Documenting
Clinical Findings and Diagnosis
3
CE Credits
Hour
1: Utilizing the
history in the evaluation and management process to determine triage based upon
complaints coupled with system review, past medical history, family and social
history, and surgical history.
Hour
2: Correlating
vitals, orthopedic testing, neuromuscular examination, and test results
inclusive of basic and advanced imaging and electrodiagnostic testing as
clinically indicated to determine an accurate diagnosis, prognosis, and
treatment plan.
Hour
3: How to create
accurate ICD-10 codes inclusive of causality and sequella codes. Ensuring that
all pathologies uncovered in the evaluation and management process are included
in the diagnosis and that every area treated in the body has a corresponding
diagnosis. Understanding the role of re-evaluations when updating diagnosis.
Course Objective: To have
documentation that meets the coding requirements and elements in an Evaluation
and Management encounter (99202-99203-99204-99205).![]()
Instructors:
Mark Studin DC,
FASBE(C), DAAPM, Chiropractor
Note:
There is no financial relationship with any outside vendor for services, goods
or supplies.
Troubleshooting
Suggestions:
This course is
supported by PC's and Mac's, however if it won't open a PC is more stable
1. Minimum 20mbs download
speed
2. Firefox Browser
preferrable
3. Do NOT to use a mobile
device. It is not allowable and not ideal for learning.
