E&M Documentation for Diagnosis Reporting_Enduring

Watch UPMC Health Plan Program Director Marlana Tice and Lead Physician Educator Brenda Stevenson discuss improving E&M documentation for diagnosis reporting. This is a recording of a previously presented live event on 9/29/21.

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

 

  • Provider documentation requirements and guidelines for E&M and ICD-10-CM diagnosis reporting
  • The connection between the new 2021 E&M documentation guidelines and ICD-10-CM reporting
  • The importance of reporting diagnoses for severity of illness
  • Risk adjustment overviews and risk adjustment data validation (RADV) audits
  • Diagnoses that are 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: 
12/01/2021
Course expires: 
12/31/2022
Virtual
Pittsburgh, PA 15219
United States

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

Conflict of Interest Disclosure:

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.

Physician (CME)

The University of Pittsburgh designates this enduring activity for a maximum of 1 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 contact hours.

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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