Does My Documentation Tell the Story
ISMS members: Free
Non-ISMS members: $75.00
This webinar features Deborah Grider, a nationally sought after speaker and author on coding and documentation with over thirty years of experience, discussing the essentials of good medical documentation. Webinar participants will learn how their documentation can “tell the story” of their patients’ visits in a way that supports medical necessity and avoids the problems that face inadequate documentation. Grider will also dive deeper into E/M documentation and “problem areas” such as Modifier 25 and Modifier 59.
At the conclusion of this learning activity, participants will be able to:
- Describe how documentation plays an important role in supporting medical necessity
- Distinguish good from bad documentation
- Describe what needs to be documented in a visit note, procedure note, and operative report
- Describe documentation requirements for E/M levels 4 and 5
- Discuss problem areas, including Modifier 25 and Modifier 59
- Explain how medical necessity is supported in the medical record and on the claim submitted
- Describe how a payer’s medical policy is imperative in supporting medical necessity.
All faculty, content reviewers and planners who have had input into or contributed to the content have indicated they have no relevant financial relationships with any commercial entities that may have an impact on the activity.
ISMS members and their staffs
The Illinois State Medical Society is accredited by the ACCME to provide continuing medical education for physicians.
The Illinois State Medical Society designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The Illinois Nurse Practice Act rules deem CME credit provided by approved sponsors as acceptable to fulfill nursing continuing education requirements for licensure. Nurses may claim one contact hour per unit of CME in the state of Illinois.
The recommendations contained in this resource are not intended to define conduct that is appropriate in every case, should not be considered as establishing any standard of care, and do not constitute legal advice. Physicians, clinicians and health care providers should take care to ensure that all care rendered reflects the best clinical judgment and complies with the laws and regulations of the state or location at which the care was provided.
Deborah Grider, CPC, COC, CPC-I, CPC-P, CPMA, CEMC, CCS-P, CDIP
- 1.00 AMA PRA Category 1 Credits™
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Illinois State Medical Society and ISMIE Mutual Insurance Company. The Illinois State Medical Society is accredited by the ACCME to provide continuing medical education for physicians.
The Illinois State Medical Society designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 1.00 Participation Credit
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