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ForwardProvider Diagnosis Documentation Improvement
- Gaining awareness that supporting diagnosis codes in the medical record also supports the level of medical decision making that in turns drives E&M code assignment.
- Reviewing common provider diagnosis documentation deficiencies in the E&M record.
- Demonstrating an understanding of official documentation and coding guidelines for proper ICD-10-CM code reporting.
- Building skills of best practice documentation to support ICD-10-CM diagnosis codes.
Target Audience
Nurse, Nurse Practitioner, Physician, Physician Assistant, Clinical Office Staff
Learning Objectives
1. Gain awareness that supporting diagnosis codes in the medical record also supports the level of medical decision making that in turns drives E&M code assignment.
2. Provide a comprehensive review of common provider diagnosis documentation deficiencies in the E&M record.
3. Demonstrate an understanding of official documentation and coding guidelines for proper ICD-10-CM code reporting.
4. Build skills of best practice documentation to support ICD-10-CM diagnosis codes.
In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME) and 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 Healthcare Professionals
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.
Coding (AAPC)
Attendees registered as a certified coder will receive an additional post-webinar email from RAeducation@upmc.edu with the AAPC Certificate. Coders do not need to register on this website. If you have questions about any of the content in this webinar, or any coding and documentation questions, please email RAeducation@upmc.edu.
This activity has been designated as and meets the Pennsylvania licensure requirement for Patient Safety-Risk Management Credit. It is the responsibility of the learner to maintain the educational presentation or conference agenda as evidence, if needed for audit purposes.
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 Patient Safety/Risk Management
- 1.00 ANCCUPMC 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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