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ForwardProvider Diagnosis Documentation Improvement (Enduring)
During this presentation, presenters will provide a comprehensive overview of official documentation and coding guidelines needed for proper reporting, focusing on:
- 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
This course is designed for physicians, nurses, and clinical staff
Learning Objectives
Upon completion of this activity, participants should be able to:
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.
Marlana R. Tice, BA, CCS-P, CPC, CCS, AHIMA-Approved ICD-10-CM/PCS Trainer
Program Director, Risk Adjustment-HCC Coding Education
UPMC Health Plan
Kalpana Char, MD
AVP, Special Needs Plan Medical Services
UPMC Health Plan
Molly Dell, MBA, BSN, RN, CPC
Senior Director, Risk Adjustment Government Rev
UPMC Health Plan
All individuals in a position to control the content of this education activity have disclosed all financial relationships with any companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. All of the relevant financial relationships for the individuals listed below have been mitigated.
CONFLICT OF INTEREST 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 companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.
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.
Accreditation Statement:
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 enduring material 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.
Other Health Care 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.
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 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