Documentation & Coding

Routine office visits don’t require the same depth of documentation as an initial evaluation, but they do need the right details. In this HelpDesk episode, Dr. Erin Stubblefield breaks down the difference between an initial visit and a routine office visit through the lens of an “episode of care.” You’ll learn how to use SOAP notes effectively, what payers expect to see in your subjective and objective findings, and how to document functional progress without slowing down your workflow. Whether you're refining your documentation or training your team, this quick overview will help keep your notes compliant, efficient, and clinically meaningful.

For chiropractic practices, understanding the distinction between fraud and abuse and how the new codes can increase your vulnerability is vital to compliance.

Artificial intelligence is everywhere—but is it HIPAA compliant? In this HelpDesk episode, healthcare IT expert Jill from Easy Tech Compliance breaks down what chiropractors need to know before using AI tools in their practice. Learn how to protect patient data, confirm vendor compliance, and understand your shared responsibility when integrating AI with your EHR system. Jill explains how HIPAA applies to AI services, what new security rules are coming, and what steps you should take to stay compliant.

In this KMC University HelpDesk episode, Dr. Erin Stubblefield explains the difference between medically necessary care and clinically appropriate care in chiropractic. Learn how to determine when treatment is billable under insurance and when it’s simply appropriate for patient well-being but not reimbursable. Dr. Erin breaks down the four components of medical necessity — patient complaint, objective findings, functional deficit, and plan of care — and clarifies how to document both compliant and non-billable care correctly. Avoid common billing errors, strengthen your documentation, and stay compliant while providing the best care possible.

Get ready for ICD-10 annual code changes! In this HelpDesk video, Dr. Erin Stubblefield shares how chiropractors can prepare their teams, update software, and document accurately for a smooth transition and compliant billing.

E/M Coding for Chiropractors Made Simple: Pediatric Patients and Beyond Hot Topics from the KMC University HelpDesk If you choose an Evaluation and Management (E/M)…

This increased patient volume, particularly with activity-related injuries, brings a critical focus to chiropractic compliance—especially surrounding the correct use of S codes for injuries.

Are you confused about when to use Excludes1 or Excludes2 in your ICD-10 diagnosis coding? In this HelpDesk video, Rebecca from KMC University breaks down the key differences and explains why understanding these exclusions is essential to avoiding claim denials and compliance errors. Learn how to apply the rules correctly and code to the highest level of specificity.

Good documentation is more than a requirement—it’s an art that protects your practice and serves your patients. In this HelpDesk video, Dr. Erin Stubblefield from KMC University breaks down the key principles that make patient documentation clear, consistent, and defensible. Learn why specificity, consistency, accurate tracking, and personalization transform your daily notes into powerful tools for better patient care and stronger compliance.