2021 Basics of Provider Documentation [IEM]

PLEASE NOTE:  You have reached the evaluation/credit claim page for this course.   By completing the evaluation and credit claim you are attesting that you have completed the course in the BSWH PeoplePlace Learning System.  Course reports may be obtained by the CME Department to verify your participation and completion.

  • If you are not already logged into your account, you must log in or register at the top of the page using "BSWH login."

  • Once you are logged in, you will see a button labeled  

                          TAKE COURSE 

  • Click on the TAKE COURSE button to continue. Clicking "TAKE COURSE" will not cause you to be required to retake the course.

 

Overview: Basics of Provider Documentation

CDI and Quality depts. routinely track coding results that affect their business lines.  This data has indicated a need for understanding the implications of coding on many metrics that both hospitals and clinics follow to include, but not limited to: accuracy of primary dxs, LOS, DRGs, Readmission, Mortality, PSIs, HACs, and POA indicators.  The need for continued conversations regarding these various metrics, indicates the need for more formalized resources available to educate providers.

Target Audience

Physicians and Advanced Practice Providers and Residents of the Baylor Scott & White Health System

Learning Objectives

After participating in this activity, the learner should be able to:

1.Identify factors that determine the final Diagnosis Related Group (DRG) for a hospital stay.
2.Recognize how the allowed length of stay is determined for a hospital stay.
3.Recognize how physician documentation impacts risk adjustment.
 
 

For further study:

Optum 360 2018 DRG Expert. A comprehensive guidebook to the DRG classification system using the ICD-10-CM and _PCS code sets
Course summary
Available credit: 
  • 0.25 American Board of Internal Medicine (ABIM) MOC Part 2 Medical Knowledge
    Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.25 Medical Knowledge points in the American Board of Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
  • 0.25 AMA PRA Category 1 Credit
    The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
  • 0.25 Attendance
Course opens: 
07/01/2021
Course expires: 
06/30/2022
Learn Platform
Temple, TX 76504
United States

Planners/Authors: 

  • Sunita Varghees, MD, PhD, CHCQM, VP System Clinical Documentation Improvement
  • Elizabeth Aguirre, MD, Clinical Documentation Improvement Program; Inpatient Clinical Documentation Physician Lead

Content/Time Reviewers:

  • Yoon Sin Kim, MD

Disclosure of Relevant Financial Relationships:

  • This content is not related to products or business lines of an ACCME-defined ineligible company.
  • There are no relevant financial relationships with ACCME-defined ineligible company for anyone who was in control of the content of this activity.

Commercial Support:

No commercial support was received for this activity.

Accreditation: The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Designation: The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health, designates this enduring material activity for a maximum of 0.25 AMA PRA Category 1 Credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Maintenance of Certification:
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.25 Medical Knowledge MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit

This CME activity type is an enduring material.  Physicians who complete the enduring material may claim the full amount of credit designated for the activity, regardless of the amount of time it took the physician to complete the activity.

 

Available Credit

  • 0.25 American Board of Internal Medicine (ABIM) MOC Part 2 Medical Knowledge
    Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.25 Medical Knowledge points in the American Board of Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
  • 0.25 AMA PRA Category 1 Credit
    The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
  • 0.25 Attendance
Please login or register for this course.

Required Hardware/software

This activity works best in Google Chrome.