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YOU WILL BE PRESENTED WITH A LINK TO EVALUATE AND CLAIM CREDIT FOLLOWING COMPLETION OF YOUR EDUCATION
 

Original Release Date: 01/24/2025
Expires: 03/31/2027
Credit claim for this activity will end at 11:59 PM 03/31/2027

Overview: 

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.

Target Audience:  All healthcare workers within the Baylor Scott & White Healthcare System

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

 

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:
•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.

*In the ACCME System (ineligible companies) are those whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients

Method of Participation & Request for CME/MOC Credit:

•Read all instructions and activity information
•View the slides in their entirety
•Complete the quiz with in the module with 100% accuracy.
•Instructions to evaluate and claim credit(s) for the activity will be provided on the final slide of the activity.
•Post activity, Click on the link to be taken to evaluation and credit claim for the course or follow the link sent in an email from [email protected]  to complete all questions on the evaluation and claim 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 physicians to complete the activity.

CME:
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 (ACCME) 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 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 1.0 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.

MOC NOTE TO LEARNER:  By completing the credit claim process for MOC credit, you are giving the A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health your permission to transmit your completion data to the Accreditation Council for Continuing Medical Education (ACCME) and to your certifying board(s).

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