2022 Adult Learning Inpatient Education: The Villains in Hospital Denials: Clinical Validity & Conflicting Documentation [IEM]
This module identifies specific clinical documentation education needs and provides provider education for optimal documentation.
For further study:
2020 ACDIS Pocket Guide. Laurie Prescott, RN, MSN, CCDS, CDIP, CRC, CCDS-O, James Manz, MD, CCDS-O
2020 ICD-10-CM for Hospitals/Payers Expert
AHIMA. “Clinical Validation: The Next Level of CDI.” Practice Brief update, January 2019.
Diagnostic criteria reference: Kaynar, A. M. (2018, July 25). Respiratory Failure. Retrieved from https://emedicine.Medscape.com/article/167981-overview.
Madan, A. (2017). Correlation between the levels of SpO2 and PaO2. Lung India, 34(3), 307-308. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5427770/
Physicians, Advanced Practice Providers, and Residents of the BSWH system.
After participating in this activity, the learner should be able to:
- Define the interplay between common EMR errors and hospital denials.
- Review the meaning of clinical validation.
- Outline where the common areas of conflicting documentation exist.
- Identify the support needed to validate a diagnosis
Planners/Authors: This activity was planned, reviewed, edited, and approved for use as the curriculum for the Baylor Scott & White Health organization by:
Elizabeth Aguirre, MD,
Clinical Documentation Improvement Program
Inpatient Clinical Documentation Physician Lead
Director of Coding Education
Claire Isbell, MD
Sameera Vohra, MD, MPH
Kevin Chang, MD
Disclosure of Relevant Financial Relationships:
*This content is not related to products or business lines of an ACCME-defined commercial interest
**There are no relevant financial relationships with ACCME-defined commercial interests for anyone who was in control of the content of 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.
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. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit
Address: A. Webb Roberts Center for Continuing Medical Education Of Baylor Scott & White Health Dallas, Texas 75246
Phone: Dallas – 214-820-2317
Phone: Temple – 254-724-7609
- 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
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