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ForwardE&M Documentation for Diagnosis Reporting_3.8.22
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
Additional Information
| Attachment | Size |
|---|---|
 E&M Documentation for Diagnosis Reporting 21PV2487315.pdf | 1.43 MB |
Brenda Stevenson, CPC, LPN, RT(R)
Lead Physician Educator, Risk Adjustment/HCC
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
Kalpana Char, MD
AVP, Special Needs Plan Medical Services
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.
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.
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
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