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As healthcare providers, Licensed Acupuncturists are subject to mandatory documentation and practice guidelines. In each class of this monthly series of interactive SOAP NOTE BEST PRACTICES: Case Study webinars, we will together document an actual patient encounter. This class will navigate Initial Traditional Chinese Herbal Medicine (TCHM) SOAP.

This class focus:

• Outline necessary health data to satisfy CMS healthcare documentation guidelines
• Discuss how to formulate a diagnosis compliant with the FDA language pertaining to TCHM Rx
• Select and appropriately record standardized ICD-11 Ch. 26 Traditional Medicine pattern associated with billable current ICD-10 diagnosis
• Discuss and order Lab Work necessary for risk assessment
• Review drug-herb interactions & identify potential Adverse Effects
• Formulate appropriate Taiwanese-style 5:1 granule formula, including patient-specific dose calculation 
• Place a custom formula order into 3rd party compounding pharmacy and outline the FDA requirements for TCHM formula recording in the SOAP
• Issue to the patient EHR portal home going instructions, including legal language pertaining to TCHM

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

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