Medical Documentation: Essential Best Practices

for Better Care, Reimbursement, Referral-building, and Malpractice Defense

With Instructor Anthony Von der Muhll, L.Ac., DAOM, DNBAO, FAIPM

[purchase_link id=”7991″ text=”5 Distance-learning hours: NCCAOM PDAs (Safety) approved – $149 – Add to Cart” price=”0″ XSSCleaned=”button”]
Need CAB CEUs? Contact us

[purchase_link id=”2735″ text=”E-Book Subscription (No CEUs or PDAs)
$30 – Add to Cart” price=”0″ XSSCleaned=”button”]
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Professional medical charting and reports are vital for:

  • Supporting insurance reimbursement, surviving insurance audits and records requests
  • Building referral relationships and improving coordination of care with other medical professionals
  • Improving outcomes and learning from your patient cases
  • Defense in cases of malpractice and complaints to regulatory agencies

Class Topics:

  • Bring your charting up to the highest standards of professionalism: best practices in contents, organization, terminology for initial visit HPIs and follow-up SOAP notes
    • Subjective
    • Objective
    • Assessment
    • Plan
  • Practical and efficient charting techniques: save time and effort while improving quality
    • Paper vs. electronic health records systems: how to choose and make them work for your clinic
    • 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

Distance learning/self-study, E-book and live class notes feature sample initial visit (History of Present Illness) and progress (SOAP) reports.

Live class features instructor-lead peer review/feedback regarding student chart notes.

***Please note: For Certification in Acupuncture Orthopedics, either the live class (8 hours/CEUs/PDAs), or the distance-learning class (5 hours CEUs/PDAs) + one live 3-hour clinical case mentorship meeting focused on medical documentation (no CEUs/PDAs)  is required.***

Billing managed care insurance? You’ll also want to take Report-Writing Workshop for Managed Care: HMO, Personal Injury, and Workers Compensation. Take both classes for -10% off each.

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

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  • “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
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