for Better Care, Reimbursement, Referral-building, and Malpractice Defense
With Instructor Anthony Von der Muhll, L.Ac., DAOM, DNBAO, FAIPM
Medical Documentation: Essential Best Practices
Live Webinar Workshop & Distance-Learning Course
Professional medical documentation skills are vital for:
- Improving outcomes and learning directly from your patient cases
- Building referral relationships and improving coordination of care with other medical professionals
- Supporting insurance reimbursement
- Complying with records requests and surviving insurance audits
- Defense in case of malpractice suits and complaints to regulatory agencies
Class Topics:
- Bring your charting up to the highest standards of professionalism by reviewing and applying best practices in:
- Organization and completeness
- Appropriate use of medical terminology
- Documenting case management and safety procedures
- Techniques to save time and effort while improving quality
- Pros and cons of templates, checklists, and narratives: avoiding the appearance of "rote" treatment
- Custodianship and transfer of patient records: keeping it safe and legal
- Further learning: developing charting skills for your areas of specialization
Class notes feature sample initial (History of Present Illness) and progress (SOAP) notes.
Billing managed care insurance? Our Report-Writing Workshop for Managed Care class can help with treatment authorization and reimbursement. Register for both classes for -10% off each.
Report-Writing for Managed Care: HMO, Personal Injury & Work Comp
Live Webinar Workshop & Distance-Learning Course
-- "Thanks a lot for providing the class to us; very professional and useful, helpful!" -- Shaoying Bai, LAc., Sacramento CA
Report-writing skills are vital for treatment authorization and reimbursement for HMO, Personal Injury and Work Comp cases.
Class Topics:
- Documentation and reporting of subjective and objective measurements of functional capacities and other key baselines, including:
- Standard, research-validated questionnaires to measure patient self-assessments of functional capacity
- Pain scales: how to use them accurately and reliably
- Findings from observation and inspection
- Joint range-of-motion
- Strength, sensory function, and tenderness scales
- Measuring limb girth and skin lesions
- Special tests and physical examinations
- Non-quantifiable assessments of functional capacity
- Setting appropriate treatment goals
- Presenting outcomes and making recommendations for future care to support reimbursement and treatment authorization/re-authorization requests
Class notes include sample initial functional capacity evaluations and re-evaluation reports for managed care insurance.
Live webinar workshops feature instructor-lead peer review/feedback regarding student chart notes and reports.
Student Ratings and Comments
from evaluation from prior live class offering in 2016, as required by California Acupuncture Board
Respondents: 13 of 17 enrolled
Average rating: 99/100
- “Anthony as always is superbly professional, knowledgeable, and encouraging improvements in clinical practice. Thank you!” --Anonymous
- “All of your classes have been instrumental in my ability to improve patient care–but it could be a 2-day course to cover more. Thank you!” –Jennifer Root, L.Ac.
- “I always enjoy Anthony’s classes, very helpful info.” --Anonymous
