Doctors & Attorneys
Dr. Mancini and his team practice with the highest standards of medicine making a complete integration into the present health care system. Using evidence-based treatment guidelines in standard scientific and medical terminology, he is able to communicate and integrate with the medical community. As a primary care doctor, Dr. Mancini is trained to determine when referrals are necessary. Dr Mancini’s mission is to support the shift of patient care from a linear ‘traditional approach’ to an integrative, multi-modality, evidence-based approach. Dr. Mancini has equivalent proficiencies in practicing medicine at the highest standard alongside mainstream medicine, and he is able to explain to the medical community all physiological concepts of Oriental medicine including how needling therapy works.
As a Qualified medical evaluator (QME) Dr. Mancini is certified by the Division of Workers’ Compensation – Medical Unit to examine injured workers to evaluate disability and write medical-legal reports. A qualified medical evaluator (QME) is a physician who evaluates a patient when there are questions about what benefits should be received. A physician must meet educational and licensing requirements to qualify as a QME. They must also pass a test and participate in ongoing education on the workers’ compensation evaluation process.
In addition to his California acupuncture license, he is a graduate of the first professional doctorate of Oriental Medicine (OMD) accredited by the BPPVE in the state of California. This doctoral training included scientific and evidence-based treatment guidelines for acupuncture and Oriental medicine with an emphasis on orthopedic and neurological assessment and treatment. He was also on the advisory board for the 2004 Acupuncture and Electro-Acupuncture Evidence-Based Guidelines. These guidelines have been the basis for development and inclusion of acupuncture in both the ACOEM guidelines as well as what is being utilized for the MTUS.
In addition, report writing was a major emphasis which is consistent with the new guidelines for the Workers Compensation system in California. Report writing in the OMD program emphasized reports to include: Medical necessity consistent with professionally recognized standards, providing the most appropriate level of service in the safest manner possible. Appropriateness providing valid evidence (per ACOEM standards and now the MTUS) for the expected health benefits from the procedure of acupuncture. Outcome Expectations demonstrated primarily by increased rate of tissue repair, accelerated return to functional and pre-injury status. Measurable Outcomes demonstrating the need for acupuncture modalities. Treatment Outcome Assessment demonstrating the need for any further treatment if necessary.
He understands the importance of emphasizing functional improvement for injuries as well as supporting the injured worker in their proactive care with the use of homecare exercises. By supporting the injured worker in understanding the importance of their part in the process, he has found consistently better outcomes in his practice. With his experience in the Workers Compensation arena as well as his high standards of medical care, he and his team are a valuable asset to a multidisciplinary approach to patient care.
Dr. Mancini has postdoctoral training in the following areas as it relates to work and auto injuries:
- Neurodiagnostics, Imaging Protocols and Pathology of the Trauma Patient, An in-depth understanding of the protocols in triaging and reporting the clinical findings of the trauma patient. Maintaining ethical relationships with the medical-legal community. CMCS Post Doctoral Division, Long Island, NY, 2011
- Diagnostics, Risk Factors, Clinical Presentation and Triaging the Trauma Patient, An extensive understanding of the injured with clinically coordinating the history, physical findings and when to integrate neurodiagnostics. An understanding on how to utilize emergency room records in creating an accurate diagnosis and the significance of “risk factors” in spinal injury. CMCS Post Doctoral Division, Long Island, NY, 2011
- Crash Dynamics and their Relationship to Causality, An extensive understanding of the physics involved in the transference of energy from the bullet car to the target car. This includes G’s of force, newtons, gravity, energy, skid marks, crumple zones, spring factors, event data recorder and the graphing of the movement of the vehicle before, during and after the crash. Determining the clinical correlation of forces and bodily injury. CMCS Post Doctoral Division, Long Island, NY, 2011
- MRI, Bone Scan and X-Ray Protocols, Physiology and Indications for the Trauma Patient, MRI interpretation, physiology, history and clinical indications, bone scan interpretation, physiology and clinical indications, x-ray clinical indications for the trauma patient. CMCS Post Doctoral Division, Long Island, NY, 2011
- Neurodiagnostic Testing Protocols, Physiology and Indications for the Trauma Patient, Electromyography (EMG), Nerve Conduction Velocity (NCV), Somato Sensory Evoked Potential (SSEP), Visual Evoked Potential (VEP), Brain Stem Auditory Evoked Potential (BAER) and Visual-Electronystagmosgraphy (V-ENG) interpretation, protocols and clinical indications for the trauma patient. CMCS Post Doctoral Division, Long Island, NY, 2011
- Documentation and Reporting for the Trauma Victim, Understanding the necessity for accurate documentation and diagnosis utilizing the ICD-9 and the CPT to accurately describe the injury through diagnosis. Understanding and utilizing state regulations on reimbursement issues pertaining to healthcare. CMCS Post Doctoral Division, Long Island, NY, 2011
- Documenting Clinically Correlated Bodily Injury to Causality, Understanding the necessity for accurate documentation, diagnosis and clinical correlation to the injury when reporting injuries in the medical-legal community. Documenting the kinesiopathology, myopathology, neuropathology, and pathophysiology in both a functional and structural paradigm. CMCS Post Doctoral Division, New York State Education Department, Long Island, NY, 2011
As an O.M.D, Dr. Mancini understands the structure and function of the human body under normal and pathogenic conditions, including the physiological view of oriental medicine. His education and experience include anatomy, physiology, pathology, pathophysiology, immunology, endocrinology, biochemistry, microbiology, neuroanatomy, behavioral medicine, nutrition, pharmacology, botany/pharmacognosy, and orthopedics, including traumatology, and a comprehensive study of the musculoskeletal system.
Dr. Mancini is qualified to conduct standard orthopedic assessments, including evaluation of anatomical and functional loss. He utilizes standard physical examinations, laboratory tests and diagnostic imaging studies, and the international classification of disease (ICD) diagnostic principles to improve treatment efficacy, patient safety, referral, and continuity of care. This includes case management for injured workers and socialized medicine patients. Dr. Mancini also has knowledge of coding procedures, medical-legal report writing, expert medical testimony, independent medical review, special care for seriously ill patients, and emergency medicine procedures.