2025 CDI Evaluating and Documenting Diabetes and Malnutrition [IEM]

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Original Release Date: 01/24//2025
Expires: 03/31/2027

Credit claim for this activity will end at 11:59 PM 03/31/2027

In fiscal year 2023, CDI sent 549 queries for charts that documented nutritional status as well as diabetes. There were also new ICD-10 codes added for Type 1 Diabetes staging and hypoglycemia levels as of October 1st, 2024.

In contrast to how clinicians use documentation within the medical record, payers’ and governmental agencies’ use documentation within the medical record to ensure resources were utilized appropriately and to evaluate the quality of care provided. This perspective and system to evaluate care through documentation are not taught in medical school and too often are not taught in residency.


Commercial Support:
No commercial support was received for this activity.​​​​​​

Target Audience

Physicians, Specialty Physicians, Fellows, Residents,  Physician Assistants, Nurse Practitioners, Pharmacists across the system.

Learning Objectives

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

Diabetes Mellitus Documentation:

  • Review how diabetes documentation affects risk adjustment, value-based care, and quality programs
  • Identify key components of diabetes documentation that are required for accurate code assignment
  • Implement clinical documentation integrity best practice recommendations for diabetes documentation

Malnutrition:

  • Define adult malnutrition
  • Review why clear and complete documentation of malnutrition by the entire healthcare team is important
  • Identify American Society for Parenteral and Enteral nutrition (AND-ASPEN) based criteria for adult malnutrition
  • Identify the Global Leadership initiative on malnutrition (GLIM) criteria for adult malnutrition
  • Employ the components of documentation needed to accurately capture a patient’s malnourished condition, resulting in accurate coding and avoidance of inappropriate denials

 

Course summary
Available credit: 
  • 1.00 American Board of Internal Medicine (ABIM) MOC Part 2
    Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.00 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.
  • 1.00 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.
  • 1.00 Attendance
Course opens: 
01/24/2025
Course expires: 
03/31/2027

Planners/Authors: 

This activity was planned, reviewed, edited, and approved for use as the curriculum for the Baylor Scott & White Health organization by:

Author / Planners

Mary Brouwer - MSA, BSN, RN, CPC, CCDS

Sunita Varghees, MD

Luis Concepcion, MD

Sameera Vohra, MD

Disclosure of Relevant Financial Relationships:
Each person in control of content has disclosed that she/he have no financial relationships with any companies who primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

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 1.0  AMA PRA Category 1 Credit™.  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 1.0 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.

Available Credit

  • 1.00 American Board of Internal Medicine (ABIM) MOC Part 2
    Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.00 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.
  • 1.00 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.
  • 1.00 Attendance
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