• Design an effective nutrition treatment program for carpal tunnel syndrome
• Develop a nutritional treatment program for Multiple Sclerosis
• Investigate the role of nutrition and supplements in regards to the treatment of headaches
• Understand how nutrition and nutrition supplements can influence dementia
• Identify appropriate diet and supplement agents in the treatment of dementia

Educational Objectives: for Documentation portion:

Hours 1 and 2

• Recognize the key components regarding good documentation and record keeping
• Identify the legal requirements of informed consent and the key elements of the informed consent process
• Discuss why doctors are held to higher standards
• Describe the 21 NCQA guidelines for record keeping
• Document progress notes (SOAP) to meet insurance guidelines and medical necessity
• Apply the PARTS system and its transformation utilizing a new method AIR S & M
• Utilize CMT coding appropriately
• Utilize E/M (Evaluation/Management) coding appropriately to meet insurance guidelines and medical necessity
• Identify the 3 categories and 2 subcategories of E/M codes
• Identify the 4 levels of E/M services for new and established patients
• Recognize the importance of a medically appropriate history and physical exam
• Identify the 2 key elements used to determine the level of E/M service
• Select the appropriate level of E/M services utilizing 4 simple steps

Educational Objectives: for Ethics

Hour 3

• Identify challenging/inappropriate patient requests and behaviors encountered by chiropractors.
• Explain prevention strategies, office procedures and effective responses to inappropriate patient activity.
• Describe safety concerns associated with a patient's inappropriate acts and communications, as well as ethical principles related thereto.
• Illustrate legal and ethical issues arising where the doctor/patient relationship is terminated due to inappropriate patient behavior.
• Analyze how aberrant patient behavior presents risks to staff, the treating doctor, and to fellow patients, and how proper documentation is important in such instances.

Educational Objectives: for Risk Management

Hour 4

• Comprehend the association between the doctor-patient relationship and the charge of patient abandonment.
• Evaluate the role voluntariness plays in the establishment of the doctor-patient relationship, in informed consent, and in abandonment as associated with the inappropriate termination of the professional relationship.
• Contrast and compare "ostensible agency" with "voluntary association" for purposes of assessing potential patient malpractice liability.
• Comprehend the requirement for the continued administration of healthcare for purposes of determining possible patient abandonment issues.
• Carry out proper documentation as demonstrates non-existence of abandonment.
• Effect policies that systematize screening of non-compliant patients and execute relevant medical record documentation to ensure no patient is legally "abandoned."
• Discuss prepaid treatment programs

• Analyze charges and documentation on a daily or per visit basis to ensure accuracy and compliance
• Compile accurate and comprehensive responses to documentation or record requests
• Recognize and avoid confusing HIPAA privacy issues that can cost you time and money
• Identify key areas that lack written policies causing increased risk in the practice
• Evaluate your current written procedures and appraise the need for additional content

• Develop and overview of Adult Golf Injury Assessment and Rehab
• Identify the nature of balance and applying balance assessment to golfers
• Review and Understand the concepts of coordination as applied to golf

Hour 1

• Examine the role of immunosenescence in background systemic inflammation.
• Discuss the role mesenchymal stem cell senescence in osteoporosis.
• Demonsrate senolytic therapy in eliminating senescent cells in osteoporosis.
• Contrast inflammatory resolution with inflammatory suppression.
• Discuss the role of micronutrients in the prevention and treatment of osteoporosis..

Hour 2

• Discuss the role of vitamins D & K2 and minerals the prevention and treatment of osteoporosis.
• Explain the effectiveness of osteo-inductive nutraceuticals in the treatment of osteoporosis.
• Examine the research on the use of hydrolyzed collagen peptides in bone density and strength.
• Discuss the use of bovine bone morphogenic proteins in osteoporosis.
• Contrast the ability of nutrients, therapeutic modalities and medications in the ability of normalize bone remodeling.

Hour 3

• Examine the role of exercise in the prevention and treatment of osteoporosis.
• Discuss the evidence supporting the efficacy of laser therapy in osteoporosis including in vitro cell studies, animal models and human studies both for fracture and osteoporosis.
• User laser therapy to normalize the bone remodeling cycle in osteoporosis.
• Discuss the cell receptor and signaling pathways in osteoblasts and osteoclasts that are receptive to pulsed electromagnetic frequency (PEMF) therapy interventions.
• Apply the “cross-talk” effect of PEMF therapy on bone.

 Hour 4

• Discuss the evidence supporting the efficacy of pulsed electromagnetic frequency therapy in osteoporosis including in vitro cell studies, animal models and human studies both for fracture and osteoporosis.
• Examine the positive “spillover effect” of laser therapy and PEMF therapy of osteoarthritis in the treatment of osteoporosis.
• Summarize the clinical trials of PEMF therapy for osteoporosis.
• Discuss the importance of pulse frequency in the application of PEMF therapy.
• Examine the comorbidity between osteoporosis and osteoarthritis.

Educational Objectives: for Documentation

Hour 1 and 2

• Identify the correct amount of time a chiropractic record must be maintained with specific differences for that of an individual under the age of 18 as well as records related to a civil, criminal or administrative proceeding
• Keep appropriate records and maintain required information and provide requests for information and records from licensee’s.
• Describe various types of patient encounters and levels of documentation, and determine how to properly document each encounter.
• List the various governing bodies and organizations which may impose requirements on your record keeping of the patient’s health chart.
• Identify key components of the office entry forms and relate the importance of follow up and systems review.
• Compare and contrast various outcome assessment instruments, describe the importance of these tools and properly use and score various outcome assessment instruments.
• Recite tests traditionally thought of as objective and tests traditionally thought of as subjective in the context of reliability and validity.
• Define the characteristics of a good outcome assessment tool, and be able to properly implement it in clinical practice.
• Compare and contrast the various types of electronic health records available.
• Itemize the requirements of a “paperless” office.

Educational Objectives: for Ethics

Hour 3

• Identify legal prohibitions against promising healthcare cures, guaranteeing treatment results, and deceptive patient communication.
• Distinguish between appropriate and inappropriate communication relating to patients' healthcare prognoses and progress.
• Explain scientific literature linking patients' mental states with healthcare outcomes.
• Demonstrate alignment between compliance with states' current patient communication restrictions and instances of patient encouragement that foster mental states favorable to desired healthcare outcomes.
• Explain office procedures and staff training which are likely to ensure ongoing ethical patient communication and the documentation thereof.

Educational Objectives: for Risk Management

Hour 4

• Appropriately disclose charges to patients
• Identify potential problems associated with sharing fees with non-healthcare professionals.
• Demonstrate anti-trust issues associated with setting professional fees
• Explain connections between co-pay waivers and violations of the False Claims Act
• Describe the appropriate delegation of authority in a Chiropractic office to avoid licensure complaints
• Assess parallels between fee-splits and principles of ostensible agency that can lead to malpractice liability.
• Compare and contrast fee-splitting and the corporate practice of medicine.
• Legally provide Prepaid Treatment Plans