Utilization Management and Clinical Documentation for Hospitalists

Accurate clinical documentation has never been more crucial. Hospitalists face a full spectrum of medical conditions in their careers. Regardless of a provider’s level of experience, the addition of new standards and policies, in both number and complexity, necessitate continued education. Utilization Management and Clinical Documentation for Hospitalists is an educational program on clinical documentation. It is broken into two activities. The first is a two-part didactic covering the fundamental principles of both utilization management and clinical documentation. The second is a activity of six case studies that walks participants through common diagnoses in Hospital Medicine to illustrate clinical documentation and status determinations using the standard of medical necessity. After completing this activity series, hospitalists will be able to produce more accurate and comprehensive clinical documentation, which will help ensure quality patient care and proper reimbursement for the level of care provided.

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Availability

On-Demand

2 Courses

Expires on Apr 28, 2027

Cost

Member: $225.00

Non-Member: $350.00

Credit Offered

7 CME Credits

7 ABIM-MOC Points

7 Participation Credits

Overview
Faculty
Accreditation
Recommended

Learning Objectives
After completing this activity, learners should be able to:

Compare different patient status classifications and appreciate how this status can affect quality outcomes and cost burden to both patients and the hospital.
Recognize how improved clinical documentation can impact quality metrics both for the hospital and individual provider and affect appropriate reimbursement to reflect care rendered.
Identify principles of clinical documentation and patient status classifications learned and integrate them through clinical vignettes for medical necessity.

Interested in purchasing access for two or more providers? Please contact pm@hospitalmedicine.org with group purchase questions.

For more SHM member resources on coding and documentation, visit SHM's website.

Faculty

Aziz Ansari, DO, SFHM, FAAHPM, FACP
Christine C. Stallkamp, MD, FAAFP, CHCQM-PHYADV

Faculty Disclosures
The faculty and planners of these activities have no relevant relationships to disclose. All relevant relationships were mitigated prior to the start of this activity.

Conflict of Interest Disclosure Policy
In accordance with the ACCME Standards for Commercial Support, SHM requires that individuals in a position to control the content of an educational activity disclose all relevant financial relationships with any commercial interest. SHM mitigates all conflicts of interest to ensure independence, objectivity, balance, and scientific rigor in all its educational programs. All relevant financial relationships shall be disclosed to participants prior to the start of the activity.

Furthermore, SHM seeks to verify that all scientific research referred to, reported, or used in a continuing medical education (CME) activity conforms to the generally accepted standards of experimental design, data collection, and analysis. SHM is committed to providing its learners with high-quality CME activities that promote improvements in healthcare and not those of a commercial interest.

Accreditation Statement
The Society of Hospital Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

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