E&M Documentation for Diagnosis Reporting

September 29, 2021

Target Audience

UPMC Health Plan (UPMCHP) network physicians (primary care and specialists), physician assistants, nurses, and supporting staff (practice managers, coders, and billers).

Learning Objectives

By the end of this program, participants will have reviewed:
• Provider documentation requirements and guidelines for E&M and ICD-10-CM diagnosis reporting.
• Connecting the new 2021 E&M documentation guidelines to ICD-10-CM reporting.
• Diagnosis reporting importance for severity of illness.
• Risk Adjustment overview and Risk Adjustment Data Validation (RADV) audits.
• Specific diagnoses problematic to RADV audits in terms of provider documentation and ICD-10-CM code assignment.

Course summary
Available credit: 
  • 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: 
06/30/2021
Course expires: 
12/31/2021
Event starts: 
09/29/2021 - 12:00pm
Event ends: 
09/29/2021 - 1:00pm
Live Virtual Conference

Course Director(s): 
Stephen Perkins, M.D.
Chief Medical Officer
Commercial and Medicare Services
UPMC Health Plan

Marlana R. Tice, BA, CCS-P, CCS, CPC, AHIMA Approved ICD-10-CM/PCS Trainer
Program Director, Risk Adjustment/HCC Coding Education
UPMC Health Plan

Brenda Stevenson, CPC, LPN, RT(R)
Physician Educator, Risk Adjustment/HCC
UPMC Health Plan

Shawn M. Shuman, MSN, RN, CMCN
Senior Director, Clinical & Business Development
Regional Network Management
UPMC Health Plan

Darlene A. Koritsky, MSN, MBA, RN, CMCN
Clinical Program Director
Regional Network Development
UPMC Health Plan

Faculty Disclosure:  
No 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 with any entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients to disclose.

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 designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit™. 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.

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 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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