Educational Objectives: for Documentation

Hour 1 and 2

• Discuss key items related to the OIG reports regarding chiropractic services
• Discuss Executive Order issued by the White House titled reducing improper payments and eliminating waste in Federal Programs
• Discuss what triggers an audit and key items to consider if audited
• Discuss Medicare’s guidelines for necessity of chiropractic care as it relates to covered services, x-ray/diagnostic reimbursements, Quality Payment Program (QPP), diagnosis coding requirements and Medicare’s appeals process  
• Discuss appropriate use of modifiers
• Discuss Medicare’s documentation requirements when utilizing Medicare’s ABN (Advanced Beneficiary Notification) form

• 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

Hour 3

• Perform communication with patients and the public at large such that it informs, instructs and doesn't mislead.
• Discuss the parallels between accurate communication and ethical conduct.
• Administer healthcare practice compliant with HIPAA, state confidentiality statutes, and relevant rules, regulations and state court cases applicable to patient confidentiality.
• Comprehend the commercial, regulatory, social and familial interests seeking to obtain and/or are served by the release of patient information.
• Develop effective office systems and policies for securing and documenting patients’ informed consent
• Appropriately disclose charges

Hour 4

• Assess court and Office of Inspector General rulings relating to anti-kickback restrictions.
• Demonstrate how anti-kickback and Stark legislation is both viewed and enforced by relevant professional boards and state and federal enforcement agencies to avoid fraud
• Explain how to avoid misleading claims
• Identify specific conduct and activities within the practice of healthcare that violate a host of regulatory and statutory proscriptions relating to patient referral arrangements.
• Properly Delegate authority in your office
• Identify parallels between Stark self-referral laws and anti-kickback restrictions.