EVALUATION & MANAGEMENT
12 Credit Hours
*CE Credits are for Doctors of Chiropractic.
**CME Credits are for Medical Doctors and Doctors of Chiropractic
***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.
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.
Module 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
eval uation, 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.
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
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.
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.
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
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.
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
- 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
Studin DC, FASBE(C), DAAPM, DAAMLP, Chiropractor
Barone DC, DISCN, DIBE
Objective: To get the
doctor to understand how to create a clinically accurate evaluation and
management document that accurately reflects the coding level billed.