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SOAP Note Best Practices: Case Study 3 – ReEvaluation Acupuncture

LIVE WEBINAR | 1.5Florida CEU | $25

Tuesday, January 24, 2023 |   7:00 pm-8:30 pm  (Eastern Time)

Here is what attendees are saying about this Monthly Webinar Series: 

"This was an amazing class! The amount of information and the depth of knowledge that Galina posses is incredible. While it is a little bit daunting to feel there is still so much information I need to personally learn, it is so reassuring to know there are resources like this to pursue training in a clear and concise manner. It is also good to know that we have people like Galina as the tip of the spear, doing the ground breaking work at Cleveland Clinic, being the first to encounter the issues posed when integrating with Western medicine and coming up with solutions paves the way for the rest of us in the future to have a much smoother road in this space. Thank you." - V. A. (NY)

 "Thank you very much for this class. I learned more about requesting blood work CMP, Ordering formulas through Crane and view the text to paste in the encounter notes, also the allergens contraindicated for patients, and those in blood thinners and chemo to CYA. It was a very good class."  - C.H. (MD) 

"The information was very valuable. I enhanced my knowledge about: Documentation, The appropriate codes to use, Appropriate use of SOAP notes. Thank you for sharing your wealth of information." - R.C. (FL)

"1. The Objective part of soap notes- in school the "objective" was tongue and pulse. I have now added more detail such as discolorations, gait, shen, color, sound etc.
2. TCM review systems format was very detailed. I revised my soap note template to emulate yours.
3. I learned the "correct: time frames for Chronic, acute, sub acute etc." - M.S. (FL)

LIVE WEBINAR  |  Florida 1.5 CEU | $25

Tuesday, January 24, 2023  |  7:00 pm-8:30 pm  (Eastern Time)

Students $5 (Coupon: S012423-F)    Valid for LIVE class only
FSOMA members $15   (contact [email protected] for code)    Valid for LIVE class only

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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 document an actual patient encounter together. This class will navigate Reevaluation Acupuncture SOAP.

This class focus:

  • Brief review of necessary health data to satisfy mandatory CMS healthcare documentation guidelines (Please be advised: detailed Documentation Guidelines are presented in the Medical Decision Making in the Documentation Class)
  • Discuss Outcome Assessment Tools used in the acupuncture practice
  • Discuss how to write an assessment with a focus on Functional improvement
  • Review strategies to mitigate potential Adverse Effects
  • Re-establish treatment goals if the treatment course is continued
  • Discuss referral guidelines if set goals are not achieved, or the patient’s condition worsened
  • Discuss plan changes if the patient presents with a new complaint
  • Select and appropriately record standardized ICD-11 Ch. 26 Traditional Medicine pattern associated with billable current ICD-10 diagnosis
  • Review proper Coding for E/M and acupuncture procedure
  • Navigate how to write a discharge SOAP note for the completed course of the treatment

Included in this class: Access to standardized Outcome Assessment Tools and SOAP note Templates. 

About the Teacher: Galina V. Roofener A.P., L.Ac., Dipl. Ac. (NCCAOM), Dipl. C.H. (NCCAOM)

Galina V. Roofener holds board-certified credentials in Florida and Ohio as a licensed acupuncturist and Chinese herbalist. Galina received her Oriental Medicine degree from East West College of Natural Medicine in Sarasota, FL, a Doctor of Naturopathy degree from Trinity College of Natural Health in Warsaw, IL, and a Nursing degree from Medical College #3 in St. Petersburg, Russia. Galina has also pursued studies towards a Bachelor of Arts in Education in Klaipeda, Lithuania. Furthermore, she has continued to earn multiple certifications in various modalities of Integrative and Complementary Medicine and holds special certification in acupuncture point injections.

Galina has over 30 years of healthcare experience, including eight years at the Cleveland Clinic as an acupuncturist and Chinese herbalist. She was a significant contributor to the development of the Chinese Herbal Therapy program. As a result, Cleveland Clinic garnered global attention as one of the first major medical institutions to open a hospital-based herbal clinic in the United States. In so doing, this provided even broader access to complimentary options for patients seeking an integrative approach to their care. She also has ten years of experience in a hospital physical rehabilitation department in Lithuania. As well, Galina has a particular interest in integrative, preventative, and rehabilitation medicine.

One of Galina’s great passions is teaching. Presently, she contributes to published journals and textbooks on prevention, wellness, health, acupuncture, and traditional Chinese herbal medicine. She is also an NCCAOM-approved continuing education provider and gives lectures at many conferences. In the past, she served as an Instructor of Anatomy, Physiology & Pathology at different schools in the U.S. In 2006, she was awarded Top Performing Educator of Aveda Institutes. She has also been part of the teaching faculty and staff at Klaipeda University in Lithuania

Galina has authored a textbook, which illustrates a modern perspective on describing the TCM pulse through the interpretation of mobile ECG data, entitled Modern Pulse Diagnosis: Mobile ECG Based.

Currently, Galina serves on the herbal committee at the American Society of Acupuncturists (ASA) and the Board of Directors at Florida State Oriental Medicine Association. Before moving back to Florida to be closer to her family, she served on the State Medical Board of Ohio’s Acupuncture and Oriental Medicine Advisory Panel concerning Chinese herbs and other modalities of Oriental Medicine. Also, in the past, she served on the Hospital-Based Practice Task Force Committee advisory panel for the National Certification Commission for Acupuncture and Oriental Medicine.

Galina speaks English, Russian and Lithuanian languages.

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