WCA Re-Exam Reality Check: When E/M and CMT Can Coexist

This webinar is designed for office managers and billing staff who want to reduce claim denials related to Evaluation and Management (E/M) services billed on the same day as chiropractic manipulative treatment (CMT). Chiropractors frequently face denials when attempting to bill these services together, and this fast-paced session unpacks the legitimate and defensible scenarios in which they can coexist based on clinical necessity, documentation standards, and payer guidelines.

Attendees will learn how to distinguish routine care from re-evaluations, set records up for success, and apply proper documentation techniques to demonstrate that an E/M service is "significant and separately identifiable" from chiropractic manipulative treatments. The webinar also covers selecting appropriate diagnosis codes and modifiers to improve defensibility and reduce denials for re-evaluation claims.

The presenter, Dr. Evan Gwilliam, is Senior Vice President of Practisync, a Certified Professional Coder, and Certified Professional Medical Auditor and Compliance Officer. As both a clinician and someone with a Master's of Business Administration, he brings practical expertise to the topic and is a sought-after seminar speaker who provides expert witness testimony, medical record audits, and consulting for healthcare providers.

• •Identify clinical scenarios that support separately reportable E/M services during chiropractic care.
• •Apply proper documentation techniques to demonstrate that an E/M service is "significant and separately identifiable" from chiropractic manipulative treatments.
• •Select appropriate diagnosis codes and modifiers to improve defensibility and reduce denials for re-evaluation claims.