ComplianceOnline

Clinical Documentation: How to Avoid Documentation Pitfalls in the EMR

Instructor: Dreama Sloan-Kelly
Product ID: 704852
Training Level: Intermediate
  • Duration: 60 Min

recorded version

$179.00
1x Person - Unlimited viewing for 6 Months
(For multiple locations contact Customer Care)
Recorded Link and Ref. material will be available in My CO Section

Training CD

$299.00
One CD is for usage in one location only.
(For multiple locations contact Customer Care)
CD and Ref. material will be shipped within 15 business days

Customer Care

Fax: +1-650-963-2556

Email: customercare@complianceonline.com

Read Frequently Asked Questions

This clinical documentation webinar will discuss how to appropriately document in the history, physical exams, and assessment and plan section of the EMR. It will also provide practical tips on designing templates, as well as avoiding common audit pitfalls.

Why Should You Attend:

Proper clinical documentation in the electronic medical record is crucial to ensure maximum reimbursement but also ensure compliance.

Knowing how to properly document in the Electronic Medical Record will ensure the providers are documenting to the highest level of specificity for maximum reimbursement. It also decreases the chances of a negative finding during an audit. Proper documentation also allows for the transfer of information between parties to be much easier with less errors.

This training will provide practical tips on how to populate the history, physical exams and assessment and plan section of the EMR. It will also give tips on designing templates that meet compliance standards, as well as avoid common audit pitfalls.

Areas Covered in the Webinar:

  • How to appropriately document in the history, physical exam, and assessment/plan so it is compliant while meeting all CMS documentation guidelines
  • How to design a template that works for the group but also ensures the note meets all compliance standards
  • Pitfalls many face in audits – copy and paste, bringing forth old information, point and click
  • Communicating to doctors the importance of proper documentation rather than just pointing and clicking -Who can document what in the EMR

Who Will Benefit:

  • Practice Managers
  • Office Managers
  • Compliance Officers
  • Medical Billers
  • Medical Coders
  • MD, DO, NP, PA
  • Clinical Documentation Improvement Specialists
  • MR Auditors
  • Front Desk

Instructor Profile:

Dreama Sloan-Kelly, MD, CCS has over 14 years of experience in the medical field. A graduate of Wellesley College and Tufts University School of Medicine she has a varied background including clinical, billing, and coding. As CEO of Kelly, Sloan and Associates, LLC, Dreama speaks at various seminars, imparting her knowledge in an upbeat, matter of fact, manner. Her goal is get the pertinent information to the attendee, minimize the nonsense, and make sure everyone has fun at the same time. Dreama works with practices one on one, through coding consulting. She offers in-services seminars that can be held on or off-site. Dreama has learned in most seminars you spend a whole day only getting 20% of what you need, and 80% you leave – she has made it her goal to carve out the 20% that you need and giving you the take home message that will help you and your practice.

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