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Write, Click, or Paste... the Changing World of Documentation
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Accurate, objective documentation done at every encounter is a key factor for the communication of patient care and for risk management, regardless of the system. Communication lapses among physicians, patients, and other health care professionals break the continuity of care and are frequently the focus of malpractice claims. With the advent of EMR and intense scrutiny for coding quality and proof of medical necessity, new challenges arise. Thorough, accurate, and objectively documented medical records prevent gaps in accepted standards of care, miscommunication, misdiagnosis, and medical errors. This webinar will discuss common documentation pitfalls and best practices to correct these issues. Released Dec. 2, 2011 Expires Sept. 1, 2014 Target Audience This program is developed for physicians in all specialties, office managers, administrators, and other medical office personnel who are interested in medico-legal compliance and practical ways to reduce the potential for professional liability. Course Objectives Upon completion of this program, participants should be able to: - Determine how documentation can be improved to enhance the quality of patient care
- Identify office situations where documentation errors are most likely to occur
- Outline best practices to improve documentation
Teaching Methods - Lecture
- Audio-visual presentation
- Post-test and course evaluation
1 AMA PRA Category 1 Credits™ (Enduring) - The Texas Medical Association is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The Texas Medical Association designates this enduring activity for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
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1 ETHICS - This course has been designated for 1 credit(s) of education in medical ethics and/or professional responsibility.
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1 TMLT - Physicians who are insured with Texas Medical Liability Trust (TMLT) may earn professional liability insurance discounts by participating in approved continuing education activities. TMLT policyholders who earn 3 TMLT credits within 12 consecutive months will earn a 3-percent discount (not to exceed $1,000), which will be applied to their next eligible policy period.

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Amanda Beth Hill, JD
, Director of Patient and Provider Relations
Amanda Hill is an attorney, writer, and speaker in Austin, Texas. She advises, counsels, and works on complex issues for physicians and practices. Amanda speaks to health care companies, hospitals, and businesses about improving patient satisfaction, improved communication, physician leadership, risk management issues, and overall motivation and staff longevity. A former General Counsel and Director of Patient and Provider Relations for a large multi-specialty medical clinic in Austin, Texas, she is very familiar with compliance, peer review, and in-house legal matters. She created an extensive training program for physicians called "The Physician's Academy" that dealt with physician marketing, efficiency, reducing burn-out, and dealing with difficult patients. She is passionate about working with doctors, making sure they are well informed about legal risks and can move forward toward successful patient practices. In her free time, Amanda enjoys writing, being a mother to two small children, gardening, and volunteering in her local church.
| Description | Pages | File Size |
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|  | Slides (In note-taking format) | 9 Pages | 620 KB |
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- Dudley (League City, TX)
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- Madhavan (Brownsville, TX)
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how to document abnormal labs in an emr - Cheryl (Dallas, TX)
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- Robert (Irving, TX)
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- Judson (Laredo, TX)
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- John (Belton, TX)
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- David (Longview, TX)
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It went on a little too much talking between two course educators - Yvette (Austin, TX)
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- Jack (Plano, TX)
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