Medical Decision Making in Documentation


No CEU is offered at this time for this 5 hours long recorded webinar



Navigating Medical Decision-Making: Ancient Medicine in the Modern World. This class presents the TCM practitioner viewpoint for note-taking, enhances the efficiency of TCM clinical practice, and facilitates the accuracy of TCM pattern differentiation diagnosis.

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

  • Understand the importance of Medical Decision Making (MDM).
  • Understand and apply MDM Elements for most effective time management.
  • Select appropriate Evaluation and Management (E/M) visit CPT Code, specific to acupuncture or herbal service.
  • Determine level of subjective and objective data necessary to support the diagnosis.
  • Identify elements of Assessment that justify medical necessity.
  • Learn how to think on paper.
  • Parallel current ICD-10 and/or future ICD-11 billable diagnosis to NON-billable Traditional Medicine (TM1) pattern diagnosis.
  • Formulate treatment principle adapted to a specific style of Traditional Medicine using WHO International
Standard Terminology.
  • Understand and apply legal language in SOAP.
  • Formulate and reassess treatment goals.
  • Learn proper recording of administered treatment,
  • Home going instructions, recommendations,  ordered labs, and referrals.
  • Explore in details real SOAP notes.
  • Play an insurance auditor.

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