Effective Documentation for Inpatient Services Monday, July 20, 2015 - Sunday, December 31, 2017    CME Provider: American Board of Quality Assurance and Utilization Review Physicians › Deborah Naser 6640 Congress Street New Port Richey, Florida (FL) 34653 United States   Toll Free: 800.998.6030 Phone: 727.569.0190 Fax: 727.569.0195   Visit the CME Provider Webpage ›   Description: The prevalence of poor documentation in the medical record is dramatic. In fiscal year 2013, the improper payment rate in the Medicare Fee-For-Service program was 10.1%, representing 36 billion dollars in improper payments. In all categories of services, the vast majority of the improper payments were related to insufficient documentation or in some cases no documentation of the care provided. These statistics highlight the fact that, though much attention has been turned to improved clinical documentation in recent years, much more work remains to be done in helping healthcare providers properly document the care they provide. Documentation is important in helping to reduce the risk of successful malpractice claims, as well as, in effectively communicating with other healthcare providers. High quality documentation can, therefore, be considered a patient safety issue as well as a financial and medicolegal concern. The overarching goal of this course is to provide its audience with an overview of requirements for proper medical record documentation, discuss strategies being implemented, identify specific tools and actions that have shown promise, and highlight best practices that have been effective.. At the conclusion of the online course, participants will be able to: *Apply proper documentation guidelines in order to decrease improper payments *Improve communication between healthcare providers related to improper documentation in the medical record *Utilize high quality medical record documentation in order to help mitigate malpractice litigation risk *Choose correct method in handling amendments, corrections, and delayed entries in the medical record This course is intended for Physicians of all specialties, Nurses, and Other Health Care Professionals with appropriate CME credit and nursing contact hours offered for each profession. The American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. ABQAURP designates this online enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity. ABQAURP is an approved provider of continuing education for nurses. This activity is designated for 1.0 contact hour through the Florida Board of Nursing, Provider # 50-94. This program is approved for Category 2 credit by the American Osteopathic Association.   Visit the CME Course Webpage ›     Instructors: Members of the CME Planning Committee have disclosed to ABQAURP any relevant financial relationships. No relevant financial relationships or conflicts of interest exist in regard to the content of this activity. Timothy J. Garrett, MD, MBA, FACHE, CHCQM     CME Credit: Physicians:  1.0 Hours Physician Assistants:  1.0 Hours Nurses:  1.0 Hours Self Assessment Module (SAM):  Yes Specialty Audience: Allergy / Immunology    Anesthesiology    Dermatology    Emergency Medicine    Family Medicine    Genetics    Internal Medicine    Medical Ethics    Neurology    Obstetrics / Gynecology    Ophthalmology    Otolaryngology    Pathology    Pediatrics    Practice Management    Preventative Medicine    Psychiatry    Quality Assurance    Radiation Therapy    Radiology    Risk Management    Surgery     RADLIST Course #15448