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
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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.