having the paper published. The candidate must author the article and utilize the following guideline:

Case reports present the details of real patient cases from medical or clinical practice. Cases may contribute significantly to the existing knowledge on the field or showcase fewer novel results. The report is expected to discuss the signs, symptoms, diagnosis, and treatment of a disease. A goal of case reports is to make other researchers aware of the possibility that a specific phenomenon might occur.

Case reports are limited to 20 references and contain the following sections: abstract, introduction, case presentation, discussion, conclusions, references.

Please call Dr. Studin to arrange the Mini-Fellowship 631-786-4253

Instructor: Mark Studin DC

This course is PACE Approved.  Only states that accept PACE credit will be able to CE Credits for this course.

2 Hours - Spinal disc and ligament nomenclature and anatomy

2 Hours - Demonstrative documenting spinal disc and ligament pathologyours

2 Hours – Reporting in both evaluation and management and medical-legal reports patients pathology

2 Hours -  How to create a report of findings and communicate pathology and create a care plan in case management of spinal pathology.

Demonstrative Diagnosis and Documenting Spinal Pathology, Analyzing patient records, x-rays and MRI’s in determining etiology of traumatically-induced pathological lesions. Clinically correlating the history, clinical findings, imaging findings and diagnosed bodily injuries to conclude and accurate diagnosis, prognosis, and treatment plan. Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, 2021

Demonstrative Diagnosis and Documenting Spinal Disc Injuries, Differentially diagnosing disc vs. posterior longitudinal ligaments vs. Thecal Sac vs. spinal cord vs. Ligamentum Flava pathology and insult. Identifying the borders of lesions and discerning between anatomic structures pathologically effected demonstrably, Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, 2021

8 CE Credits

Spinal Pathology and Documentation Flyer

Friday, May 14, 2021

*Please note: This course is not approved in the state of KY.

*Please note: This course is only approved for 6/8 CE credits int he state of CA.

Live Webinar

This program is focused on spinal pathology and documentation. It covers how to diagnose and document spinal pathology. This program also explains the demonstrative necessity for chiropractic care and identifying anatomical vs. mechanical lesions of the spine.

10:00 am – 12:00 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. Identified will be the vertebrate, spinal cord, discs, nerve roots, thecal sac, posterior longitudinal ligament, epidural veins, and fat saturation pulses. Pathology will include bulges, herniations, protrusions, extrusions, myelomalacia, cord edema, and schmorl’s nodes.

12:00 pm – 2 pm

Mark Studin DC

Dan Rosner ESQ

Using Documentation to Create Ethical Relationships:

Creating documentation that is demonstrable in design to show pathology visually. How to have ethical relationships with the medical-legal community through complete documentation and maintain autonomy while testifying, if required. How to prepare records in a medical-legal case in preparation for deposition and/or trial and what to expect in the process.

2:30 pm – 4:30 pm

Mark Studin  DC

Coding Changes and Requirements in E&M

Coding requirements in 99202-99203-99204-99205 and 99212-99213-99214-99215 and the new 2021 changes. What elements are required for each and how to document the time component in conjunction with evaluated body parts. Clinically correlating a patient’s history, vitals, muscular, neurological, motor, and sensory evaluations with correct coding based upon the ICD-10 nomenclature.

4:30 pm – 6:30 pm

Coding, Documentation, MRI and Digitizing Webinar

Saturday – Sunday May 15-16, 2021

*Please note this course is only approved for 8 CE credits in the state of AZ.

*Please note this course is only approved for 8.5 CE credits in the state of CA.

*Please note this course is not approved for CE credits in the state of KY.

*Please note this course is only approved for 8 CE credits in the state of OK.

Live Webinar

Syllabus

DESCRIPTION:

This program focuses on the trends in healthcare and how clinical chiropractic fits into the national trends. It shows the doctor of chiropractic the critical role of compliant documentation in reputation building and to prevent adverse legal issues with complaint records. The course also covers the latest MRI spine interpretation terminology and identifies biomechanical pathology using the latest mensurating tools available.

Saturday, May 15, 2021

10 am – 11 am

Mark Studin DC, FASBE(C), DAAMLP, DAAPM: Current healthcare trends and the state of chiropractic in the COVID-19 era. Lawyers continue to need answers to carriers' lower settlements during the pandemic, and you will learn how to be their solution. ER's and Urgent Care Centers are to capacity testing and treating. They need a solution for spinal issues, and you will learn how to position your practice to be that solution that will last well-beyond COVID. Trends tell us where the marketplace has shifted, and we have created a business strategy to meet those needs. 

11 am – 12:00 pm

Michael Schonfeld DC, DABCO: The narrative report. How to effectively create medical-legal documentation and what the courts look for. Making your "4-Corner" (narrative) report demonstrable and build a reputation as an evidence-based provider. The step-by-step minutiae of building a report. Part 1 

12:15 pm – 1:45 pm

Mark Studin DC, DAAMLP, DAAPM, FASBE(C), The latest nomenclature in MRI spine interpretation [lots of changes], and incorporating spinal biomechanics to create an accurate diagnosis and get paid. The reason medicine gets paid more than chiropractic is they have demonstrable diagnostics. We must institute protocols that WE ALREADY HAVE to confirm patho-neuro-biomechanical lesions [Subluxations] are present.  A "MASTER CLASS" in Strain-Sprain in fully understanding the permanency of this connective tissue disorder and how to certify long-term care with a demonstrable diagnosis. 

2:30 pm – 4:00 pm

Kevin Baker MD, Radiology, MSK Radiology: Identifying different types of arthritis in both plain film and MRI. Inclusive of Osteo, Psoriatic, Rheumatoid, Gout, Infections, and Spondyloarthropathies. Dr. Baker is an Assistant Professor of Clinical Radiology at the State University of New York at Stony Brook, School of Medicine, and teaches the radiology and MSK radiology programs.

4:15 pm – 6:30 pm

Mark Studin DC, DAAMLP, DAAPM, FASBE(C), Master-Class in ligaments; anatomy, physiology, vascularization, neurological innervation, tissue repair and how they all relate to clinical practice.  Ligament pathology correlating to the mechanisms of patho-neuro-biomechanical lesions (vertebral subluxation complex). Also, how ligaments play a critical role in the chiropractic spinal adjustment and idefining the chiropractic spinal adjustment mechanisms.

Sunday, May 16, 2021

10 am – 11 am

Don Capoferri DC, DAAMLP, FSBT: Case Management incorporating Spinal Biomechanics, MRI, and clinical findings when collaborating with medical specialists and lawyers. Using Case Management as the foundation for both consistent referrals and long-term forensic consulting relationships. During the height of the first wave of COVID, he received 24 PI referrals from lawyers and MD's based upon his demonstrative reporting of Patho-Neuro-Biomechanical pathology [vertebral subluxations], negating the false assertion of non-specific back pain. If they can see it, they will refer. 

11 am – 12:00 pm

Michael Schonfeld DC, DABCO: The narrative report. How to effectively create medical-legal documentation and what the courts look for. Making your "4-Corner" (narrative) report demonstrable and build a reputation as an evidence-based provider. The step-by-step minutiae of building a report. Part 2

1:00 pm – 2:30 pm

Magdy Shady MD, Neurosurgeon, Neuro Trauma Fellow: A roundtable discussion of collaborative spine care. Dr. Shady has 30 years of extensive experience in both working with and supporting chiropractic care. 

2:30 pm  – 4 pm

Mark Studin DC, FASBE(C), DAAMLP, DAAPM: Chiropractic vs. Physical Therapy vs. medication for mechanical spine issue; extensive research verifying chiropractic as the best first choice, resolving the non-specific back pain issue as dogma, with the evidence. The latest [overwhelming] research will institute the re-direction of MD referral patterns from PTs to DCs. The latest physiological basis for why the chiropractic adjustment works and what constitutes a patho-neuro-biomechanical lesion [Subluxations]. Mandatory actions to take right now during COVID.

TOTAL EDUCATIONAL TIME: 12 Hours

FEE: $299

Instructors

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

Michael Schonfeld DC, DABCO

Kevin Baker MD, Radiology, MSK Radiology

Don Capoferri DC, DAAMLP, FSBT

Magdy Shady MD, Neurosurgeon, Neuro Trauma Fellow

Spinal Pathology and Documentation

Online Course

*Please Note: This course is not currently approved in the state of KY.

*Please Note: This course is only approved for 6/8 CE  in the state of CA.

This program is focused on spinal pathology and documentation. It covers how to diagnose and document spinal pathology. This program also explains the demonstrative necessity for chiropractic care and identifying anatomical vs. mechanical lesions of the spine.

Module 1 – 2 Hours

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. Identified will be the vertebrate, spinal cord, discs, nerve roots, thecal sac, posterior longitudinal ligament, epidural veins, and fat saturation pulses. Pathology will include bulges, herniations, protrusions, extrusions, myelomalacia, cord edema, and schmorl’s nodes.

Module 2 – 2 Hours

Mark Studin DC

Dan Rosner ESQ

Using Documentation to Create Ethical Relationships:

Creating documentation that is demonstrable in design to show pathology visually. How to have ethical relationships with the medical-legal community through complete documentation and maintain autonomy while testifying, if required. How to prepare records in a medical-legal case in preparation for deposition and/or trial and what to expect in the process.

Module 3 – 2 Hours

Mark Studin  DC

Coding Changes and Requirements in E&M

Coding requirements in 99202-99203-99204-99205 and 99212-99213-99214-99215 and the new 2021 changes. What elements are required for each and how to document the time component in conjunction with evaluated body parts. Clinically correlating a patient’s history, vitals, muscular, neurological, motor, and sensory evaluations with correct coding based upon the ICD-10 nomenclature.

Module 4 – 2 Hours

Mark Studin  DC

Don Capoferri DC

Clinical Grand Rounds:

Case reviews utilizing E/M, MRI, and x-ray mensuration to conclude an accurate diagnosis, prognosis, and treatment plan will be presented. The focus will be on common diagnosis require interprofessional collaboration with a discussion of diagnostic dilemmas and proper communication methods.  Interprofessional communication methods will include clinical documentation, triage, referral protocols, and phone consultations. 

Total Education Time 8 Hours

Fee: $299.00

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CE approved in 30 states & territories

Top of Form

 Troubleshooting Suggestions: 

1.  This course is supported by PC's and Mac's, however if it won't open a PC is more stable

2.  Minimum 20mbs download speed

3.  Firefox Browser preferrable

4.  Do NOT to use a mobile device. It is not allowable and not ideal for learning. 

Below is the description of the course and the citations/language for your curriculum vitae.

Instructor
The doctor's CV can be found by clicking on "Faculty" on the top toolbar

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

Patricia Roche DO, Radiology, Neuroradiology

Dan Rosner ESQ

Don Capoferri DC

 Accepted language to be added to your CV

Documentation and Coding, CPT Coding Guidelines for Initial and Established Patients with particular attention paid to Patient History, Review of Systems, Social and Family History, Physical Examination, and Medical Decision making.  Specific differences in coding levels and required elements for a 99202-99203-99204-99205, and a 99212-99213-99214-99215, Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University  Kansas City, 2021

Demonstrative Documentation and Ethical Relationships, Pathways to improve coordination of care, and interprofessional communication with collaborating physicians.  Maintaining ethical relationships in the medical-legal community through documentation and communication of demonstrable diagnosis, prognosis, and treatment plans, Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University  Kansas City, 2021

MRI Spine Interpretation, Clinical case review of MRI’s including sagittal, axial, T1, T2, STIR, and proton density sequences. Identified will be the vertebrate, spinal cord, discs, nerve roots, thecal sac, posterior longitudinal ligament, epidural veins, and fat saturation pulses. Pathology will include bulges, herniations, protrusions, extrusions, myelomalacia, cord edema, and schmorl’s nodes, Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University  Kansas City, 2021

Spinal Biomechanical Engineering Clinical Grand Rounds, Case reviews utilizing E/M, MRI, and x-ray mensuration report to conclude an accurate diagnosis, prognosis, and treatment plan. Common diagnosis requiring interprofessional collaboration with a discussion of diagnostic dilemmas and proper communication methods. Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University  Kansas City, 2021

Impairment Rating Certification, The understanding and utilization of the protocols and parameters of the AMA Guide to the Evaluation of Permanent Impairment 6th Edition. Spine, neurological sequlla, migraine, sexual dysfunction, sleep and arousal disorders, station and gait disorders and consciousness are detailed for impairment rating. Herniated discs, radiculopathy, fracture, dislocation and functional loss are also detailed in relation to impairment ratings. CMCS Post Doctoral Education Division, New York Chiropractic Council, New York State Department of Education, Long Island, NY, 2010

Coding, Documentation, MRI and Digitizing Online

*Please Note - This course is only approved for 8 credits in the state of AZ.

*Please Note - This course is only approved for 7 credits in the state of CA.

Syllabus

DESCRIPTION:

This program focuses on the trends in healthcare and how clinical chiropractic fits into the national trends. It shows the doctor of chiropractic the critical role of compliant documentation in reputation building and to prevent adverse legal issues with complaint records. The course also covers the latest MRI spine interpretation terminology and identifies biomechanical pathology using the latest mensurating tools available.

Module 1

Mark Studin DC, FASBE(C), DAAMLP, DAAPM: Current healthcare trends and the state of chiropractic in the COVID-19 era. Lawyers continue to need answers to carriers' lower settlements during the pandemic, and you will learn how to be their solution. ER's and Urgent Care Centers are to capacity testing and treating. They need a solution for spinal issues, and you will learn how to position your practice to be that solution that will last well-beyond COVID. Trends tell us where the marketplace has shifted, and we have created a business strategy to meet those needs. 

Module 2

Michael Schonfeld DC, DABCO: The narrative report. How to effectively create medical-legal documentation and what the courts look for. Making your "4-Corner" (narrative) report demonstrable and build a reputation as an evidence-based provider. The step-by-step minutiae of building a report. Part 1 

Module 3

Mark Studin DC, DAAMLP, DAAPM, FASBE(C), The latest nomenclature in MRI spine interpretation [lots of changes], and incorporating spinal biomechanics to create an accurate diagnosis and get paid. The reason medicine gets paid more than chiropractic is they have demonstrable diagnostics. We must institute protocols that WE ALREADY HAVE to confirm patho-neuro-biomechanical lesions [Subluxations] are present.  A "MASTER CLASS" in Strain-Sprain in fully understanding the permanency of this connective tissue disorder and how to certify long-term care with a demonstrable diagnosis. 

Module 4

Kevin Baker MD, Radiology, MSK Radiology: Identifying different types of arthritis in both plain film and MRI. Inclusive of Osteo, Psoriatic, Rheumatoid, Gout, Infections, and Spondyloarthropathies. Dr. Baker is an Assistant Professor of Clinical Radiology at the State University of New York at Stony Brook, School of Medicine, and teaches the radiology and MSK radiology programs.

Module 5

Mark Studin DC, DAAMLP, DAAPM, FASBE(C), Master-Class in ligaments; anatomy, physiology, vascularization, neurological innervation, tissue repair and how they all relate to clinical practice.  Ligament pathology correlating to the mechanisms of patho-neuro-biomechanical lesions (vertebral subluxation complex). Also, how ligaments play a critical role in the chiropractic spinal adjustment and idefining the chiropractic spinal adjustment mechanisms.

Module 6

Don Capoferri DC, DAAMLP, FSBT: Case Management incorporating Spinal Biomechanics, MRI, and clinical findings when collaborating with medical specialists and lawyers. Using Case Management as the foundation for both consistent referrals and long-term forensic consulting relationships. During the height of the first wave of COVID, he received 24 PI referrals from lawyers and MD's based upon his demonstrative reporting of Patho-Neuro-Biomechanical pathology [vertebral subluxations], negating the false assertion of non-specific back pain. If they can see it, they will refer. 

Module 7

Michael Schonfeld DC, DABCO: The narrative report. How to effectively create medical-legal documentation and what the courts look for. Making your "4-Corner" (narrative) report demonstrable and build a reputation as an evidence-based provider. The step-by-step minutiae of building a report. Part 2

Module 8

Magdy Shady MD, Neurosurgeon, Neuro Trauma Fellow: A roundtable discussion of collaborative spine care. Dr. Shady has 30 years of extensive experience in both working with and supporting chiropractic care. 

Module 9

Mark Studin DC, FASBE(C), DAAMLP, DAAPM: Chiropractic vs. Physical Therapy vs. medication for mechanical spine issue; extensive research verifying chiropractic as the best first choice, resolving the non-specific back pain issue as dogma, with the evidence. The latest [overwhelming] research will institute the re-direction of MD referral patterns from PTs to DCs. The latest physiological basis for why the chiropractic adjustment works and what constitutes a patho-neuro-biomechanical lesion [Subluxations]. Mandatory actions to take right now during COVID.

TOTAL EDUCATIONAL TIME: 12 Hours

FEE: $299

Instructors

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

Michael Schonfeld DC, DABCO

Kevin Baker MD, Radiology, MSK Radiology

Don Capoferri DC, DAAMLP, FSBT

Magdy Shady MD, Neurosurgeon, Neuro Trauma Fellow