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ForwardUtilization Management and Clinical Documentation for Hospitalists: The Basics
Module Summary
Utilization Management and Clinical Documentation for Hospitalists: The Basics is the introductory module covering the need-to-know essentials of utilization management and clinical documentation. The module is broken into two parts with a graded quiz at the end.
Copies of the slides are available to print and take notes on within the module. You can access them by clicking ‘Resources’ on the top right of the module window once you have started the course.
Release Date: April 29, 2024 Expiration Date: April 28, 2027
Estimated Time to Complete: 2 hours and 30 minutes
Module 1: The Basics
- Part I: Utilization Management Basics
- Part II: Medical Necessity and Clinical Documentation Basics
- Module Quiz
Instructions
The following is an interactive educational module designed to help you gauge your basic knowledge of the topic and then direct you to areas you may need to focus on. It consists of several sections: a pre-test, a study program, a post-test, & CME evaluation. All sections must be completed to receive CME credit and MOC points.
Disclaimer
The contents included in this presentation are for informational purposes only. The coding and documentation guidance provided herein does not replace the Official Coding Guidelines or professional judgment and expertise of the individual performing coding and documentation based on numerous factors including, but not limited to, documentation in the medical record, correct application of coding guidelines, and other industry recognized coding guidance. Coding guidelines and references are updated on an annual basis potentially impacting the accuracy of the content contained within this presentation. Reference official coding resources for up-to-date information. Neither SHM nor the speakers guarantee that the information supplied is without defect. Reasonable effort has been made to ensure accuracy, completeness, and relevance and to ensure that the educational information provided in this presentation is accurate and useful.
Aziz Ansari, DO, SFHM, FAAHPM, FACP
Associate Chief Medical Officer, Clinical Optimization and Revenue Integrity
Professor of Medicine, Loyola University Medical Center
Christine C. Stallkamp, MD, FAAFP, CHCQM-PHYADV
Medical Director and Physician Advisor
Disclosure
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.
SHM 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.
Speakers Disclosure
Both SHM and the speakers make no representation or guarantee with respect to the contents herein and specifically disclaim any implied guarantee of suitability for any specific purpose. The speakers and SHM have no liability or responsibility to any person or entity with respect to any loss or damage caused by the use of this material, including but not limited to any loss of revenue, interruption of service, loss of business, or indirect damages resulting from the use of this presentation. The speakers and SHM make no guarantee that the use of this presentation material will prevent differences of opinion or disputes with Medicare or other third-party payers.
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.
Credit Statement Designation
The Society of Hospital Medicine designates this activity for a maximum of 2.50 AMA PRA Category 1 Credit(s)TM. Physicians should claim only credit commensurate with the extent of their participation in this activity.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 2.50 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.
Available Credit
- 2.50 ABIM MOC Self Evaluation PointsSuccessful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 2.50 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.
- 2.50 AMA PRA Category 1 Credit™
- 2.50 Non-physician
Price
The following is an interactive educational module designed to help you gauge your basic knowledge of the topic and then direct you to areas you may need to focus on. It consists of a study program and CME evaluation. All sections must be completed to receive CME and MOC credit.
Click START to begin.