College of Chiropractic Commencement Ceremony

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Jun 26 – Jun 27, 2021

1:00pm – 7:00pm


Patient Management, Documentation, and Post-COVID

Mario Fucinari DC, CPCO, CPPM, CIC

12 Hours Sponsored by NCMIC*

  • Saturday  1:00pm – 7:00pm
  • Sunday     8:00am – 2:00pm

Early Bird Tuition: $210
Regular Registration: $240
Tuition must be received at least 15 days prior to qualify for Early Bird Tuition

While we continue to grapple with the COVID-19 pandemic, several changes have affected the chiropractic practice.  There is one thing you can count on, the way we do things will never be the same.  See what documentation, patient, and practice management protocols are essential in the post-coronavirus practice.  Significant changes, including the 2021 evaluation and management guidelines, will impact the chiropractic office and the way you practice!

Dr. Mario Fucinari will introduce nuts and bolts methods to update your practice protocols, documentation, treatment, and case management. Dr. Fucinari will show you how to incorporate the latest developments into your practice without giving up your chiropractic roots. Perfect for doctors, staff, and billers. May be used for Certified Insurance Consultant review.  Sponsored by NCMIC. Attendees will be eligible for the NCMIC 5% discount for policyholders.

Dr. Fucinari is a Palmer Davenport graduate. He is uniquely qualified as a seasoned practitioner in practice for over 34 years, a nationally recognized speaker, author, and instructor.  Dr. Mario has decades of experience in compliance, coding, and documentation.  He is a member of the Carrier Advisory Committee for Medicare, a Certified Professional Compliance Officer (CPCO), a Certified Physician Practice Manager (CPPM), and a Certified Insurance Consultant (CIC).

Register Online

*Full-time DCs get a yearly 5% Risk Management discount from NCMIC for three consecutive policy years for attending a qualified seminar. 8 hours of qualified instruction is required and must be obtained within one year. Seminars of less than 8 hours will require that the DCs contact NCMIC once they have accrued the full 8 hours. Seminar discounts earned up to 30 days after the policy renewal date will apply immediately; those earned 30+ days after the renewal date will apply at the next policy renewal date. Part-time DCs are eligible to receive half this discount.

Learning Objectives:

  • Understand the key government regulations and industry trends
  • Determine Function’s role in insurance policies
  • Establish procedures for consultation and examination essentials in the treatment plan after COVID-19 exposure to uncover functional loss
  • Be able to define “Medical Necessity in various carriers
  • Integrate outcome assessment tools to develop treatment goals
  • Learn documentation guidelines and requirements
  • Identify legal aspects of proper documentation in the Standard of Care
  • Explain procedures for proper claim form submission
  • Learn documentation requirements for therapeutic modalities and procedures
  • Give clinical examples to utilize the ABN form properly
  • Properly utilize the 2021 E/M Guidelines in the Chiropractic practice

Hour 1

  • Compliance and the Law
  • The Standard of Care
  • The Eight Required Elements of a Documented Compliance Plan
  • Legal Requirements in Chiropractic Documentation
  • Fraud and Abuse Defined

Hour 2

  • HIPAA Privacy Policy and Section 1557 Requirements
  • HIPAA Privacy and Security Rule Updates
  • Patient Access to Medical Records and the NEW Cures Act
  • Documentation Requirements for HIPAA

Hour 3

  • Informed Consent Guidelines
  • The Medicare Beneficiary Identification Card
  • Medicare Parts A, B, C, D, G, N. No more Part F
  • The Anti-Kickback Statute: Waiving Deductibles and Co-Payments
  • What is the End Goal of Treatment?

Hour 4

  • Chiropractic Care and the Function Relationship
  • Practice Recovery Strategies Post-Coronavirus
  • Prevention of Medical Errors through Office Procedures
  • Adapting to the Paradigm Shift of Practice
  • Practice Protocols Post-COVID

Hour 5

  • The Initial Encounter Report
  • Consultation Methods to Discover Functional Loss
  • The Untold Pandemic: The Opioid Crisis and Mental Health Post-COVID
  • Social History, Ergonomics, and the Patient’s Functional Status

Hour 6

  • The Use of Technology in Telemedicine
  • Updated Staff and Physician Procedures for E/M Documentation
  • Medical Decision-Making Determination and Documentation
  • Policies and Procedures in Recovery
  • SOAP Notes and the Relation to Function
  • The Importance of the Outcome Assessment Tests

Hour 7

  • New and Established Patient Coding
  • The Evolution of E/M Coding 95 and 97
  • Social Determinants to Health
  • Time Determination and Documentation
  • Case Examples

Hour 8

  • SOAP Notes and the Relation to Function
  • Medicare P.A.R.T. Assessment of the Subluxation
  • The Role of Radiology
  • The Re-Evaluation

Hour 9

  • The Assessment and Medical Necessity
  • How to Document Improvement of the Patient
  • Functional Improvement with Exercises
  • Functional Orthotics’ Role in Rehabilitation

Hour 10

  • COVID and Proprioception Rehabilitation of the Patient
  • Nutritional Consideration in the Treatment of the COVID Patient
  • Correct Utilization of Modifiers
  • Avoiding Red Flags when filling out the claim form
  • Advance Beneficiary Notice (ABN) Regulations
  • Signature Requirements

Hour 11

  • Writing the Treatment Goals and Objectives
  • How to Translate Your E&M Findings into ICD-10 Codes
  • The Diagnosis: Tell the Whole Story

Hour 12

  • Rules in ICD-10 Coding
  • ICD-10 Coding Guidelines
  • Diagnosis of Injuries
  • Updates in ICD-10 Utilization Post-COVID
  • Questions and Answers


  • Saturday  1:00pm – 7:00pm
  • Sunday     8:00am – 2:00pm

Register online, call us at 1-800-842-3234, or email

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