Advanced Medicolegal Documentation for the Chiropractor: Subluxations
By: ProCredits Seminars LLC

This curriculum will cover subjective findings which correlate with objective documentation from the Doctor’s offices and diagnostic procedures. I will show the attorneys how to utilize the AMA guidelines for evaluation of ligament laxity. I will demonstrate how to utilize AMA guides for concrete clarity of injury permanency, DRE differentiators, and subtle differences of the 4^th, 5^th and 6^th editions. I will show the significance of ligament laxity in coding (M24.28), objective documentation, AMA guides and permanency/impairment in the injury arena.

Objectives:

Hour 1

1. Demonstrate how to Locate, Define and Quantify subluxations (50 mins)

Hour 2

2. Correlate subjectivity vs. objectivity from the consult, diagnostics and symptomatology (50 mins)

Hour 3

3. Measure ligament laxity (M24.28) and differentiate with the AMA Guidelines (50 mins)

Hour 4

4. Demonstrate x-ray analysis per the AMA guidelines and court room mannerisms (50 mins)

Hour 5

5. Define medical necessity and document in SOAP notes (50 mins)

Hour 6

6. Proving documentation for insurance companies to verify necessity to go to the next academic step (50 mins)

Outline:

I will demonstrate how to utilize the:

1. 4^th, 5^th and 6^th editions AMA guides differences in Alteration of Motion Segment Integrity (see attached pages)
2. X-ray stress films evaluation (Davis series linear films)
3. Lines of Mensuration to enhance evaluation (related to George’s line)
4. Diagnosing of ligament laxity in our everyday chiropractic patients (see Yochum/Rowe attached)
5. Courtroom mannerism, techniques regarding impairment ratings, lines of mensuration, etc.
6. IME doctor which allows me to discuss the detailing that is required in diagnosing and documentation of our patients. ( I see all types of DC documentation!)

Defining subluxation to the highest level

References:

1. AMA Guides (4^th, 5^th and 6^th editions)

2. Yochum/Rowe radiology

3. White and Panjabi

4. List of research articles I use in courtroom presentations

5. Published article (Subjective vs. Objective Findings) (June 15, 2013 – Dynamic Chiropractic)

• Advanced Medicolegal Documentation for the Chiropractor: Subluxations
• By:    ProCredits Seminars LLC
• Instructor:    Todd Cielo DC
• Total CE Hours:    2
• Course Format:     Online Distance Learning
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• Course Categories:     DC Continuing Education
• Course Subjects | CE HOURS:
  • Documentation  -2 CE Hours
•    Course Outline