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Education Toolbox

DOCUMENTATION AND RECORDKEEPING BEST PRACTICES

Developed by Dr. Evan Gwilliam, Vice President of ChiroCode Institute, this presentation covers best practices in documentation and recordkeeping, such as:

  • Recordkeeping principles
  • Common errors and how to avoid them
  • How to use outcomes assessment tools with treatment plans
  • Modality and exam codes supporting documentation
  • Other topics

Dr. Gwilliam is a licensed chiropractic physician, certified coder, compliance specialist, and medical auditor. He has published numerous articles in ACA News and Chiropractic Economics, and is known for making challenging and dry topics engaging and easy-to understand.

Recordkeeping and Documentation Presentation I PDF

Recordkeeping and Documentation Presentation | Video 1

Recordkeeping and Documentation Presentation | Video 2

Recordkeeping and Documentation Presentation | Video 3

MEDICARE DOCUMENTATION AND AUDITS

Topics covered in this Medicare Documentation and Audits presentation include:

  • Medicare audit overview
  • Common audit findings
  • How to conduct a mock Medicare audit

This presentation was developed by Fulcrum’s Compliance Specialist, Elizabeth Kirpach.  Ms. Kirpach has more than eight years of experience with utilization management and review and has developed and implemented internal audits, attended national audits, and worked improved business processes and policies.

Recordkeeping and Self-Audit Presentation I PDF

Recordkeeping and Self-Audit Presentation | Video

CASE STUDY REVIEW

Included in this section is a case study presentation (posted below) and a series of case study exercises to be reviewed using the General Patient Audit Form (also provided below). The General Patient Audit Form can also be used in the clinic setting to conduct a self-audit and evaluate the thoroughness of one’s documentation and recordkeeping.

Case Study Presentation I PDF

Case Study Presentation | Video

General Patient Audit Form I PDF

Chart Review B I PDF

Chart Review C I PDF

Chart Review D I PDF

Chart Example E I PDF

Chart Review A I PDF

Chiropractic ICD-10 Common Codes List Available

This is a preliminary list of common ICD-10 codes for chiropractic diagnoses. Please note this list does not intend to represent all ICD-10 codes accepted by Fulcrum, rather, it was created to serve as a guide. For additional information or assistance regarding the Chiropractic ICD-10 Common Codes List, please contact our Provider Services Department by calling (888) 638-7719.

 

Common Codes List (PDF)

 

We do not have any Active Care Certification classes scheduled at this time.

Fulcrum is committed to preparing is network providers for the evolving health care environment by providing them with the tools and information needed to successfully promote active care in their practice.

A key component of this support is the Active Care Chiropractic Certification Program. The program is provided several times each year and is offered at no cost to ChiroCare network chiropractors. The program offers Continuing Education Units through Northwestern Health Sciences University for some of the courses.

Health care in the United States is changing, especially as it relates to patient care. Passive care alone is no longer enough. Patients need to take ownership in their own treatment, and studies are confirming active care as an emerging new best practice for physicians.

Chiropractors must teach and assist their patients in appropriate self-care/active care by developing the patient’s coping skills and motivating them to resume activities. Studies over the past several years show that active care is helpful in returning a patient to pre-morbid functional capacity. The new model no longer focuses on pathology or symptomatology. Pain is being used less as an indicator of patient progress; function is the measure of patient recovery.

Introduction to Active Care: Program 1 | PPT

Coding and Compliance for Active Care: Program 3 | PPT

Developed by Dr. Evan Gwilliam, Vice President of ChiroCode Institute, this presentation covers modalities and therapeutic procedure coding for Chiropractic, such as:

  • Knowing the basics of E&M codes and how Auditors view them
  • Learn to audit the history component of E&M
  • Learn to audit the exam component of E&M
  • Learn to audit the medical decision of E&M

Dr. Gwilliam is a licensed chiropractic physician, certified coder, compliance specialist, and medical auditor. He has published numerous articles in ACA News and Chiropractic Economics, and is known for making challenging and dry topics engaging and easy-to understand.

E&M Audit Tool

The E&M Audit Tool is designed to be helpful with identifying which E&M code is properly supported and should be used in conjunction with the 5-part E&M video series.

Download Audit Tool

E&M I Video 1

E&M I Video 2

E&M I Video 3

E&M I Video 4

 

This webinar by Dr. Gwilliam covers best practices in documentation and coding for Chiropractic Manipulative Therapies (CMT).

After watching this video you will:

  • Be familiar with CMT codes
  • Diagnose, document and select the proper CMT code
  • Avoid common CMT mistakes

Dr. Gwilliam, Vice President of ChiroCode Institute is a licensed chiropractic physician, certified coder, compliance specialist, and medical auditor. He has published numerous articles in ACA News and Chiropractic Economics, and is known for making challenging and dry topics engaging and easy-to understand.”

Developed by Dr. Evan Gwilliam, Vice President of ChiroCode Institute, this presentation covers a best-practice approach in the utilization and coding for passive modalities and active procedures.

Dr. Gwilliam is a licensed chiropractic physician, certified coder, compliance specialist, and medical auditor. He has published numerous articles in ACA News and Chiropractic Economics, and is known for making challenging and dry topics engaging and easy-to understand.

Passive Modalities Introduction

Passive Modalities Part 2

Passive Modalities Part 3

Active Procedures

Active Procedures Part 2