Defending Your Treatment Plan

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Clinical prediction rules and guidelines are important for making evidence-based decisions. The guidelines are designed to maximize patient care and inform medical necessity. Not all guidelines are created equal. This presentation will review the development of clinical prediction rules and guidelines and address potential pitfalls. The lecture will cover application of guidelines, determining state default guidelines and defending medical necessity. Examples from both the Official Disability Guidelines and MTUS/ACOEM will be used. Sample files will be presented to instruct clinicians on the audit process, patient retention and reimbursement. Clinicians will also learn how to justify treatment beyond the guidelines.

This course is worth 1 CE credit in PACE-accepted states. 

PACE ID: 102234

Kristy Carbonelli, DC

Parker University

Kristy Carbonelli, DC is the department chair of basic sciences at Parker University, where she leads faculty across foundational science disciplines and oversees critical teaching environments, including the Gross Anatomy Lab and the Willed Body Program. Her leadership centers on strong curriculum design, student support, and preparing future chiropractors to deliver care that is both effective and compassionate.  

From 2005 to 2017, Dr. Carbonelli served patients in private practice before transitioning into academia as a clinic faculty doctor from 2017 to 2019. These experiences continue to inform her of her commitment to bridging education with the practical realities of patient care and professional sustainability.  

A certified trainer in trauma-informed care, Dr. Carbonelli’s scholarship and teaching emphasize how communication, environment, and policy influence a patient’s sense of safety and engagement. She redesigned the Business of Chiropractic course at Parker to ensure students graduate with the tools to build operationally sound, patient-focused practices that support personal and professional well-being.  

Dr. Carbonelli serves as president of the Faculty American Chiropractic Association (FACA) and as faculty advisor to the Student ACA (SACA), helping strengthen advocacy, leadership, and professional development within the chiropractic community. She presents nationally on trauma-informed approaches and innovation in chiropractic education.  

Her work is grounded in a clear belief: When we intentionally design how we show up, communicate, and structure care, patients benefit and providers thrive. A compassionate practice is not accidental; it is built thoughtfully from the start.  

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Defending Your Treatment Plan
Recorded 01/25/2023  |  53 minutes
Recorded 01/25/2023  |  53 minutes
Quiz: Defending Your Treatment Plan
5 Questions  |  Unlimited attempts  |  80/100 points to pass  |  Graded as Pass/Fail
5 Questions  |  Unlimited attempts  |  80/100 points to pass  |  Graded as Pass/Fail
Certificate: Defending Your Treatment Plan
1.00 CE Credit credit  |  Certificate available
1.00 CE Credit credit  |  Certificate available
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1 Question Please provide your Chiropractic License number and state in which you hold said license (if you are not a DC or do not have a license, please reply N/A)
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