2024 CDI Outpatient Quick Start Guide [IEM]
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Original Release Date: 03/01/2024
Expires: 03/31/2026
Credit claim for this activity will end at 11:59 PM 03/31/2026
Overview:
Coding: Education on coding and documentation in medical training, whether medical school or during clinical rotations, is typically very limited. In many circumstances, physicians and APPs learn these skills on the job. Unfortunately, many tenured providers are not coding and documenting correctly leading to the propagation of incorrect knowledge to new, onboarding providers.
Documentation: Education on coding and documentation in medical training, whether medical school or during clinical rotations, is typically very limited. In many circumstances, physicians and APPs learn these skills on the job. Unfortunately, many tenured providers are not coding and documenting correctly leading to the propagation of incorrect knowledge to new, onboarding providers.
Outpatient Problem List: Education on coding and documentation in medical training, whether medical school or during clinical rotations, is typically very limited. In many circumstances, physicians and APPs learn these skills on the job. Unfortunately, many tenured providers are not coding and documenting correctly leading to the propagation of incorrect knowledge to new, onboarding providers.
Target Audience
Physicians and Advanced Practice Providers of the Baylor Scott & White Health System
Learning Objectives
After participating in this activity, the learner should be able to:
Coding:
- Appropriately use outpatient E/M billing codes
- Differentiate between new and established patients.
- Differentiate between split/shared services between a physician and NPP.
- Correctly code for Medicare preventative services
- Appropriately use E/M codes for preventative care visits
Documentation:
- Describe the role of the CDI team.
- Demonstrate a basic understanding of documentation and coding rules.
- Select the purpose of the HCC diagnosis and its use in coding and documentation.
- Utilize the problem list appropriately.
- Identify the components of the RAF score and how it relates to patient risk level and complexity.
- Recognize the most encountered HCCs in outpatient settings.
Outpatient Problem List:
- Describe the purpose and importance of the problem list.
- Utilize the skills to update and maintain the problem list.
- Distinguish appropriate and inappropriate diagnoses to include or remove from the problem list.
Planners/Authors:
- Erin Walton, MS, BSN, CPNP-PC, CpC-A
- Sunita Varghees, MD
- Yoon Kim, DO
Disclosure of Relevant Financial Relationships:
Each person in control of content has disclosed that she/he have no relevant financial relationships with companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.
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 1.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
ABIM MOC: Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.25 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.
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
- 1.25 American Board of Internal Medicine (ABIM) MOC Part 2Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.25 MOC 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.
- 1.25 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.
- 1.25 Attendance