Objectives
- Educate physicians, non-physician practitioners and clinical staff on the basics of coding and appropriate documentation of the medical record
- Match the clinical documentation with the clinical “thought work” (medical decision making) of an encounter
- Appropriately optimize revenues by capture of add-on work (procedures, etc.) and clinically correct documentation to show the risk and severity of illness of the patients managed in a visit
Course Content
Evaluation and Management - History
Evaluation and Management - Exam