This Rapid Tutorial sets the tone for this module and for the entire course focused on Documentation of Evaluation and Management. Start your training by better understanding what a routine office visit looks like in the context of your documentation. Often, providers forget the ROV within “episodic care” must have a minimum set of targeted…
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Download Reference Documents The reference materials included below are a collection of Chiropractic specific resources that include algorithms for common patient presentations and situations to guide you through management of episodes of care, documentation recommendations, and several practice specific definitions. As you read through these articles, take the time to look at the algorithms and…
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Download Support Tools These documentation samples are examples of the necessary components of a discharge evaluation and indicate in the sidebar the reasoning for the individual pieces needed to create the best possible note to document and relay the information essential for establishing why the patient is being discharged at this time. These samples are…
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The Discharge Process All good things must come to an end. It’s only natural that at some point, the patient reaches the end of active treatment. To properly put a “pin” into the end of that episode, and to support strong documentation, you need a fully installed patient discharge process. It is critical to identify…
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What are you to do with patients that try to manage themselves or disappear? Listen as Kathy answers this question in this help desk video about administrative discharge. The steps to layout and follow within your office practice and policies are discussed with real examples of how to compliantly handle and document this eventual situation.
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There are instances where things are not going as planned. Either the patient is not responding as expected, or they are not complying with the doctor’s recommendations for a variety of reasons. When this applies to an active episode of care, the provider must document the lack of progress and next steps, whatever the situation….
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