OasisLMS

Description
Accurate clinical documentation has never been more crucial. Pediatric 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. This activity covers the fundamental principles of both utilization management and clinical documentation and includes multiple case studies that walks  through common diagnoses in Hospital Medicine to illustrate clinical documentation and status determinations using the standard of medical necessity. 

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

1. Decide how to include more specificity and less ambiguity in clinical documentation.
2. Recognize different financial models and DRGs/Bundled Payments and how accurate diagnosis capture optimizes reimbursement.
3. Apply knowledge about status definitions to select the appropriate status level for the patient and understanding this diagnostic selection impacts hospital, patient, physician, insurance company, and researchers.

Faculty

• Wendy Arafiles, MD
• Daxa Clarke, MD
• Lucinda Lo, MD
• Amy Sanderson, MD
• Sheilah Snyder, MD

Faculty Disclosures
The individuals in control of content for this activity have no relevant relationships with ACCME-defined ineligible companies to disclose unless listed here. Any relevant relationships were mitigated prior to the start of this activity.

 

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.