Documentation

Details Of The Chief Complaint

By Frank M. Painter|August 21, 2009|Documentation, Education|

Details Of The Chief Complaint

SOURCE: A Chiro.Org Editorial

By Paul D. Mullin, D.C.

Before we examine any new patient, we need to gather a detailed history, particularly of the current complaint(s). I want to thank Paul D. Mullin, D.C. of Palmer College for suggesting these 18 questions, to help DCs in gathering the information they need to clearly understand a patient’s issues.

These questions are a good example of the interviewing skills required of any doctor: (more…)

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Writing Initial Reports

By Frank M. Painter|August 6, 2009|Documentation, Education, Initial Reports|

Writing Initial Reports

The Chiro.Org Blog

Do you write Initial and Follow-up Reports for Third Parties?

My office does, IF they are paid for in advance by the requester.

You may find value in reviewing templates of these reports.

Initial Report: An Outline for the D.C. (more…)

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Hidden Malpractice Dangers in EMRs

By John Wiens DC|June 26, 2009|Documentation|

Source Medscape
Steven I. Kern, Esq.

An estimated 85,000 medical lawsuits are filed annually, which include those against hospitals and individual physicians. One of the highly-touted benefits of electronic medical records (EMRs) is the potential to help prevent malpractice incidents and medical errors. By providing better documentation, automatically checking for medication errors and drug interactions, providing failsafe systems to track test results and follow-up with patients, EMRs can dramatically reduce the risk of malpractice.

While the benefits of EMRs are far greater than the cons, no road is without stumbling blocks. A physician who is not careful when using the EMR could increase his malpractice liability.

Some of the possible malpractice risks are shown below. (more…)

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The Rehabilitation Corner ~ Part 2

By Frank M. Painter|June 14, 2009|Documentation, General, Health, News, Testing|

The Rehabilitation Corner ~ Part 2

The Chiro.Org Blog

Dr. Richard C. Schafer, DC, PhD, FICC gave us permission back in 1998 to reproduce a series of his rehabilitation Monographs on our website.

Dr. Schafer is the most-published chiropractic author, and his textbooks were best sellers through the 80s and 90s. RC was the first DC author to be picked up by a medical publisher (Williams & Wilkins), and his books made millions for the ACA.

Enjoy the rest of Dr. Schafer’s Monographs at:

Rehabilitation Monograph Page

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Outcome Assessment

By Frank M. Painter|June 10, 2009|Documentation, General, News, Outcome Assessment, Research|

Do you use Outcome Assessment in your practice? Patient improvement, documented with pre- and post- scoring on questionnaires (QAs) like the Neck Disability Index, or the SF-36, are indisputable evidence of medical necessity and patient progress.

Our Outcome Assessment Page contains, or links to, many of the most supported QAs. They are especially helpful in PI or WC claims, when your files are closely scrutinized. (more…)

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Patient Files and Complete Documentation

By Frank M. Painter|June 2, 2009|Documentation, General, News|

Patient Files and Complete Documentation

The Chiro.Org Blog

Our Clinical Documentation Page is devoted to a full description of what is considered “complete” patient file documentation, as described by National Associations, Medicare, and Third Party Payors.

It is the intention of this section to inform our profession about the most efficient means of communicating patient information, as well as outlining what is considered an “adequate” presentation. (more…)

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