Download Reference Document The terms incident, burst and full episode were coined by us here at KMC University 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…

Medically Appropriate History and/or Examination Defined With the release of the new Evaluation and Management (E/M) Guidelines in 2021, gone are the days of determining the E/M code by counting bullets in an examination and levels in a history. The new guidelines indicate that coding is established based on either the level of Medical Decision…

Gain a Solid Command This Rapid Tutorial sets the tone for this module, but also for the entire course focused on Documentation of Evaluation and Management.  Start your training by better understanding what an initial office visit looks like in the context of your documentation. Often, providers forget when dealing with an insured patient, that…

Download Reference Documents Every provider didn’t dive into the Electronic Health Record (EHR) revolution. Some have remained with the familiar paper chart of documentation, and some use a hybrid. Download and review this helpful comparison document to evaluate the pros and cons of each, as you determine whether your current system is serving you and…

Identifying Clinically Appropriate Subluxations For Medicare and many other third-party payers, doctors can only justify examining and treating areas of the body in which the patient presents with complaints. For this reason, it is extremely important to get as much information as possible from patients about their chief complaints as well as their past medical…