PLEASE CLOSE THIS WINDOW TO RETURN TO THE EDUCATION MODULE
YOU WILL BE PRESENTED WITH A LINK TO EVALUATE AND CLAIM CREDIT FOLLOWING COMPLETION OF YOUR EDUCATION
 


Original Release Date: 12/01/2022
Expires: 12/30/2024
Credit claim for this activity will end at 11:59 PM 12.30.24

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 how provider documentation impacts hospital coding.

2.Review how DRG is determined based on documentation.

3.Review risk adjustment and how to capture risk adjusting conditions.

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

 

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, CCDS; Carl Boethel, MD; Sheila Walker, RHIA, CCDS, CCS, CHP
 

Disclosure of Relevant Financial Relationships: The planners/authors for this activity have no relevant financial relationship(s) to disclose with companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.
*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 post-activity quiz 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 Trainer@BSWHealth.org  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 0.25 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 0.25 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.

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.