Improve Your Documentation: How to Be More productive, Compliant, and Minimize Your Risk - UPMC Learning

This practice will address improving documentation and disclose appropriate billing requirements. The presentation will also review selecting Evaluation and Management (E/M) services as well as HIPAA and privacy concerns.

The course content for this training is hosted on The UPMC Learning website, which is only accessible to those who are directly employed by UPMC.   

Target Audience

This course is designed for Physicians and Physician Assistants. 

Learning Objectives

Upon completion of this activity, participants should be able to:

  • Improve the quality of their documentation and select appropriate Evaluation and Management service levels based on location, type and service provided.
  • Minimize risk by identifying common documentation pitfalls and implementing best practices to avoid legal and professional issues. 
  • Enhance productivity in clinical documentation through effective time management and streamlined processes.
Course summary
Available credit: 
  • 1.00 AAPA Category I CME
  • 1.00 AMA PRA Category 1 Credit™
    The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
  • 1.00 ANCC
    UPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation
  • 1.00 Attendance
Course opens: 
04/03/2025
Course expires: 
04/03/2026
UPMC Learning
United States

Planning Committee:

  • Brad Baldridge, CPC, CPMA - Compliance Manager at UPMC
  • Frank Czura, CPA - Vice President, Compliance, Audit and Privacy, UPMC  
  • Lisa Henry, CRNP, DNP - HVI APP Manager, UPMC Heart and Vascular Institute at UPMC
  • Leslye Herrmann, JD - Sr. Associate Counsel,  VP Compliance, UPMC
  • Logan Kinsey - Compliance Auditor -Recording Producer, UPMC
  • Jaime Kriner, PA-C -  Director APP Relations, UPMC Hillman Cancer Center
  • Oscar Marroquin, MD -  Executive Vice President, President, Physician Services Division, UPMC
  • Benjamin Reynolds, MSPAS, PA-C, DFAAPA - Chief Advanced Practice Officer, UPMC; Director, UPMC Office of Advanced Practice Providers; Co-Director, University of Pittsburgh Center for Interprofessional Practice and Education; Clinical Assistant Professor of Surgery, University of Pittsburgh Medical School
  • Tara Styers, CHC - Senior CRP Compliance & Audit Analyst, Corporate Compliance, UPMC Office of Ethics, Compliance and Audit Services, UPMC

Course Director:

Megan Cortazzo, MD – Medical Director of Clinical Quality Capture and the Medical Director for Health Information Management for UPMC, and Associate Professor, University of Pittsburgh School of Physical Medicine and Rehabilitation 

No planners, members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose.

Disclaimer Statement

The information presented at this CME program represents the views and opinions of the individual presenters, and does not constitute the opinion or endorsement of, or promotion by, the UPMC Center for Continuing Education in the Health Sciences, UPMC / University of Pittsburgh Medical Center or Affiliates and University of Pittsburgh School of Medicine.  Reasonable efforts have been taken intending for educational subject matter to be presented in a balanced, unbiased fashion and in compliance with regulatory requirements. However, each program attendee must always use his/her own personal and professional judgment when considering further application of this information, particularly as it may relate to patient diagnostic or treatment decisions including, without limitation, FDA-approved uses and any off-label uses.

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In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
 

Physician (CME)
The University of Pittsburgh School designates this enduring activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.  

Nursing (CNE)
The maximum number of hours awarded for this Continuing Nursing Education activity is 1.0 contact hour.

Physician Assistant (AAPA)
The University of Pittsburgh has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1.0 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation. 
Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity. 

    Available Credit

    • 1.00 AAPA Category I CME
    • 1.00 AMA PRA Category 1 Credit™
      The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
    • 1.00 ANCC
      UPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation
    • 1.00 Attendance
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