Documenting Clinical Findings and Diagnosis ONline
By: Academy of Chiropractic

Course Description

Documenting Clinical Findings and Diagnosis

Instructor: Mark Studin DC

3 CE credits

Syllabus

Hour 1: Utilizing the history in the evaluation and management process to determine triage based upon complaints coupled with system review, past medical history, family and social history, and surgical history.

Hour 2: Correlating vitals, orthopedic testing, neuromuscular examination, and test results inclusive of basic and advanced imaging and electrodiagnostic testing as clinically indicated to determine an accurate diagnosis, prognosis, and treatment plan.

Hour 3: How to create accurate ICD-10 codes inclusive of causality and sequella codes. Ensuring that all pathologies uncovered in the evaluation and management process are included in the diagnosis and that every area treated in the body has a corresponding diagnosis. Understanding the role of re-evaluations when updating diagnosis.

Course Objective: To have documentation that meets the coding requirements and elements in an Evaluation and Management encounter (99202-99203-99204-99205).

Course Details

  • Documenting Clinical Findings and Diagnosis ONline
  • By:    Academy of Chiropractic
  • Instructor:    Mark Studin
  • Total CE Hours:    3
  • Course Format:     Online Distance Learning
  •      
  •  
  • Course Categories:     DC Continuing Education
  • Course Subjects | CE HOURS:
    • Documentation  -3 CE Hours
  •    Course Outline