Hospital Metrics and Flow

This session cracks open the financial and documentation realities every hospitalist needs but is rarely taught, from the real dollar gap between observation and inpatient status to the myths around the 2-midnight and 3-midnight rules. We translate dense concepts like CMI, DRG, GMLOS, SOI/ROM, and CC/MCC capture into practical bedside habits that protect reimbursement, boost quality scores, and shorten length of stay.

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Availability

On-Demand

Expires on May 13, 2029

Cost

Member: $0.00

Non-Member: $95.00

Credit Offered

0.25 CME Credit

0.25 Participation Credit

Overview
Faculty
Accreditation
Recommended

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

Review different payment status of observation vs. inpatient admission as well as requirements of documentation
Appreciate impact of clinical documentation (CDI) on quality and reimbursement and key related terms
Understand why Length of Say (LOS) matters

Faculty

Aziz Ansari, DO, SFHM, FAAHPM, FACP
Ashwini Niranjan-Azadi, MD, SFHM
Megan Brooks, MD, MPH
Gabriela Bambrick-Santoyo
Lily Ackermann, ScM, MD, FACP, SFHM

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.

CME Credit Statement
The Society of Hospital Medicine designates this enduring material for a maximum of 0.25 AMA PRA Category 1 Credit(s)^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Billing and Coding for the Hospitalist (Part 1)

Rounds end, yet reimbursement begins in the chart. Clarify core billing and coding terms for hospitalists, bill time-based hospital care with assurance, code CPT precisely, and document ICD‑10 reasoning that withstands audit. Then determine DRGs from principal diagnoses, evaluate authentic cases, and design a clean workflow that trims denials and strengthens both compensation and patient care.

Multiple Credits

$0.00 - $95.00

Billing and Coding for the Hospitalist (Part 2)

Picture rounding notes that actually pay off. In part two of billing and coding tips for hospitalists, you’ll address MDM versus time-based billing, review what counts in inpatient and observation care, rate problem complexity and risk, determine when documentation supports the most appropriate billing choice, and code confidently through a case you can apply tomorrow.

Multiple Credits

$0.00 - $95.00

SHINE: Practical Skills for Hospital Medicine

Clinical knowledge is only part of the job. Hospitalists also navigate consults and transfers, work across teams, handle challenging patient situations, and make sense of the systems that shape care.

SHINE offers self-paced courses focused on these practical parts of hospital medicine. Explore the topics that matter to your practice, whether you're beginning independent practice, joining a new hospital or role, or looking for fresh approaches to familiar challenges.

Multiple Credits

$0.00 - $199.00

Patient-Directed and Administrative Discharges

Learn to tackle two of the most legally and ethically fraught moments in hospital medicine--patient-directed discharges and administrative discharges--and turn them into a clear, evidence-based playbook you can actually use at the bedside. The session walks through using capacity assessments, care expectation plans, and documentation strategies that protect both your patients and your team from real malpractice and safety risks. If you've ever felt stuck between respecting autonomy and ensuring safe care, this session gives you the framework to handle these discharges with confidence, compassion, and legal soundness.

Multiple Credits

$0.00 - $95.00

De-Escalation Training & Managing Challenging Patient Encounters

Nearly half of hospitalized patients experience emotional distress, and escalating aggression is a reality every healthcare worker will face. Most of us have never received formal training in how to respond. This presentation delivers evidence-based de-escalation techniques, communication frameworks, and boundary-setting strategies that protect both patient dignity and staff safety. You'll walk away with practical tools, from early warning sign recognition to documentation best practices, that you can apply in your very next challenging encounter.

Multiple Credits

$0.00 - $95.00

Becoming an Effective Medicine Consult Attending

Interested in becoming a better consult attending? Dr. Alfred Burger distills decades of evidence into a tight playbook of necessary skills and tips. If you're a hospitalist, resident, or anyone who consults or gets consulted, this is the brief masterclass that will sharpen how you practice tomorrow.

Multiple Credits

$0.00 - $95.00

Effective Physician APP Partnership in Hospital Medicine

Rounds run cleaner when physicians and APPs operate as one team. In this course, you’ll understand APP training and scopes and discuss how to collaborate and design workflows that fit real hospital practice—skills that synthesize into smoother care and greater efficiency to improve patient outcomes.

Multiple Credits

$0.00 - $95.00

Rapid Clinical Updates: 2026

Rapid Clinical Updates is designed to reach Society of Hospital Medicine members and other hospitalists and clinicians with the latest information on clinical updates and treatment when and where they need it most, with actionable education that will help clinicians improve case delivery and the outcomes of hospitalized patients during hospital stay and after discharge. This bundle contains all of our webinars from 2026.

Multiple Credits

$0.00 - $199.00