Basics of Electronic Healthcare Records: Documentation, Compliance, and Best Practices for TCM

COURSE TYPE:
Distance Learning CEU Video (Online)

COURSE DESCRIPTION:
In today’s healthcare environment, accurate, compliant documentation is essential for both patient safety and professional credibility. This course provides acupuncturists and herbalists with a practical, step-by-step guide to Electronic Healthcare Records (EHR) in accordance with U.S. standards. Participants will learn the fundamentals of HIPAA and HITECH compliance, ADA requirements for accommodating patients with disabilities, and interpreter services for patients with limited English proficiency. The course covers Evaluation and Management (E/M) documentation according to CMS requirements, including health history, physical examinations, and functional questionnaires to track treatment progress.

This class also focuses on the specifics of acupuncture procedure documentation, including SOAP note navigation, clinical impressions, referrals, diagnoses, goal setting, treatment planning, and identifying adverse events. Led by Galina V. Roofener, a nationally recognized expert with over 30 years of clinical experience including eight years at the Cleveland Clinic, this course gives practitioners the confidence and tools to maintain thorough, compliant, and professional records. Mastering these documentation skills will streamline your practice, enhance patient care, and safeguard your professional integrity.

Upon completion of this course, practitioners will:

• Understand ADA compliance, including website accessibility and interpreter services for patients with limited English proficiency.
• Learn key requirements for maintaining patient confidentiality under HIPAA and HITECH in EHR systems.
• Review Evaluation and Management (E/M) documentation according to CMS standards.
• Reinforce best practices for acupuncture procedure documentation.
• Navigate SOAP notes effectively to create clear and compliant healthcare records.

CANCELLATION POLICY:
These online courses are immediately accessible after purchase therefore are non-refundable.

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