EVALUATION & MANAGEMENT

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

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

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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 Medical Improvement) has been attained. 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 create a clinically accurate evaluation and management document that accurately reflects the coding level billed.