Documentation and Report-Writing

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

For Certification in Acupuncture Orthopedics, either the live webinar (8 hours), or the distance-learning class (5 hours) + one live 3-hour Case Consultation meeting focused on medical documentation is required.

Treating the Low Back, Neck and Shoulder with Classical and Modern Acupuncture

Hands-on training and practice with Anthony Von der Muhll, LAc, DAOM

September 21, 2024, York, United Kingdom

September 28-29, 2024, Basel, Switzerland

Advanced Clinical Approaches: Low Back, Core & Pelvic Girdle

Saturday, September 21, 2024, 10:00-17:00

In-person only at the Northern College of Acupuncture, York, UK

Register through the Northern College of Acupuncture

NCCAOM PDAs approved

 

Comments from class evaluations:

"Great class and great series! So much information that’s immediately useful." -- Eunhye Kim

 

Treating the Low Back with Classical and Modern Acupuncture

Saturday, September 28, 2024, 9:00-17:00

In-person only at aava Zentrum für EEH und Eltern-Kind-Begleitung, Leonhardsberg 14, Basel, Switzerland

 

Treating the Neck and Shoulder with Classical and Modern Acupuncture

Sunday, September 29, 2024, 9:00-17:00

In-person only at aava Zentrum für EEH und Eltern-Kind-Begleitung, Leonhardsberg 14, Basel, Switzerland

 

TCM Fachverband members: contact TCM Fachverband for discount code for 10% off.

Clinical anatomy, kinesiology, and the jing-jin ("sinew meridians" or myofascial tracts)

  • Bones, muscles, discs and facet joints, and neurology
  • Posture and motion dysfunctions
  • The arthritic progression: strain/sprain, derangement, degeneration

History-taking: key diagnostic questions

  • "Red flag" symptoms of urgent/serious medical conditions potentially warranting referral to physician care: stenosis, tumors, infection, fractures, and neuropathies
  • Identifying the affected jing-jin ("sinew meridians" or myofascial tracts).
  • Differentiating symptoms of muscles, joint, disc, spinal cord, and nerve root injuries
  • Neural hypersensitization and psycho-social factors

Physical exam of the low back, neck and shoulder: how findings can guide acupuncture treatment

  • Classical jing-jin and modern orthopedic observation, inspection and palpation
  • Joint exam: active range-of-motion and passive stress testing of the spinal and shoulder joints
  • Examination for upper and lower motor neuron lesions: deep tendon, and pathologic reflexes and sensory, and motor function
  • Manual strength testing and referred pain pattern charts for 35 key muscles of the low back, core and pelvic girdle, neck and shoulder
  • Special orthopedic tests for the back, neck and shoulder
  • Clinical flow charts to facilitate efficiency and accuracy in examination

Diagnosis and pattern identification

  • Jing-jin syndromes
  • Postural and motion dysfunctions
  • Muscle strains and myofascial pain
  • Radiculopathies and stenosis
  • Chronic back, neck and shoulder pain, spondylosis, arthritis, degenerative disc disease, scoliosis
  • Spinal spondylolistheses
  • Failed spinal surgery syndromes
  • For the low back: post-partum pain, insufficiency of the iliolumbar and sacrotuberous ligaments, and dysfunctions of the sacroiliac joint
  • For the neck and shoulder: cervical facet, glenohumeral and acromioclavicular joint pain

Treatment of the jing-jin and orthopedic conditions

 

For facility information only, contact:
078 926 00 94*
info@aavabasel.ch

Head, Neck & Thorax

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

Includes lifetime access to high-definition videos, slideshows, and class notes

See below for detailed description of class contents

 

Self-Paced Distance Learning

 

 

Basics of Neck

Head, Neck, Thorax: History, Examination, Assessment, & Treatment

Contact us to request CAB CEUs

 

Comments from Course Evaluations

"This class was amazing and so packed with information. I am going to have to listen to the recording over and over in order to be able write down all that was said. I can't wait to be able to take an in person course."  -- Shelby Smith, L.Ac., Olympia, Washington

"This class has been incredibly enriching and full of valuable information. I truly enjoyed every session and felt fully engaged throughout. The depth of knowledge shared, especially regarding assessment techniques and the integration of orthopedic tools, has greatly expanded my understanding of clinical applications in acupuncture. I feel more confident in my ability to evaluate and treat complex cases, and I’m excited to apply what I’ve learned in my practice. This has definitely been one of the most informative and inspiring courses I’ve taken!" -- Karla Colmenarz, L.Ac., Chevy Chase, Maryland


Clinical anatomy, kinesiology, and the jing-jin ("sinew meridians" or myofascial tracts)

  • Bones, muscles, discs and facet joints, and neurology
  • Posture and motion dysfunctions
  • The arthritic progression: strain/sprain, derangement, degeneration

History-taking for head, neck, thorax: key diagnostic questions

  • "Red flag" symptoms of urgent/serious medical conditions warranting referral to physician care
  • Differentiating symptoms of muscles, joint, disc, and spinal cord, plexus and nerve root injuries
  • Neural hypersensitization and psycho-social factors
  • Functional capacity questionnaires for reporting to managed care insurance

Physical exam of the head, neck, thorax: key procedures

  • Observation, inspection and palpation
  • Joint exam: active range-of-motion, stability, and tracking assessment of the cervical and thoracic spine and TM joint
  • Neurologic exam: upper motor neuron; arm reflex, sensory, and motor function; and brachial plexopathies
  • Special orthopedic tests for the spine and ribcage
  • Documentation of physical exam findings
  • Measuring and reporting functional capacity baselines and treatment outcomes

Diagnosis and pattern identification

  • Cervicogenic and tension-type headaches
  • Temperomandibular joint pain and dysfunction
  • Cervical and thoracic sprains/strains and chronic myofascial pain
  • Cervical and thoracic disc and facet joint injuries: dysfunction, derangement, degeneration
  • Nerve root and spinal cord injuries
  • Intercostal sprains/strains
  • Brachial plexopathies and thoracic outlet syndrome
  • Myofascial trigger points and referred pain patterns for over 17 muscles of the head, face, neck and thorax

Treatment of head, neck, and thorax pain and injuries

  • When and how to use distant and local needling for rapid and lasting pain relief
  • Electroacupuncture for neural blockade and rehabilitation
  • Releasing muscle tension through myofascial trigger point needling
  • Prolo-acupuncture for spinal and TM joint stabilization and mobilization
  • Using 7-star, 3-edged and lancet needles to reduce inflammation and ischemic pain
  • Manual therapy: gua sha, tui na, and muscle energy techniques to reduce trigger points and restore muscle flexibility and joint range of motion
  • Active suction cupping: combining cups with passive and active movement for rapid and lasting results
  • Postural and ergonomic correction and exercise therapies

Get the most out of your learning experience!

Student Ratings and Comments

from evaluations as required by California Acupuncture Board, prior live class offerings in 2017.

Respondents: 20 of 20 enrolled

Average rating: 98/100