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The burden of thorough documentation lies on solely onphysicians and one of the most common reason for a claim denial is due to medical necessity. Every encounter should be documented accurately and objectively for patient communication and risk management, regardless of the system. Your documentation is used to distinguish government medical fraud determinations from medical necessity.
Get a refresher on documentation pitfalls in this webinar to align your charting to the highest coding level.
Best Bits
A technique to improve documentation;
Common mistakes physicians make when charting that do not align with coding;
Case scenarios with good and insufficient documentation examples
When does lack of medical necessity lead to a false claim?
Learning Objectives Upon completion of this program, participants should be able to:
Recognize how insufficient or incomplete documentation increases compliance risk and impacts revenue; and
Improve documentation to clinically support coding and billing of each encounter.
ACGME/ABMS Competencies This program addresses the following desirable physician attributes: interpersonal and communication skills, professionalism, systems-based practice, and roles/responsibilities.
Recorded: April 21, 2023 Released: Aug. 14, 2023 Expires: Aug. 14, 2026
Return Policy No refunds or exchanges will be processed for this program
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.
On select courses, the Texas Medical Association requires physician to complete 70-percent of the test questions correctly to receive credit for this course.
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