Report-Writing for Managed Care: HMO, Personal Injury, Work Comp

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

This course builds on Medical Documentation: Essential Best Practices, which is highly recommended as a prerequisite. 

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First time user? Your account will be automatically be created after purchase. Please note:

--Webinars require continuous attendance on the date(s) offered to receive PDAs/CEUs. If you cannot attend, please consider a self-paced distance-learning version instead, if available, or another class that you will be able to attend.

--Ebooks are included with class purchase--please do not purchase both. When purchased separately, Ebooks are for informational purposes only--no PDAs/CEUs.

Questions? Please visit our FAQ page. Thank you for your purchase!

Check back for next live class date, or contact us to be notified by email

Medical report-writing skills are vital for treatment authorization requests and reimbursement for HMO, Personal Injury and Workers Compensation cases. Review and apply best practices for the particular requirements of managed care, including:

  • Initial and follow-up evaluations: setting treatment goals, present outcomes, and making recommendations for future care to support reimbursement and treatment authorization/re-authorization requests
  • Comparison of electronic health records systems for managed care reporting
  • Using standardized functional capacity questionnaires to measure subjective assessments of progress
  • Pain scales: how to use them accurately and reliably
  • Specific requirements of the California Workers Compensation system: initial and progress reports (PR2s)
  • Documentation and reporting of objective measurements of functional capacities and other key baselines, including:
    • Findings from observation and inspection
    • Joint range-of-motion, tracking and stability
    • Muscle strength
    • Sensory function
    • Tenderness
    • Limb girth and skin lesions
    • Orthopedic and neurologic assessments
    • Special tests and physical examinations for other body systems
    • Non-quantifiable assessments of functional capacity
  • Class notes include sample initial functional capacity evaluations and re-evaluation reports for managed care.

  • Live class features instructor-lead peer review/feedback regarding student reports.

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.

Student Ratings and Comments

from evaluations of a prior live class offered 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

View full certification program and register for live and self-paced distance-learning classes.

Exercise Therapy for Acupuncturists

for Self-care, Patient Prescription, and Co-management with Rehab Teams

An Integrative East-West Approach

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

Former Physical Therapy Aide, Athletic Training Assistant, and Certified Personal Trainer, American College of Sports Medicine

 

has been added to your cart!

First time user? Your account will be automatically be created after purchase. Please note:

--Webinars require continuous attendance on the date(s) offered to receive PDAs/CEUs. If you cannot attend, please consider a self-paced distance-learning version instead, if available, or another class that you will be able to attend.

--Ebooks are included with class purchase--please do not purchase both. When purchased separately, Ebooks are for informational purposes only--no PDAs/CEUs.

Questions? Please visit our FAQ page. Thank you for your purchase!

Check back for next live class date, or contact us to be notified by email

"Is there anything I can do on my own to treat this?

"Should I do this exercise my fitness trainer showed me, even though it hurts?"

"I want to get more cardio and lose weight. Should I run, swim, or bike?"

"When can I go back to my gym workout/yoga class/marathon training?"

How often do we hear our patients ask questions like this? Want some better answers?

Easy-to-teach exercises can improve clinical outcomes by actively involving patients in self-care, and can complement AOM modalities. Drawing from qi gong, yoga, Pilates, and other techniques, we will discuss exercises for specific injuries to help patients to:

  • Reduce stress, muscle tension, pain, anxiety and depression
  • Accelerate healing and reduce chronicity of sprain/strain injuries
  • Re-stabilize hypermobile joints, and restore normal joint tracking and biomechanics
  • Slow and allow for reversal of joint degeneration that leads to osteoarthrosis
  • Enhance the treatment of muscles, nerves, and other tissues and systems that contribute to chronic pain
  • Maintain bone density, muscle strength and flexibility, coordination, and balance to reduce the risk of falls and injuries
  • Support the patient in an active lifestyle and meeting their goals for health, fitness, work, sports and recreation
  • Improve health of internal organs; the cardiovascular, lymphatic, endocrine & immune systems; mind, mood, & sleep; & overall quality & quantity of life.

Class Topics

  • When to prescribe--or "un-prescribe" exercises: post-injury/surgery, chronic pain, and health maintenance
  • How best to co-manage patients with physical therapists and surgical rehabilitation teams
  • Which exercises can patients safely and effectively perform at home, for what body regions, systems, and injuries
  • Analyzing common qi gong, yoga, Pilates, gym workouts, etc. for their risks and benefits, from an integrative East-West orthopedic and neurologic perspective
  • Adapting exercises for specific conditions and patients
  • How to integrate exercise therapy into the flow of a busy acupuncture clinic
  • Scope-of-practice, coding, billing and malpractice considerations

And what's good for our patients is good for us--we'll review self-care exercises and ergonomics for acupuncturists!

 

 

 

 

"Very informative and useful course. Thank you!"

-- Lisa Zeppegno, L.Ac., Petaluma CA

General considerations in exercise therapy

  • Review of L.Ac. scope-of-practice issues
  • Risks and benefits: when to prescribe, un-prescribe, or refer out for co-management
  • Co-managing with physical therapists: phases, benchmarks and goals of post-injury/surgery rehabilitation
  • Exercise cautions and contraindications
  • Differentiating exercise-induced injury vs. therapeutic delayed onset muscle soreness
  • Prescription essentials: timing, sequence, repetitions, sets, duration, intensity, frequency

Roles of and indications for specific exercise techniques and styles

  • Functional re-training: activities of daily living, work ergonomics, recreation and sports
  • Stress reduction: qi gong and breathing exercises
  • Flexibility: passive and active stretching, static and flow yoga styles
  • Neurologic re-training and coordination
  • Strengthening and stabilization exercises
  • Joint loosening warm-ups, reciprocal inhibition, and abdominal bracing to improve safety and efficacy across all exercise styles
  • Cardiovascular exercise for general health
  • Assessing exercise prescription from the viewpoint of jing-jin and zang-fu imbalances

Exercise prescription for specific body regions, injuries and pain

  • Spinal exercise prescription: upper body
    • Cervical stabilization
    • Thoracic mobilization
  • Upper extremity exercise prescription
    • Scapular stabilization and shoulder strengthening
    • Elbow, forearm and wrist exercise therapy
  • Spinal exercise prescription: lower body
    • Core/lumbar stabilization
  • Lower extremity exercise prescription
    • Hip strengthening and mobilization
    • Knee stabilization
    • Calf, ankle and foot rehabilitation
  • Putting it all together: posture, gait and ergonomics

Integrating exercise prescription into an acupuncture clinic

  • Combining exercise with manual therapy and cupping in the same visit
  • Tools, supplies, and space considerations
  • Documentation, coding and billing for therapeutic exercise
  • Stand-alone exercise classes: insurance, scope of practice and malpractice considerations
  • Exercise knowledge and skill development for acupuncturists

Coaching patients on health maintenance through exercise

  • Working with patient’s exercise readiness, compliance, tolerance and goals
  • Home programs and telemedicine consults
  • Group classes vs. individualized training
  • Cardiovascular exercise options and prescription
  • Recognizing limits and injuries; managing exercise-induced delayed-onset muscle soreness

View full certification program and register for live and self-paced distance-learning classes.

Side Plank

To get the most out of this class, please wear workout clothes and shoes, and bring the following exercise tools, which you will be able to use later in your clinic. Exercise equipment will not be provided. 

  1. One or more pairs of dumbbells in the 2-10 lb. range (a pair of 8-oz soup cans will do)
  2. Resistance tubing/bands of light-moderate gauge; also, squeeze balls, rings
  3. A wobble cushion/disc (e.g. “dynadisc”)
  4. 6” diameter rigid foam roller
  5. Yoga/exercise mat + straps or belts

Links are for informational purposes only and do not represent product endorsements. Anthony Von der Muhll does not have any financial relationship with exercise equipment makers or vendors.

Shoulder, Arm, Hand

In-Person Classes & Live Webinars

Must be attended at the time/date offered for Live PDAs/CEUs

See below for detailed description of class contents

Shoulder, Arm, Hand: Review & Practicum Lab

with Anthony Von der Muhll

Saturday, November 1, 2024, 9:00-6:00

In-person only at:

Academy of Chinese Culture and Health Sciences

1600 Broadway, Oakland CA

Prerequisite: completion of our 16-hour Shoulder, Arm, Hand: History, Exam, Assessment & Treatment course (in-person, webinar, or distance-learning)

has been added to your cart!

First time user? Your account will be automatically be created after purchase. Please note:

--Webinars require continuous attendance on the date(s) offered to receive PDAs/CEUs. If you cannot attend, please consider a self-paced distance-learning version instead, if available, or another class that you will be able to attend.

--Ebooks are included with class purchase--please do not purchase both. When purchased separately, Ebooks are for informational purposes only--no PDAs/CEUs.

Questions? Please visit our FAQ page. Thank you for your purchase!

Contact Us > 1 month prior to class date to request CAB CEUs

Self-Paced Distance Learning

1-year on-demand access

See below for detailed description of class contents

Shoulder Arm Hand: History, Exam, Assessment & Treatment

Self-Paced Distance-Learning Module

with Anthony Von der Muhll

has been added to your cart!

First time user? Your account will be automatically be created after purchase. Please note:

--Webinars require continuous attendance on the date(s) offered to receive PDAs/CEUs. If you cannot attend, please consider a self-paced distance-learning version instead, if available, or another class that you will be able to attend.

--Ebooks are included with class purchase--please do not purchase both. When purchased separately, Ebooks are for informational purposes only--no PDAs/CEUs.

Questions? Please visit our FAQ page. Thank you for your purchase!

Comments from Course Evaluations

"Anthony has an outstanding breadth of knowledge, skill, and experience to offer. I wish I weren't trying to absorb this on my own–The online version is great for pacing, and I watched each video twice, but it's not enough. I wish it were a semester class with classmates, study groups, time to practice, etc....overall, it is OUTSTANDING and has already changed my practice. Now, onto the neck module!"

-- Laura Paris, L.Ac., Monterey, California

The Shoulder Girdle

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

  • Glenohumeral, acromio- and sterno- clavicular joints
  • Muscles, tendons and ligaments of the shoulder girdle
  • Shoulder bursae

History-taking for the shoulder: key diagnostic questions

  • "Red flag" symptoms of urgent/serious medical conditions warranting referral to physician care: fractures, dislocations and complete tears; neuropathies; tumors
  • Differentiating symptoms of muscle, tendon, ligament, labral, capsular, and nerve injuries
  • Neural hypersensitization and psycho-social factors
  • Functional capacity questionnaires for reporting to managed care insurance

Physical exam of the shoulder: how findings can guide treatment with acupuncture modalities

  • Observation, inspection and palpation
  • Joint active range-of-motion and tracking exam: taking measurements and diagnostic significance
  • Assessment of joint stability through end-feel testing
  • Muscle length and manual strength testing and referred pain patterns charts for 18 key muscles of the shoulder girdle
  • Special orthopedic tests
  • Documentation of physical exam findings
  • Measuring and reporting functional capacity baselines and treatment outcomes
  • Clinical flow charts to facilitate efficiency and accuracy in examination

Diagnosis, pattern identification and treatment for shoulder girdle pain, injuries and disability

  • Gleno-humeral joint
    • Non-capsular patterns: AMBRI and SLAP (labral) tears
    • Capsular patterns: osteoarthorosis, capsulitis, and "frozen shoulder"
  • Acromio- and sterno-clavicular joint sprains/separations and hypermobility
  • Rotator cuff tendonitis/tendonosus, impingement, and bursitis
  • Bicipital tendinopathies

Arm, Wrist, and Hand

Clinical anatomy, kinesiology, and the jing-jin

  • Elbow joints: ulnar-humeral, radio-humeral and -capitellar
  • Wrist joints: ulnar-carpal, radio-carpal, and distal radio-ulnar
  • Muscles and tendons of the upper- and fore- arm and hand

History-taking for the arm, wrist, and hand: key diagnostic questions

  • "Red flag" symptoms of urgent/serious medical conditions potentially warranting referral to physician care: fractures, neuropathies, complex regional pain syndrome
  • Differentiating symptoms of muscle, tendon, ligament, joint, and nerve injuries
  • Neural hypersensitization and psycho-social factors
  • Functional capacity questionnaires for reporting to managed care insurance

Physical exam of the arm, wrist and hand

  • Observation, inspection and palpation
  • Active and passive range-of-motion examination of the elbow, wrist, and finger joints: measurements and diagnostic significance
  • Assessment of joint stability through end-feel testing of the elbow, wrist and finger
  • Peripheral nerve sensory and motor exams
  • Manual and dynamometer strength testing, muscle length testing, and referred pain pattern charts for 20 key muscles of the arm, wrist and hand
  • Special orthopedic, neurologic and vascular tests
  • Documentation of physical exam findings
  • Measuring and reporting functional capacity baselines and treatment outcomes
  • Algorithmic flow charts to facilitate efficiency and accuracy in examination

Diagnosis, pattern identification and treatment for arm, wrist and hand pain, injuries and disability

Posterior & radial tracts: yangming and shaoyang
  • Tennis elbow, extensor strains, tendinosus, radial tunnel compression neuritis and palsy
  • Radial styloid stenosing tenosynovitis
  • Radial collateral ligament sprains and hypermobility
Ulnar tract: taiyang and shaoyin
  • Ulnar neuritis/neuropathy
    • Ulnar groove compression
    • Canal of Guyon compression
  • Acute sprains and chronic laxity of the ulnar-carpal joint
  • Acute tendonitis and chronic tendonosus
    • Golfer’s elbow & “medial epicondylitis”
    • Extensor carpi ulnaris
    • Flexor carpi ulnaris
    • Abductor digiti minimi
    • Ulnar collateral ligament laxity & “Little league elbow”
Anterior tract: taiyin, shaoyin, jueyin
  • Biceps, supinator and forearm flexor tendonitis and tendonosus
  • Median neuritis/neuropathy
    • Pronator teres syndrome
    • Carpal tunnel syndrome
Intrinsic wrist conditions
  • 1st CMC joint pain: sprains, DJD
  • Triangular fibrocartilage complex tears
Intrinsic hand conditions
  • MCP and inter-phalangeal joints
    • Sprains and laxity of finger collateral ligaments
    • Degenerative joint disease
  • Finger extensor tendonitis

Ergonomics, postural correction and exercise therapy for shoulder, arm and hand conditions:

  • Scapular stabilization
  • Rotator cuff strengthening
  • Forearm exercises
  • Wrist stabilization
  • Keyboard ergonomics

Build on your skills with the Review/Practicum Lab

View full certification program and register for live and self-paced distance-learning classes.

Check back for next live class date, or contact us to be notified by email