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  • Keys to Recovery in Persistent Post-concussion Syndrome

    Contains 5 Component(s), Includes Credits Includes a Live Web Event on 11/10/2020 at 1:00 PM (EST)

    Join Dr. Michael Powell, DC, who will provide an overview of the evidence-based procedures he uses with patients who suffer persistent post-concussion syndrome (PPCS). These patients continue to suffer headache, dizziness, or other symptoms for months or years after their initial injury. Dr. Powell will provide a template for assessment that will enable the chiropractor to provide individualized care for these challenging patients. He will share treatment strategies that lead to faster, more successful outcomes for those with PPCS.

    Join Dr. Michael Powell, DC, who will provide an overview of the evidence-based procedures he uses with patients who suffer persistent post-concussion syndrome (PPCS). These patients continue to suffer headache, dizziness, or other symptoms for months or years after their initial injury. Dr. Powell will provide a template for assessment that will enable the chiropractor to provide individualized care for these challenging patients. He will share treatment strategies that lead to faster, more successful outcomes for those with PPCS.

    Learning Objectives
    On completing this program, doctors will be able to:
    1. Identify the key tests that must be performed with every PPCS patient
    2. Assemble a plan of care that takes into account the unique challenges with PPCS
    3. Utilize objective measures that will guide the treatment plan

    Michael Powell

    DC

    Dr. Mike Powell has been teaching other doctors how to have a greater impact on their patients by applying functional neurology for over 20 years. He is on the faculty of the Carrick Institute, past president of the Iowa Board of Chiropractic, current district director for the Iowa Chiropractic Society. Dr. Powell lectures to educators, brain injury specialists, rehab providers and support groups. He is also trained in Bredesen protocols for prevention and treatment of Alzheimer’s Disease. Dr. Powell has developed a series of online courses on functional neurology for healthcare providers. He is proud to be a second-generation chiropractor, practicing in Cedar Rapids, Iowa.

  • Alzheimer's Prevention and Care in the Chiropractic Clinic

    Contains 5 Component(s), Includes Credits Includes a Live Web Event on 09/22/2020 at 1:00 PM (EDT)

    Join Dr. Michael Powell, DC, who will share his experience in working with Alzheimer’s and cognitive decline patients. This work is primarily based on functional neurology and Bredesen protocols. Foundational concepts, assessment, care and a practice model will be shared. You will find that there is very real hope for those concerned about the health of the aging brain.

    Join Dr. Michael Powell, DC, who will share his experience in working with Alzheimer’s and cognitive decline patients. This work is primarily based on functional neurology and Bredesen protocols. Foundational concepts, assessment, care and a practice model will be shared. You will find that there is very real hope for those concerned about the health of the aging brain.

    Learning Objectives
    On completing this program, doctors will be able to:
    1. Contrast factors that promote genetic expression for a protected vs a degenerating brain
    2. Differentiate between several different causes of Alzheimer’s disease
    3. Establish a basic practice model which can serve those wishing to prevent or reverse cognitive decline

    Michael Powell

    DC

    Dr. Mike Powell has been teaching other doctors how to have a greater impact on their patients by applying functional neurology for over 20 years. He is on the faculty of the Carrick Institute, past president of the Iowa Board of Chiropractic, current district director for the Iowa Chiropractic Society. Dr. Powell lectures to educators, brain injury specialists, rehab providers and support groups. He is also trained in Bredesen protocols for prevention and treatment of Alzheimer’s Disease. Dr. Powell has developed a series of online courses on functional neurology for healthcare providers. He is proud to be a second-generation chiropractor, practicing in Cedar Rapids, Iowa.

  • Literature Search and Critical Appraisal 101

    Contains 5 Component(s), Includes Credits Includes a Live Web Event on 08/20/2020 at 1:00 PM (EDT)

    This course by Dr. Joel P Carmichael, DC, DACBSP provides an overview of the basics of clinical science literature search and retention, and a brief overview for critically appraising two common study designs published in the clinical literature. Learners will learn to apply commonly used criteria to appraise the evidence in selected journal articles, determine their level of rigor and usefulness, and identify and discuss their strengths and limitations. Resources commonly used by the scientific community will be referenced to enable immediate application of the course content in daily clinical practice.

    This course by Dr. Joel P Carmichael, DC, DACBSP provides an overview of the basics of clinical science literature search and retention, and a brief overview for critically appraising two common study designs published in the clinical literature. Learners will learn to apply commonly used criteria to appraise the evidence in selected journal articles, determine their level of rigor and usefulness, and identify and discuss their strengths and limitations. Resources commonly used by the scientific community will be referenced to enable immediate application of the course content in daily clinical practice.

    Learning Objectives 
    • Assess relevant literature using online search of PubMed
    • Critically appraise cohort study and randomized trial, with illustration/discussion
    • Identify clinically relevant and meaningful outcomes to better apply evidence-based principles to practice.

    Joel P Carmichael

    DC, DACBSP

    Bio

    Dr. Carmichael is chiropractic physician with advanced training in sport and spine injury diagnosis, prevention and treatment. A clinician for 34 years, he is the Director of the Center for Spine, Sport & Physical Medicine in Denver, Colorado. After earning his chiropractic degree from Logan University in 1985 he completed a one-year residency in hospital family practice in St. Louis, Missouri with rotations including podiatry, general surgery, general orthopedics, and an integrated spine treatment rotation at Royal University Hospital and 4th Avenue Clinic in Saskatoon, Saskatchewan under Drs. William Kirkaldy-Willis and J. David Cassidy. He subsequently earned Diplomate status from the American Chiropractic Board of Sports Physicians in 1996. He served as a member of the medical team for USA beach volleyball in the 2012 Olympic Games and continues as a current member of their medical support team. Joel is a member of the RESTORE research group at University of Colorado Anschutz Medical Campus where he is completing his PhD in Clinical Science. He currently conducts research in orthopedic rehabilitation, piloting projects on changes in muscle activation and strength in response to the control of swelling after arthroplasty, and on mobile application-based testing and assessment for telemedicine and asynchronous remote rehabilitation. He has authored papers and lecture symposia on the epidemiology of neck pain in concussed athletes, a book chapter on elbow, hand and wrist injuries in sport, and on the diagnosis and treatment of spine and lower extremity disorders.

  • Documentation, Coding and Billing for Unproven Procedures

    Contains 5 Component(s), Includes Credits Includes a Live Web Event on 07/09/2020 at 1:00 PM (EDT)

    State guidelines and 3rd party payors identify procedures that are deemed “experimental, investigational and unproven”. This lengthy list of procedures includes laser therapy, kinesio-taping, dry needling and many, many more. This session will cover in detail: -The definition and meaning of “unproven, investigational and experimental” procedures -Best Practices (and even state rules for some!) for communicating this type of procedure properly to your patients -Where and how to learn which procedures are labeled as “unproven” (We’ll even review some payor policies in this session) -How to code and bill for unproven procedures (for insurance and self-pay patients) -Documentation rules and best-practices for clearly recording the rendering of these procedures in your patient notes

    State guidelines and 3rd party payors identify procedures that are deemed “experimental, investigational and unproven”.  This lengthy list of procedures includes laser therapy, kinesio-taping, dry needling and many, many more.  This session will cover in detail:

    -The definition and meaning of “unproven, investigational and experimental” procedures
    -Best Practices (and even state rules for some!) for communicating this type of procedure properly to your patients
    -Where and how to learn which procedures are labeled as “unproven” (We’ll even review some payor policies in this session)
    -How to code and bill for unproven procedures (for insurance and self-pay patients)
    -Documentation rules and best-practices for clearly recording the rendering of these procedures in your patient notes

    Learning Objectives 
    • Identify unproven procedures that you may be rendering in your own practice
    • Assess the rules and/or ‘best practices’ for communicating this “unproven” label to patients
    • Recognize code selection matters for self-pay and insurance patients!  We’ll review proper coding for many commonly performed unproven procedures

    Brandy Brimhall

    President of www.CHelpDesk.com

    Brandy Brimhall has served chiropractic since 1999.  She has served multiple roles in the practice for the small practice, multiple practices and multi-discipline practices. Through her experience, she found her passion to be in coding/billing, compliance and practice administration.

    Brandy has presented seminars and/or webinars for many chiropractic state associations, chiropractic colleges and many organizations that serve chiropractic. She has also been featured in a number of chiropractic publications.

    She has achieved professional certification as a Certified Professional Coder (CPC), Certified Medical Compliance Officer (CMCO), Certified ChiroCode Chiropractic Coder (CCCPC), Certified Professional Compliance Officer (CPCO), and Certified Professional Medical Auditor (CPMA).

     

    Brandy is the President of www.CHelpDesk.com.  

  • Treatment of Post-Surgical Continued Spine Pain (PSCP) Using Cox® Flexion Distraction: A Discussion of Past, Present and Future Research

    Contains 5 Component(s), Includes Credits Includes a Live Web Event on 06/18/2020 at 1:00 PM (EDT)

    This presentation by Dr. James Cox, DC and Dr. Ralph Kruse, DC will discuss the treatment of post-surgical continued spine pain patients starting with case studies and progressing through retrospective reviews and ending with the current prospective multi-practice IRB approved study at Keiser University.

    This presentation by Dr. James Cox, DC and Dr. Ralph Kruse, DC will discuss the treatment of post-surgical continued spine pain patients starting with case studies and progressing through retrospective reviews and ending with the current prospective multi-practice IRB approved study at Keiser University.

    Learning Objectives:
    1. Assess knowledge of the incidence, outcomes and sequela of spinal surgery. 
    2. Identify clinical outcomes reported for the use of Cox Flexion Distraction for post-surgical spine conditions.
    3. Evaluate knowledge of current research, and the necessity of future research for a growing patient population will be provided.

    Dr. James Cox

    Chiropractic Associates Inc

    Bio

    Ralph A. Kruse, Jr., D.C., FACO, DABCC

    Attending Clinician, Keiser University Spine Care Clinic; Assistant Professor, Keiser University College of Chiropractic Medicine,

    Dr. Kruse completed his pre-medical degree at the State University of New York (Stony Brook) and went on to receive his Doctor of Chiropractic Degree from National College of Chiropractic (now National University of Health Sciences) in 1990.  He subsequently earned diplomate status with the American Board of Chiropractic Orthopedics and the American Board of Chiropractic Consultants.  His professional interests are in the area of flexion-distraction decompression manipulation for chronic and post-surgical back pain.  Dr. Kruse practiced in Chicago from 1991-2017.

  • Learning the Language of Coding

    Contains 5 Component(s), Includes Credits Includes a Live Web Event on 06/16/2020 at 1:00 PM (EDT)

    Proper application of coding (CPT/HCPCS, ICD-10 and Modifiers) is essential for practice success! Join this session by Dr. Brandy Brimhall, DC, to discuss the fundamentals of coding and why and how we must be confident in our code selections and application. Clean and correct coding is part of the framework for practices to: -Communicate to necessary parties -Minimize risk of denial and audit -Get paid properly by payors -Be effective and efficient with billing systems Remember, getting paid doesn’t mean we get to keep these payments, particularly if the result of coding related errors! Together, let’s walk through the language of coding and identify common coding errors, coding challenges and action steps for improved code selection!

    Proper application of coding (CPT/HCPCS, ICD-10 and Modifiers) is essential for practice success!  Join this session to discuss the fundamentals of coding and why and how we must be confident in our code selections and application.  

    Clean and correct coding is part of the framework for practices to:
    -Communicate to necessary parties
    -Minimize risk of denial and audit
    -Get paid properly by payors
    -Be effective and efficient with billing systems

    Remember, getting paid doesn’t mean we get to keep these payments, particularly if the result of coding related errors!  Together, let’s walk through the language of coding and identify common coding errors, coding challenges and action steps for improved code selection!

    Learning Objections 
    • Illustrate confidence in your code application and billing systems
    • Apply a solid footing on the foundation of coding, a must-have for practice revenue cycle, risk management and cash flow
    • Identify and fix coding and billing errors BEFORE payors do

    Brandy Brimhall

    President of www.CHelpDesk.com

    Brandy Brimhall has served chiropractic since 1999.  She has served multiple roles in the practice for the small practice, multiple practices and multi-discipline practices. Through her experience, she found her passion to be in coding/billing, compliance and practice administration.

    Brandy has presented seminars and/or webinars for many chiropractic state associations, chiropractic colleges and many organizations that serve chiropractic. She has also been featured in a number of chiropractic publications.

    She has achieved professional certification as a Certified Professional Coder (CPC), Certified Medical Compliance Officer (CMCO), Certified ChiroCode Chiropractic Coder (CCCPC), Certified Professional Compliance Officer (CPCO), and Certified Professional Medical Auditor (CPMA).

     

    Brandy is the President of www.CHelpDesk.com.  

  • All Things Physical (Exams, That Is)

    Contains 5 Component(s), Includes Credits Includes a Live Web Event on 06/09/2020 at 1:00 PM (EDT)

    This presentation by Dr. Michael John Megehee, DC focuses on significant practice opportunities for DCs. Some of these opportunities require training and certification such as performing physical exams for commercial drivers for which DCs have been paid $300,000,000 in the past 18 months. Some services only require completion of training such as DOT Alcohol and Drug testing which can be performed entirely by staff. For some opportunities, training is optional, but advisable such as performing FAA BasicMed exams for private pilots. Adding any of these services to your chiropractic practice will add revenue, a solid client base. Learn how to become qualified to offer these services to a new client market.

    This presentation by Dr. Michael John Megehee, DC focuses on significant practice opportunities for DCs.  Some of these opportunities require training and certification such as  performing physical exams for commercial drivers for which DCs have been paid $300,000,000 in the past 18 months.  Some services  only require completion of training such as DOT Alcohol and Drug testing which can be performed entirely by staff.  For some opportunities, training is optional, but advisable such as performing FAA BasicMed exams for private pilots.  Adding any of these services to your chiropractic practice will add revenue, a solid client base.  Learn how to become qualified to offer these services to a new client market.

    Learning Objectives:  

    After viewing this webinar, registrants will be able to:

    1. Compare CDL Physical to any other DC opportunity 

    2. Recognize, identify, and discuss public service with revenue opportunity 

    Michael John Megehee, DC

    President

    TeamCME

    Bio

    Dr. Megehee was appointed by the Federal Motor Carrier Safety Administration (FMCSA) in 2005 as a member of the National Registry of Certified Medical Examiner (NRCME) Brainstorming Sessions. He was appointed as a Subject Matter Expert/ Member of the National Registry Working Integrated Product Team (WIPT) that developed the Survey instrument used to establish the basis for NRCME certification. He was subsequently appointed to the National Registry Education Team that developed the core curriculum for the accredited physician training and he assisted the National Registry Test Team to develop and write test questions for the National Registry Certification Test. He is currently a FMCSA National Registry “Champion”.  Dr. Megehee is a contact with the Federal Aviation Administration regarding the FAA BasicMed program for private pilots and the chiropractic profession.  

    Dr. Megehee is a featured speaker/instructor with the Owner Operator Independent Driver Association Driver (OOIDA) Education series and assists OOIDA with their members’ medical exam concerns. He is a nationally published author and radio show guest and has traveled the U.S. training physicians regarding the DOT physical exam. He was the first Doctor of Chiropractic to be designated as a Walmart Distribution Center Medical Examiner to perform CDL physicals for Walmart drivers. 

    Dr. Megehee served as Vice President of the American Chiropractic Association Council on Occupational Health. He is a Post-Graduate Faculty member of the University of Western States, a Master Lifeloc Breath Alcohol Technician Trainer, and a past DATIA Certified Professional Collector Trainer having completed DATIA Advanced Drug Testing Management training. Dr. Megehee completed AAMRO’s Medical Review Officer, Alcohol & Drug Testing, and Substance Abuse Evaluation training. He is a past Secretary/Member of the Oregon Board of Chiropractic Examiners, Alternate Delegate to the National Board of Chiropractic Examiners and Delegate to the Federation of Chiropractic Licensing Boards. He is past Vice President of the Safe Drivers, Safe Roads Coalition, a nonprofit organization.  

    Dr. Megehee founded TeamCME in 2010. As President of the nation’s largest provider network of National Registry Certified Medical Examiners, he is the expert resource to over 750 TeamCME member clinics.  TeamCME is a FMCSA Accredited National Registry Training Organization having provided the NRCME accredited physician training to over 5000 Medical Examiners. TeamCME provides advanced medical examiner training to its members and is the only nationally recognized CME network as an OOIDA partner in providing fair, ethical Driver Helpful® DOT physical exams nationwide. TeamCME is the national distributor of SensiCardiac computerized heart auscultation for DOT physicals and the Chiropractic profession. TeamCME is the exclusive provider network for Stone Three’s TruckerHearts campaign to “Save” trucker’s hearts. 

  • Step-By-Step Success: An Implementation Strategy for Compliant Documentation

    Contains 5 Component(s), Includes Credits Includes a Live Web Event on 06/04/2020 at 1:00 PM (EDT)

    This presentation by Dr. Ellen Fitzenrider, DC will focus on ways chiropractors can properly implement compliant documentation into their practice. These steps include transitioning patients to episodic care (Active vs. Maintenance), documenting to carrier guidelines and cutting out unneeded information from your notes, and other important aspects. Dr. Fitzenrider will focus on making sure assessment tools, scores, deficiencies, and goals are in the notes, the importance of having updated macros which are being used properly, EHR retraining, and more.

    This presentation by Dr. Ellen Fitzenrider, DC will focus on ways chiropractors can properly implement compliant documentation into their practice.  These steps include transitioning patients to episodic care (Active vs. Maintenance), documenting to carrier guidelines and cutting out unneeded information from your notes, and other important aspects.  Dr. Fitzenrider will focus on making sure assessment tools, scores, deficiencies, and goals are in the notes, the importance of having updated macros which are being used properly, EHR retraining, and more.

    Learning Objectives: 

    After viewing this program, registrants will be able to:
    1. Identify and understand where the deficiencies in their documentation.
    2. Recognize how to "reframe" their mindset, from fear to INFORMED. And to make compliant documentation a priority from a place of empowerment, not panic.
    3. Communicate more effectively with patients about their role in compliant care, and be clear about what 'medically necessary' care is.
    4. Propose significant steps towards being confident in their documentation, and feel less overwhelmed as they continue on their evolving journey of compliance.

    Ellen Fitzenrider, DC

    Owner, "It’s Me, Dr. E"

    Bio

    Dr. Fitzenrider is a 1991 graduate of Palmer College of Chiropractic, and a former insurance claims adjuster. She have built and sold 2 successful chiropractic practices in 2 states over the past 28 years. She is an industry advocate and policy advisor to local, state and national legislatures regarding Chiropractic as well as Special Education. She is also a founding member of the Virginia Chiropractor Association’s Anthem Audit Task Force. After having been the “recipient” of a devastating Anthem insurance audit in 2018, she is currently dedicating herself to what is a crisis in our profession today: compliant insurance documentation, for the 82% of DCs in the U.S. who STILL have non-compliant documentation

  • The Treatment of Neck Pain-Associated and Whiplash-Associated Disorders: A Clinical Practice Guideline

    Contains 5 Component(s), Includes Credits Recorded On: 05/12/2020

    Join Dr. Andre Bussieres for this webinar that will review neck pain and its treatment. Neck pain is one of the leading cause of disability wordwide, and the cost of neck pain treatment is rapidly increasing. The objective of the project described in the webinar was to develop a clinical practice guideline on the management of Neck Pain-Associated Disorders (NAD) and Whiplash-Associated Disorders (WAD). To formulate clinical recommendations, members of the Canadian Chiropractic Guideline Initiative (CCGI) considered high quality systematic reviews conducted by Optima and peer-reviewed literature. The project lead will present the key recommendations on the conservative management of NAD and WAD, and discuss their implication for clinical practice. He will also share available tools and resources to help apply these in practice.

    Join Dr. Andre Bussieres for this webinar that will review neck pain and its treatment.  Neck pain is one of the leading cause of disability wordwide, and the cost of neck pain treatment is rapidly increasing. The objective of the project described in the webinar was to develop a clinical practice guideline on the management of Neck Pain-Associated Disorders (NAD) and Whiplash-Associated Disorders (WAD). To formulate clinical recommendations, members of the Canadian Chiropractic Guideline Initiative (CCGI) considered high quality systematic reviews conducted by Optima and peer-reviewed literature. The project lead will present the key recommendations on the conservative management of NAD and WAD, and discuss their implication for clinical practice. He will also share available tools and resources to help apply these in practice.


    Learning Objectives:

    -Discuss diagnostic triage and determine appropriate care strategies,

    - Review key findings of the Neck Pain Guidelines and their implications for clinical practice

    - Identify available resources for staying up to date

    Dr. Andre Bussieres

    Assistant Professor, School of Physical and Occupational Therapy

    McGill University

    Professor- Chiropractic Department

    l’Université du Québec à Trois-Rivières

    Bio

  • A Common Link Between Alzheimer’s, Arthritis and Metabolic Disorders

    Contains 5 Component(s), Includes Credits Recorded On: 04/30/2020

    This presentation by Dr. Robert Silverman, DC will explore the commonalities between Alzheimer’s disease, arthritis, and metabolic disorders. They can all be induced by systemic gut bacterial toxins. The pathogens involved in gut dysbiosis possess inflammatory toxins such as lipopolysaccharides (LPS) and cytolethal distending toxins (CDT). The release of these toxins in the gut opens intestinal tight junctions and degrades epithelial cells allowing for unfettered infiltration of LPS and CDT into the periphery. Once in circulation, the inflammatory LPS and CDT can travel throughout the body, opening the blood-brain barrier, inflaming joint tissues, dysregulating the thyroid, and initiating insulin resistance. This therapeutic opportunity applies to many of the patients seen each week. Detection of systemic bacterial toxins can guide an appropriate gut-healing protocol. Repairing and maintaining the intestinal barrier is a key component in combating many extra-intestinal disorders.

    This presentation by Dr. Robert Silverman, DC will explore the commonalities between Alzheimer’s disease, arthritis, and metabolic disorders. They can all be induced by systemic gut bacterial toxins.  The pathogens involved in gut dysbiosis possess inflammatory toxins such as lipopolysaccharides (LPS) and cytolethal distending toxins (CDT).  The release of these toxins in the gut opens intestinal tight junctions and degrades epithelial cells allowing for unfettered infiltration of LPS and CDT into the periphery.  Once in circulation, the inflammatory LPS and CDT can travel throughout the body, opening the blood-brain barrier, inflaming joint tissues, dysregulating the thyroid, and initiating insulin resistance.  This therapeutic opportunity applies to many of the patients seen each week.  Detection of systemic bacterial toxins can guide an appropriate gut-healing protocol.  Repairing and maintaining the intestinal barrier is a key component in combating many extra-intestinal disorders. 


    Learning Objectives:  

    After viewing this webinar, registrants will be able to:

    1) Assess triggers, barrier integrity, neuron regeneration, and neuronal degeneration 

    2) Discuss nutritional protocols for Alzheimer's and metabolic disorders and their common links 

    3) Explain the gut and brain axis for better management of autoimmune disorders 

    4) Identify modern lifestyles and environmental triggers that are affecting the gut-brain axis and contributing to the neuroautoimmune epidemic 

    Dr. Robert Silverman

    DC, MS, CNS, CCN, CSCS, CKTP, CES, CIISN, DACBN, DCBCN, HKC, SASTM

    Westchester Integrative Health Ctr.

    Bio