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    Chiropractic Assistant

    Documentation 103

    Medicare Documentation - Part 2


    Hour 1

    • Demonstrate the key elements pertaining to Medicare’s documentation requirements for initial and subsequent patient encounters  
    • Describe the three categories of chiropractic care covered through Medicare and the one category exempt from Medicare coverage
    • Apply Medicare’s x-ray requirements for documenting a subluxation
    • Utilize Medicare Advance Beneficiary Notification (ABN) form and its guidelines 
    • Use Medicare’s PARTS system to document a subluxation
    • Summarize the transformation of Medicare’s PARTS system utilizing the AIR S & M method               
    • Include proper Medicare documentation for daily progress notes (SOAP), in order to meet insurance guidelines and meet medical necessity 

    Hour 2

    • Integrate a 7 step approach to meet E/M (Evaluation/Management) coding requirements to meet Medicare’s guidelines

    Hour 3

    • Review Medicare Access and CHIP Reauthorization Act of 2015 (MARCA) aka Medicare Quality Payment Program (QPP) and the Merit Based Incentive Payment Program (MIPS)                                                                    

    Hour 4

    • Apply the critical components of Chiropractic Manipulative Treatment (CMT) coding and Medicare’s requirements for documentation
    • Use diagnostic codes ICD-10 (primary subluxation M-codes biomechanical lesions and secondary medical codes) to meet Medicare’s diagnosis requirements
    • Recognize Current Procedure Terminology (CPT) codes and how it relates to the Medicare system
    • Utilize Medicare modifiers   
    • Identify some of the key items with regards to completing the Center for Medicare and Medicaid Services (CMS) 1500 claim form   
    • Summarize Medicare’s mandatory claims submission policy                                   
    • Explain the five levels of Medicare appeals process
    • Distinguish between Medicare participating vs. non-participating provider requirements

    Paul Sherman, DC

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    $80.00 USD

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