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Clinical Documentation in the World of ICD10 for the Urgent Care Provider

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Clinical Documentation in the World of ICD10 for the Urgent Care Provider

1 hour Audio and Power Point Presentation

Recorded April 19, 2016

Course Description:

Which ICD-10 code is best? Does my 15-year-old patient with a wrist fracture get an initial, subsequent or sequela code for his injury? Will it even matter how I code this diagnosis? Why does it matter if I just click off on my same UTI and URI templates every day? We have all had these thoughts, so why not dive into the world where your clinical documentation is explored? Understand the ramifications of your documentation patterns, and explore ways to improve your clinical communication skills for reimbursement, medico-legal issues, quality of care, and patient safety.

Learning Objectives: 

    •Classify ICD10 diagnosis codes based on their chapters and examine the codes most commonly used in urgent care.
    •Identify codes for injuries and accidents, including how to properly assign "acute" "subsequent" and "sequela" episodes of care modifiers.
    •Determine ways your improved diagnosis code choices can affect your reimbursement in the world of quality-based payment metrics.
    •Diagnose common documentation oversights in templated progress notes.
    •Connect the dots between your clinical thought process and the words you use in your medical record to ensure accurate and efficient documentation.

Faculty Bio:  Christine C. Stallkamp, MD FAAFP CHCQM

Christine Stallkamp MD, FAAFP CHCQM is a graduate of Jefferson Medical College and West Suburban Hospital Family Practice Residency Program in Oak Park, IL. She practiced full-scope family medicine for 9 years before venturing into urgent care. She is currently the medical director of urgent care and occupational health in a 4-hospital health system in suburban Philadelphia, with 2 current urgent care/occupational health locations and more in the works. She oversees employee health as well as workman's comp clients and travel medicine. In addition to her medical directorship, she continues to see patients and also leads a group of 8 physicians in Utilization Management and Clinical Documentation for Main Line Health.

Credit Information:

Designation Statement
The Urgent Care Association of America designates this enduring material activity for a maximum of 1 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Accreditation Statement
This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education. Credit for this course is good for 1 year after purchase.

Urgent Care Management Certificate 

Earn 1 UCMC credit in Billing & Coding by listening to this recorded session.

Submitting for Credit:  

If you would like to submit for either of the credit above, once you complete the activity you must submit for credit you will need to complete the 5 question exam.  You must answer 3 out of 5 correctly to receive credit.  Your credit will be placed in your profile under Professional Development or click on "My Credits".  Email with questions.  

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