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Clinical Documentation: Challenges & Resources for Boards of Examiners

Clinical Documentation: Challenges & Resources for Boards of Examiners. Cynthia Vaughn, D.C., F.I.C.C. Past President, Texas Board of Chiropractic Examiners. Is Documentation a Problem?. YES! Everyone knows about the OIG report What has been done? Kicking and screaming

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Clinical Documentation: Challenges & Resources for Boards of Examiners

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  1. Clinical Documentation:Challenges & Resources for Boards of Examiners Cynthia Vaughn, D.C., F.I.C.C. Past President, Texas Board of Chiropractic Examiners

  2. Is Documentation a Problem? • YES! • Everyone knows about the OIG report • What has been done? • Kicking and screaming • ACA’s Clinical Documentation Manual, Editions One and Two • FCLB passed a Resolution • Task Force formed

  3. Is Documentation a Problem? • Hot off the presses: There are 2 reports due any day that are STILL very negative for chiropractic • More of the same will probably not yield a different result • We need to show that SOMETHING new/different is being done

  4. How did this happen? • Chiropractic care is a “hybrid” • Chiropractors are a bit lazy & don’t take the time to learn coding • A lot of MIS-information out there • How many times have we ourselves heard blatantly incorrect statements made during programs? • Dynamic system: Rules constantly (and some of the most significant changes loom on the horizon) • Seasoned DCs want to consult and teach

  5. Okay, so….how do we fix it?

  6. Chiropractic Education • Clinical Documentation Manual adopted as part of many college’s curriculum • Proper abbreviations and symbols being taught from the outset • Proposal: NBCE to develop testing of clinical documentation as part of their Parts I-IV examinations

  7. Seminars • Kathy Mills Chang – “Accurate & Appropriate Clinical Documentation for Chiropractic Care” • DC Seminars – John Schmidt, D.C. • Gregg Friedman, D.C.’s “Got Documentation?” • Chiro Code Seminars & Webinars • Mario Fucinari, D.C.’s “Documentation & Compliance” (NCMIC sponsored)

  8. Seminars (cont’d) • OnlineChiroCredits.com • ACA’s “Proper Clinical Documentation” • Google it! • And…..drumroll, please….

  9. Seminars (cont’d) • ACA’s Webinar on Medicare Documentation!!! • Go to: www.acatoday.org • Flashes in the right upper corner • Comprehensive program, complete with voice-over audio • Essentially a 2 hour program

  10. Seminars (cont’d) • Ability to “bookmark” and return later • Test at the end – wrong answers, you get a 2nd attempt (shhhh…no one fails!) • Once test is passed, ability to print a certificate for proof of completion • It’s GOOD! ACA has resources to keep it current and correct • It’s FREE!

  11. Future Plans • ACA is presently developing similar webinars for other aspects of Clinical Documentation • These are in DRAFT FORM

  12. What are the Challenges? • Boards hesitant to “mandate” specific topics for relicensure • Selection of the “right” program (PACE help?) • College curriculum already pretty full • Development of new test questions in whole new area of examination • Resistance to this whole process by profession

  13. Actual program examples

  14. Thank you for your attention! Cynthia Vaughn, D.C., F.I.C.C. Drvaughn@chiroaustin.com (512) 445-3366

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