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The Traditional Medicine Clinical Practice Manual is designed for licensed acupuncturists and students of Eastern medicine. This much needed textbook bridges the gap between outstanding clinicians and successful business owners. It equips readers with the knowledge and practical skills necessary to secure and maintain gainful employment as an integral part of the United States healthcare system or to establish and expand their private practice. You will learn the standards of practice that comply with the rules and regulations of the United States healthcare industry. Recent changes in CMS documentation guidelines are discussed in detail. The application of the ICD-11 Chapter 26 Traditional Medicine standardized terminology pattern differentiation in current clinical practice for both TCM and non- TCM styles of acupuncture will be explained. You will discover how to determine appropriate care pathways, support medical necessity, and substantiate the number of acupuncture CPT units utilized. Explore how to formulate and code both conventional and TCM diagnoses accurately. Navigate the process of identifying, reporting, and mitigating adverse events. Understand when and how to order laboratory tests and imaging studies. Learn how to bill insurance and get paid reliably. Master the art of writing medical necessity and appeal letters. This book thoroughly describes FDA and HIPPA guidelines for clinical practice and patient communication. It also discusses the ADA, the Fraud Act, the Kickback Statutes, and other rules and regulations that impact your practice. You will learn how to establish usual and customary fees correctly and identify which discounts are legal. You will also explore how to operate a Telehealth practice, demystify customer service, and navigate acupuncture clinic and traditional Chinese herbal medicine logistics. This book paves your pathway to success.
