Monday, October 10, 2022 | 7:00 - 8:30pm ET
A MONTHLY LIVE INTERACTIVE WEBINAR SERIES
You will receive the webinar login link via email, after registration.
FL – 1.5 CEU PER SESSION (Note: NCCAOM accepts FL CEUs)
CLICK HERE TO REGISTER
Registration is $25.00
As healthcare providers, Licensed Acupuncturists are subject to best practice standards and documentation.
Documentation guidelines, known as Evaluation/ Management guide (EM), are routinely reviewed and amended by the Centers for Medicare & Medicare Services. The most recent revision of the EM guide was implemented on January 01, 2021.
The 2021 EM guide contains significant changes which are beneficial to LAc. New guidelines were added, allowing healthcare providers to collect the clinically necessary amount of subjective data and physical examination.
With the release of the ICD-11 Chapter 26 Traditional Medicine Diagnostic codes in standardized terminology; As a profession, Licensed Acupuncturists are making the first grand step towards worldwide acceptance as a healthcare profession, not only as an acupuncture procedure service. The ability to make our own diagnosis moves us from a technician performing the acupuncture procedure to a diagnosing physician category on the clinical level.
(Do Not Mistake this with the legal scope of practice of your State)
In this monthly series of SOAP NOTE BEST PRACTICES, each class will provide real-life examples of SOAP notes, write together as a class SOAP notes (you are welcome to present your current case for discussion in the subsequent class), and we will also discuss how to:
- Identify and Formulate Chief Complaint(s)
- Determine the accurate amount of information you must collect to support the level of Medical Decision Making
- Assess Complaint Improvement
- Support Medical Necessity
- Record Patient’s Non-compliance
- Justify Lack of Improvement
- Select & Record Treatment Strategy
- Justify ICD-10 Western Diagnosis
- Select & Record the Appropriate TM Patterns
- Identify Appropriate Treatment Method
- Formulate Treatment Principles based on the different Styles of Acupuncture
- Formulate and Record an Appropriate Treatment Plan
- Establish a Short and Long Term Goal
- Identify Potential Red Flags and Appropriate Referrals
- Establish Necessary Labs/Imaging to be Ordered
- Record & Select Appropriate Acupuncture Procedure Codes and the desired Number of Units
- Select & Record Adjunct Treatment Techniques and Procedures
- Select & Record Supplements Prescribed Accordingly to the TCM Pattern
- Select & Record Patent TCHM
- Record Custom Compounded Formula from 5:1 TCHM granules
- Legally Reopen & Amend Closed and Signed SOAP Notes
Included in this class: Access to standardized Intake and SOAP note Templates.
You are welcome to present your case for discussion in the subsequent webinar.
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.
SOAP NOTE BEST PRACTICES