Medicare Coding and Documentation Toolkit, Part 4: The End of Care

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As progress towards established goals plateaus, you may encounter the point of care where it is time to transition your Medicare patient from episodic care to elective care – also known as maintenance care.  After completing this course, you will understand how to correctly code chiropractic care using GA modifiers to reflect elective care versus “episodic” care caused by an episode or crisis.  Presenters Jennifer Rathmann, DC, and Lee Matthis, DC will offer you the tools to easily recognize the “end of care,” appropriately finalize the patient’s progress in the record, and build a system that ensures you properly code the patient’s care as “elective” for visits beyond the episode of care.   

You will also gain insights into how to engage your patients in conversations about elective care, which is not covered by Medicare, as well as the importance of notifying the provider if a new injury or flare-up occurs, which would prompt a new episode.  Finally, the presenters will explain how to use the Advanced Beneficiary Notice (ABN) to provide chiropractic care to Medicare patients after the end of episodic care and how to establish an alert system to update these important forms annually with elective patient populations.  

Medicare Coding and Documentation Toolkit Part 4: The End of Care is the fourth course in a four-part series.  It is recommended, though not required, that you take Part 1, Part 2, and Part 3 prior to taking this course.

You may register for each course individually or save 10% by registering for the bundle.  

Learn more about each course in the series below:   
Part 1 – An Episode of Care
Part 2 – The Beginning of Care
Part 3 – The Middle of Care 

The following states require the participant to enter the course approval number on their certificate: 

Lee R Matthis


VP Of Clinical Development & Professional Outreach, Tuck Chiropractic Clinic

Dr. Lee Matthis is a 2002 graduate of Campbell University located in Buies Creek, NC where he received a Bachelor of Science degree in Biology. Later, he received his Doctor of Chiropractic Degree from the Palmer College of Chiropractic. During his education, he received many honors including graduating from the National Outdoor Leadership School in Lander, WY., the prestigious Vogt Leadership Society Award and the Virgil V. Strang Chiropractic Philosophy Award from Palmer College. 

Jennifer Rathmann


Doctor of Chiropractic, VP of Clinical Excellence - Tuck Chiropractic Clinic

Dr. Jennifer Rathmann serves as Tuck Chiropractic Clinic’s VP Of Clinical Excellence.  As VP of Clinical Excellence, Dr. Rathmann is focused on clinical quality, clinical care development for doctors within the areas of guidelines and standards compliance, documentation, coding and billing, and outcome measures reporting.  In addition, Dr. Rathmann coordinates all intra-professional collaborative activities for clinical quality and improvement.

Dr. Rathmann completed her undergraduate degree at State University of New York at Fredonia and completed her Doctor of Chiropractic degree at the National College of Chiropractic in Chicago, Illinois.  She joined Tuck Chiropractic Clinic in 1999 and is currently a Senior Partner. She treats all patients including those with low back pain, neck pain, and headaches. She is also fully qualified to perform acupuncture.  Dr. Rathmann sees patients in Tuck Chiropractic’s Blacksburg and Roanoke-Brandon Ave offices.


Open to view video.
Open to view video. Dr. Matthis/Dr. Rathmann Part IV Webinar
7 Questions  |  Unlimited attempts  |  6/7 points to pass
7 Questions  |  Unlimited attempts  |  6/7 points to pass Matthis/Rathmann Part IV Quiz
1.00 CE Credits credit  |  Certificate available
1.00 CE Credits credit  |  Certificate available CE Certificate
License Information
1 Question
1 Question Please provide your Chiropractic License number and state