For more information, please email Galina Roofener
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Cost: $25

Students $5 (Coupon: S101022-sn)
FSOMA members $15   Coupon: FM101022-sn) FL – 1.5 CEU

10/10/2022 1st Class – Acupuncture Initial SOAP

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SOAP Note Best Practices: Case Studies

Monthly 90 min  LIVE interactive webinar series.

As healthcare providers, Licensed Acupuncturists are subject to best practice standards and documentation. Documentation guidelines, known as Evaluation/ Management guide (EM), are routinely reviewed and amended by the Centers for Medicare & Medicare Services. The most recent revision of the EM guide was implemented on January 01, 2021. The 2021 EM guide contains significant changes which are beneficial to LAc. New guidelines were added, allowing healthcare providers to collect the clinically necessary amount of subjective data and physical examination. 

With the release of the ICD-11 Chapter 26 Traditional Medicine Diagnostic codes in standardized terminology; As a profession, Licensed Acupuncturists are making the first grand step towards worldwide acceptance as a healthcare profession, not only as an acupuncture procedure service. The ability to make our own diagnosis moves us from a technician, who performs the acupuncture procedure, to a diagnosing physician category on the clinical level. (Do Not Mistaken this with the legal scope of practice of your State)
 

In this monthly series of SOAP NOTE BEST PRACTICES, each class will provide real-life examples of SOAP notes, write together as a class SOAP notes (you are welcome to present your current case for discussion in the subsequent class), and we will also discuss how to:

  • Identify and Formulate Chief Complaint(s)
  • Determine the accurate amount of information you must collect to support the level of Medical Decision Making
  • Assess Complaint Improvement
  • Support Medical Necessity
  • Record Patient’s Non-compliance
  • Justify Lack of Improvement
  • Select & Record Treatment Strategy
  • Justify ICD-10 Western Diagnosis
  • Select & Record the Appropriate ICD-11 Ch26 TM Patterns
  • Identify Appropriate Treatment Method
  • Formulate Treatment Principles based on the different Styles of Acupuncture
  • Formulate and Record an Appropriate Treatment Plan
  • Establish a Short and Long Term Goal
  • Identify Potential Red Flags and Appropriate Referrals
  • Establish Necessary Labs/Imaging to be Ordered
  • Record & Select Appropriate Acupuncture Procedure Codes (CPT) and the desired Number of Units
  • Select & Record Adjunct Treatment Techniques and Procedures
  • Select & Record Supplements Prescribed Accordingly to the TCM Pattern
  • Select & Record Patent TCHM
  • Record Custom Compounded Formula from 5:1 TCHM granules
  • Legally Reopen & Amend Closed and Signed SOAP Notes

Included in this class: Access to standardized Intake and SOAP note Templates. 

You are welcome to present your case for the discussion in the subsequent webinar.

TCM Herbal Practice Safety Standards and Medical Errors Prevention Guidelines: The Cleveland Clinic Model

NCCAOM:  6 PDA  (Safety Category) PDA-162984-2   Exp. 08/31/2023

FLORIDA – 6 CEU (2 Medical errors + 2 Biomedicine + 2 General Category)  (issued by FSOMA)  –    CE Broker Tracking #: 20-759210

This Webinar will teach you to:

  • Navigate the legalities and logistics of initiating and successfully practicing a traditional Chinese Herbal Medicine clinic at a hospital or private practice.
  • Learn hospital standards for record keeping and reporting of herbal side effects.
  • Enhance your communication skills with western health care practitioners.
  • Understand requirements for herbal prescription writing to prevent medical errors.
  • Protect your practice by implementing proper communication with your patients.
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Safety & Regulations of TCM Herbal Telemedicine

NCCAOM – 4 PDA (2 Safety + 2 Ethics category) – PDA-162984-5   Exp.08/31/2023
 FLORIDA – 4 CEU (2 Medical errors + 2 Rules & Regulations category) (issued by FSOMA) – CE Broker  20-757558
 

Telemedicine offers a lot of promise for both physicians and patients. This class explores how Traditional Chinese Herbal Medicine can be safely and legally practiced in the realms of modern telemedicine. Most states now have laws regulating the practice of telemedicine. Safety is of primary concern. The laws only get more complicated and more uncertain when telemedicine is practiced across state lines. This class is based on Cleveland Clinic TCHM virtual visits experience and will explore safety concerns, legalities of informed consent, initial and follow up visit, gathering of objective signs, herbal prescribing, billing requirements and required EMR records keeping.

Through the successful completion of this course, each student will be able to:

  • The student will learn law governing telemedicine by state
  • Gain an understanding of potential medical errors in Telemedicine
  • Understand technology compliance with HIPPA for Telemedicine
  • Develop a deep understanding of the ethics involved in Telemedicine
  • Learn techniques to collect objective signs including pulse & tongue remotely
  • Have a working knowledge of Telemedicine record keeping and billing

Principles of Combining TCHM
with Pharmaceuticals & Nutraceuticals

NCCAOM – 6 PDA (Safety Category),  PDA-162984-4  Exp. 08/31/2023

FLORIDA – 6 CEU (5 – Biomedicine + 1 General Category) (issued by FSOMA) – CE Broker Tracking #: 20-777274


The practice of Traditional Chinese Herbal Medicine (TCHM) may appear archaic to those that misunderstand the theories and principals that guide it. In fact TCHM continues to evolve and new systems are consistently being discovered and applied within the tradition. Never the less the biggest challenge of great unknown of herb-drug interaction faced by TCM practitioner in the world today remains.

Though modern scientific analyses have been utilized to look at herbs from a chemical perspective, it is unrealistic to perform double-blind study of every drug-herb/formula combination. This class will introduce principles of drug-herb combination according to TCM philosophy.

Select western pharmaceuticals and nutraceuticals are described in the tradition of TCM Materia Medica, including flavors, temperature, meridians entered, actions, indications and modifications. Interactions with Chinese herbs are discussed. Principles of Drug-Herb combination and possible interactions are demystified and discussed in details.

Drug induced mortality became a serious thread in modern times, accordingly ability to anticipate and avoid drug-herb interaction is a matter of a paramount importance. This class provides an advance understanding of safe drug-herb compatibility. 
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Traditional Medicine Standard Terminology:
Bridge to the ICD-11 Billing Practice

NCCAOM: 22 PDA points (16 PDA AOM-BIO + 4 PDA Safety + 2 PDA Ethics) – PDA-162984-6    Exp. 08/31/2023

FLORIDA: 21 CEU (issued by FSOMA) (2 CEU Medical Errors + 2 CEU Biomedical Sciences + 17 CEU General hours) – CE Broker # 20-757618
Texas – 22 CEU   (18 general, 2 ethics, 2 biomedicine) Exp.08/18/2023

 

The purpose of this course is to provide practitioners with the knowledge and skills to perform in the approaching era of ICD-11 Chapter 26 (TM1) Traditional Medicine Billing Codes based on the “WHO International
 Standard Terminologies
on Traditional Medicine in the Western Pacific Region” manual (2007). The student will be able to implement Traditional Medicine SOAP notes in compliance with the standards for Medicaid/Medicare reimbursement requirements.

What to expect: 7 hours class room (add 1 hour lunch) + 14 hours home study

 COURSE LEARNING OUTCOMES

Through the successful completion of this course, each student will be able to:

1. Understand the importance of standard terminology. 


2. Identify resources for standard terminology reference. 


3. Understand the purpose of ICD-11 Chapter 26 (TM1).

4. Diversify the WHO International
Standard Terminology pertaining to a specific style of Traditional Medicine including but not limited to Japanese, Korean, Five Element, Famous Masters, Scalp, etc. 


5. Parallel current ICD-10 and/or future ICD-11 billable diagnosis to NON-billable Traditional Medicine (TM1) pattern diagnosis.

6. Formulate treatment principle adapted to a specific style of Traditional Medicine using WHO International
 Standard Terminology.

7. Write a SOAP note adapted to a specific style of Traditional Medicine using WHO International
Standard Terminology in the standardized format to fulfill billing requirements.

8. Implement general principles & rules reflecting coding level of Traditional Medicine decision making in compliance with USA insurance billing requirements revised for 2021.

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Modern Pulse Diagnosis: Mobile ECG Based

NCCAOM: 12 PDA points ( AOM-Bio/OM Category) – PDA-162984-7   08/31/2023

FLORIDA: 12 CEU (issued by FSOMA) (5 CEU Biomedical Sciences + 7 CEU General hours) – CE Broker Tracking #: 20-777272
TEXAS – 12 CEU (7 general, 5 biomedicine)

This class is intended for individuals familiar with the theory and clinical practice of East Asian medicine and illustrates a modern perspective on describing the TCM pulse through the interpretation of mobile ECG data.

Palpation of the pulse is one of the important diagnostic signs used by East Asian medicine practitioners to determine the state of Qi in the body. Reading a pulse traditionally relies upon developing refined palpation skills through extensive practice guided by a skilled teacher, which can be challenging to attain and master, and impossible to collect virtually. During this class you will learn how to obtain the pulse remotely in the telemedicine era.

Recent developments in mobile electrocardiogram (ECG) devices provide an excellent resource for practitioners to have a convenient and affordable tool for an objective pulse measure. Qi is an electric impulse that commands the heart chambers to contract that subsequently generates the pulse.

An ECG is an accepted scientific test to detect the electrical activity of the heart. It can also be used to measure and interpret the state of Qi in the human body. We can determine the strength of Qi by measuring the strength of the electric impulse that is clearly visible as the height of the R wave spike on an ECG. We can also determine TCM heat or cold conditions by the pulse rate, which is automatically registered on an ECG. The ECG can be read through a TCM perspective to determine a pulse diagnosis.

Learning Outcomes

  • The student will learn basic ECG elements
  • The student will be able to identify red flags requiring referral to MD
  • Gain understanding of how select drugs may affect an ECG
  • Master mobile ECG taking techniques
  • Develop deep understanding of Qi qualities reflected in a pulse
  • Have a working knowledge how to formulate TM pulse diagnosis based on a mobile ECG graph

For more info read an article:Translating Electrocardiogram Findings in Traditional Medicine Pulse Description. Acupuncture Today. November, 2019, Vol. 20, Issue 11

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Is Your Herbal Practice Safe?
Know the Clinical & Legal Standards.

This web-series of Building Better Business webinar will introduce you to how to:
– select quality herbs,
– questions to ask when selecting your vendor,
– select form of herbs (raw, granules, patent)
– calculate dose for a specific patient using different forms from different manufacturers
– record herbs in the SOAP to protect yourself legally
– collect and report adverse events

Head & Neck Imaging in the TCM Practice

NCCAOM: 5 PDA points (5 PDA AOM-Bio) – PENDING
FLORIDA: 5 CEU (5 CEU Biomedical Sciences) – PENDING

This class is designed to provide necessary integrative tools in the modern acupuncture practice

COURSE LEARNING OUTCOMES  Through the successful completion of this course, each student will be able to:

  • Navigate Imaging ordering logistics,
  • Apply legal aspects of imaging ordering,
  • Understand the difference between X-Ray, MRI, MRA, PET, CT, Ultrasound, Thermography,
  • Understand the application of imaging in diagnostics of head and neck disorders,
  • Identify TCM patterns manifestation in the imaging tests,
  • Review acupuncture action confirmed by Imaging research,
  • How to translate Imaging findings into TCM Theory.
  • Investigate most common disorders in acupuncturist practice imaging tests case studies,
  • Review red flag referrals,
  • Clarify imaging test ordering,
  • Understand imaging tests interpretation,
  • Reinforce imaging tests records in the SOAP note.
  • Introduction into imaging effects on medical decision making/billing codes,

Pharmaceuticals – TCM Materia Medica

NCCAOM: 6 PDA points (6 PDA  AOM-Bio) – PENDING

FLORIDA: 6 CEU (issued by FSOMA) (3 CEU Biomedical Sciences + 3 CEU General) – CE Broker Tracking #: 20-777280

Principles of Combining TCHM with Pharmaceuticals & Nutraceuticals –  is a mandatory prerequisite.  

Select western pharmaceuticals are described in the tradition of TCM Materia Medica, including flavors, temperature, meridians entered, actions, indications and modifications. Interactions with Chinese herbs are discussed. Principles of Drug-Herb combination and possible interactions are demystified and discussed in details.. See example slide below: 

Nutraceuticals – TCM Materia Medica

NCCAOM: 6 PDA points (6 PDA  AOM-Bio) – PENDING
FLORIDA: 6 CEU (issued by FSOMA) (3 CEU Biomedical Sciences + 3 CEU General) – CE Broker Tracking #: 20-777284

Principles of Combining TCHM with Pharmaceuticals & Nutraceuticals – is a mandatory prerequisite   

Select nutraceutical supplements are described in the tradition of TCM Materia Medica, including flavors, temperature, meridians entered, actions, indications and modifications. Interactions with Chinese herbs are discussed. Principles of Drug-Herb combination and possible interactions are demystified and discussed in details. See an example slide below: