Audio Library – Introduction
Click this link to review previously recorded teleseminars and web conferences, search by category and topic.
This audio is designed to help you understand why the binders and the initial outreach of the program is critical to your short and long term success. Once you understand the WHY, it is much easier to stay motivated and delegate tasks to staff. This audio will show some of the bigger picture items of the program that will come as you evolve with us.
This mini-lecture will help you to understand why it is important to befriend the office manager in a medical practice. They are the ones in control and know where the practice needs help. They are almost ALWAYS more intune to the practice than the MDs. Building a contact list so that you can reach out to them. Learn why that list is critical to you success.
Working within the Primary Care world is different than working in the Specialty world. This Mini-Lecture will help you to focus your efforts on the areas that matter to the Primary Care Physician and will teach you how to become a “partner” in the healthcare team.
The medical specialist is driven by different needs than the Primary Care Physician and this consult will explain that in detail. You have to understand how they see the world in order to hit the “easy button”. Learn how to get on their radar and how to build a huge practice working directly with medical specialists.
There has been a lot of talk over the last few years about the shortage of Primary Care doctors in the United States. In my experience with the Family Practice Residents from the State University of New York at Buffalo School of Medicine and Biomedical Sciences I have been shown that the top 3 types of conditions that Primary Care Physicians seen are Heart Disease, Diabetes and Musculoskeletal Disorders. Learn what opportunites the future holds for chiropractic if you know how to position yourself properly and say the right things.
Attached are the recordings from the Continuing Medical Education lecture for a large primary care group that is putting in an Urgent Care Center. The first three come from the first hour with NP, Primary Care MDs and the medical director. The fourth is with the MD heading the Urgent Care Center, the Chief of Medical Staff and the head of the primary care department and others for the second hour. I had paused the recording as people got up to eat etc.
I want you to get a flavor for how this is a collaborative “discussion” as opposed to a pure lecture. I also want you to “get” how disorganized it can appear, but not to fight that…let it evolve. You are there to educate AND build relationships, you can’t build relationships by being a know-it-all. This is different than when you are positioning yourself as an EXPERT in a lecture esp with the legal community. In the MD community you want to be invited in and a collaborator and one of the best ways is to let them “teach” you as well.
I will be starting at this facility in the Urgent Care Center and was invited to sit with the call center staff to establish an algorithm to triage ALL musculoskeletal patients through the chiropractic office FIRST…VERY EFFECTIVE OUTCOME. You will have TONS of questions as you listen, my suggestion is to email them to me as they come up…ENJOY! I will be posting this on the site soon.
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Listen to this audio if you’re starting out either with the idea of an EHR or are trying to figure out how to implement it without loosing your staff in the process!
Come listen to an interview with Dr. Fishkin orthopedic surgeon. He gives an look inside the mind of a medical specialist. He shares with us why he refers to chiropractors and what he expects them to know and report. Very few chiropractors get to listen in on a conversation like this.
Join me for a discussion with James Carlberg, a computer and electrical engineer who is an expert in electronic documentation. This conversation is about the fundamentals of EMR (electronic medical records) and the emerging trends. Learn why Cloud Computing is here to stay and how it is involved in our daily lives already. Integration of an EMR is not as hard as you think and certainly not as expensive.
Properly reporting what you do in your office to the MD is a fundamental aspect of this program. This audio will take you through the beginning thought process on reporting Chiropractic to the medical community by tell you what TO do and what NOT TO do. Listen to this consultation first before going on, it will help you to prepare mentally and administratively. Learn why the formats need to be the same, it is just the information that changes.
Your are extremely effiecient in discussing chiropractic with patients at their report of findings and new patient orientations. You can explain the subluxation complex and lifetime chiropractic care in 5 minutes. So why is it that we all struggle with proper documentation? Simple reports seem to take well into the evening and family time seems to slip away……Well here is your answer. This consult is very short but will put you in the mind set of “Proper Planing Prevents……”, well you get the idea. Learn how to develop an Inital Report in under 6 minutes that can be provided to the Primary MD and any medical specialists that are treating your patient. Learn how to not interfere with daily patient adjustments while being compliant with Federal Guidelines. Understand how ONE simple item on your report can instantly increase effeciency in your Front Office.
If you have never dictated before, this sample dictation will help you to understand how it works. You can speak as fast as you want as the transcriptionist has the ability to slow the audio. There will be a learning curve so the first few will take a bit of time. Once you get going you should be able to dictate efficiently in a VERY short period of time. This will protect your practice from preditory Retrospective Reviews by insurance carriers and allow you to effectively communicate your expertise to the MD community. This dictation correlates with the Sample Report posted in the Forms/Communication Materials section. This was an actual WC patient. This was not a complicated case. Most trauma cases will require more information. NO I am not having a pulmonary embolism…..I ran up 4 flights of stairs then started dictating!
Learn what need to be displayed in this section. You will understand why it can be 2-4 sentences and teach the MD about WHY the patient came to you office. It will showcase what types of care they had in the past which did NOT work. This will help to establish a pattern over time.
This section is pretty self-explanatory, but important. Keep it simple and stay focused on areas that can describe response to care at a later day. Intensity of pain and radiation from the primary site. Take a listen.
This section will talk you through where things should go. It starts with general physcial examination do and donts to properly documenting general orthopedic and neurologic evaluations. How to get be compliant but not over reporting. This section will help you to understand why documenting range of motion is important and the accepted way of measurement.
Properly documenting Orders is one of the MOST overlooked aspects of documentation. This is one of the keys to building MD relationships as well as protecting your practice from a compliance standpoint. The Language of Ordering Tests is a download that is available in the Communication Materials section of the site. Whenever you are ordering a test, from plain film x-rays to MRI or bone scan, clinical rationale is needed to prove diagnostic necessity. This section discusses why this is important and why you MUST include it. This is where you are teaching the reader why you are doing something and what it will prove.
This area is the most critical #1 area in your entire report. Did I mention that it is super important? This area includes your diagnostic description with ICD-9 codes and what you think is going on with the patient. Language is critical here and miscommunicatioin in this area is one of the reasons many MDs do not refer. There are key words that MUST be included in this section for the MD to take you seriously.