HEDIS® Requirements for the Use of X-rays with Low Back Pain

HEDIS® Requirements for the Use of X-rays with Low Back Pain is organized by Illinois Chiropractic Society (ICS).

Description:
Many insurance carriers have recently introduced HEDIS^® measures policies on when an x-ray should be taken if a patient presents with low back pain.  Every provider should be aware of the insurance carrier’s policy on radiographs with spine pain.  Knowledge of the measure will influence your medical decision-making and your required documentation when applicable.  Dr. Mario Fucinari will define what circumstances will trigger the medical necessity for x-rays, the needed documentation, and appropriate ICD-10 codes.  Learn from a certified compliance officer and seasoned practitioner of 35 years how to incorporate these latest developments into your practice.  Perfect for doctors, staff, and students.

Learning Objectives

• Attendees will learn how to justify their care through documentation and coding
• Realize the consequences of denials and recoupments in the chiropractic office
• Learn what conditions represent red flags, necessitating further tests
• Apply knowledge to design a treatment plan that shows the rationale for care
• Be able to describe elements of the patient’s history to avoid denials
• Learn the common errors in documentation and coding that lead to denials

Topics:

• Clinical
• Coding
• Documentation
• Radiology