Utilization Management and Clinical Documentation for Hospitalists: Case Studies

Module Summary

Utilization Management and Clinical Documentation for Hospitalists: Case Studies is the second module in the series. It is composed of 6 case studies that cover several diagnoses commonly seen in Hospital Medicine. Here, participants will learn to apply the foundational principles of clinical documentation and status determinations from The Basics using the standard of medical necessity.

The module is divided into 3 sections of two case studies each. Your progress will be saved within the Learning Portal, enabling you to exit and return to finish the module at your own pace. At the end of the last case study, there is a graded quiz.

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: 4 hours and 30 minutes

Course summary
Available credit: 
  • 4.50 ABIM MOC Self Evaluation Points
    Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 4.50 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.
  • 4.50 AMA PRA Category 1 Credit™
  • 4.50 Non-physician
Course opens: 
04/24/2024
Course expires: 
04/28/2027
Your cost:
$0.00
Part of: 
Utilization Management and Clinical Documentation for Hospitalists
Rating: 
0
Module 2: Case Studies
  • Session 1: Pulmonary & Infectious Disease
  • Session 2: Gastrointestinal & Renal
  • Session 3: Cardiology
  • Session 4: Neurology
  • Session 5: COVID
  • Session 6: Post-op Hip Fracture
  • Module Quiz
Content recorded and current as of March 2021.
 
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 4.50 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 4.50 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

  • 4.50 ABIM MOC Self Evaluation Points
    Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 4.50 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.
  • 4.50 AMA PRA Category 1 Credit™
  • 4.50 Non-physician

Price

Your cost:
$0.00
Please login or register to take this course.

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.