1. Catalog
  2. Winning the Documentation Game: Clinical Case-Base ...
Winning the Documentation Game: Clinical Case-Based Pearls from Physician Advisors to Reduce Administrative Burden, Improve Quality and Minimize Revenue Losses - On Demand 2026
Winning the paperwork war shouldn’t steal bedside time. Join physician advisors as they show, case by case, how precise notes in sepsis, malnutrition, and post-op events can drive medical necessity, refine DRG assignment and LOS, and elevate reported quality. You’ll learn how to design smarter queries, apply defensible language, and support teams so documentation reduces burden while protecting revenue.
Create Account
Availability
On-Demand
Expires on Apr 05, 2029
Credit Offered
1 CME Credit
1 ABIM-MOC Point
1 Participation Credit
  • Overview
  • Faculty
  • Accreditation
  • Recommended
Learning Objectives
After completing this activity, learners should be able to:
  1. Be able to accurately identify key documentation requirements for medical necessity for determination of inpatient versus observation status.
  2. Explain the impact of sepsis and its POA status on final code assignment and the DRG.
  3. Understand DRG groupings and describe how documentation of co-existing conditions such as malnutrition and ABLA impact final DRG assignment.
  4. Recognize the ASPEN criteria and identify EMR technologies can be leveraged to support inter-disciplinary collaboration between registered dietician (s) and physician (s) to support documentation for malnutrition.
  5. Be able to clarify documentation needed to substantiate a diagnosis of acute blood loss anemia and this diagnosis’s role in PSI 9.
Faculty
  • Joseph Cristiano, MD CCS-P CPC CHCQM PHYADV
  • Rebecca Severe, MD
  • Rupesh Prasad, MD, MPH, CPE, FACP, SFHM
  • Adriane Martin, DO, ACPA-C, CCDS
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.
CME Credit Statement
The Society of Hospital Medicine designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

MOC Credit Statement
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.00  MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

IOS App Download Powered By