Parker Seminars Dallas 2022

October 1, 2022
Parker University Campus
2540 Walnut Hl Ln, Dallas, TX


Routine Office Visit (ROV) Documentation is Often Far from Routine – 8:00-10:00 AM

Often, providers forget that the ROV within “episodic care” must have a minimum set of targeted “updated” (comparative) subjective data components from the previous or initial visit, when applicable. These routine visits provide the necessary elements to continue to prove the medical necessity for active treatment and the plan itself. Sometimes, these routine visits necessitate beginning a new episode of care, which is more like an initial visit. The terms incident, burst, and full episode were coined by us as a way for providers to consider and clearly define the length of an episode of care. When sitting down to document the initial visit of a new episode, consideration of the potential length of the episode can be put into perspective with these terms. We will discuss the distinction between initial and routine office visits in documentation.

At the end of this program, the attendee will be able to:

    • Be familiar with the requirements of an initial visit vs. a routine visit in documentation
    • Properly document “doctor thinking” daily in routine patient visit documentation
    • Recognize the role of the PART documentation process in Routine Office Visit notes
    • Distinguish the unique components of Subjective, Objective, Assessment and Plan
    • Identify and execute the key components of written assessment in daily documentation
    • Recognize aspects of documentation and coding of ROV whether active treatment, preventative maintenance, or wellness care
    • Determine which visits qualify for active treatment billing vs. self-pay maintenance
    • Be able to duplicate documentation when the patient is in a Preventative Maintenance or Wellness stage of care

Documentation, Coding and Billing of Therapy and Exercise Services – 1:30-3:30 PM

It is widely accepted that most conditions that respond favorably to chiropractic care might get better results in less time when therapeutic modalities and procedures are utilized in the treatment plan. Improved outcomes are often realized when a provider incorporates therapies, stretching, strengthening, and reconditioning of the entire body region to help facilitate and support the spinal adjustments. While chiropractors are fantastic at getting patients well using these additional services, they are overwhelmingly unclear about which codes to use for the services that are being performed. There are confusing requirements for performing, documenting, and coding these therapy and exercise activities. This training will explore the nuances between frequently used codes and how to utilize those details when documenting and coding these services.

At the end of this program, the attendee will be able to:

    • Refresh on the  fundamentals of coding and the documentation requirements for physical medicine
    • Cite the difference between Therapeutic Exercise and Therapeutic Activities and Manual Therapy and Massage Therapy
    • Explain the difference between supervised and constant attendance modalities
    • Properly document all aspects required when utilizing timed therapy services
    • Assimilate payer policy details to ensure proper code utilization
    • Discuss common errors when documenting and billing exercise and other therapy services
    • Investigate and implement the rules for delegation of services
    • Outline Current Procedural Terminology (CPT) codes for use in clinical practice for these therapy services

Regulations and Risk Management Associated with Maintenance Care – 4:00-5:00 PM

Never has it been more important to understand the difference between clinically appropriate care and medically necessary care. Third party payer regulations and federal guidelines dictate that providers clearly identify for a patient when the line crosses from active treatment to maintenance care. New regulations such as the 2022 No Surprises Act may place providers in the hot seat if they do not notify patients properly when care is no longer considered a covered service. Proper case management and advance notice to the patients when the active treatment transitions from active care is vital. Following the guidance in a meticulous fashion is imperative to stay on the right side.

At the end of this program, the attendee will be able to:

    • Identify and implement strategies to clarify the difference between active and maintenance care in documentation
    • Distinguish the necessary steps for a compliant discharge process
    • Recognize and adopt best practices in proper notification about maintenance care vs. active treatment
    • Differentiate between a mandatory and voluntary ABN