Online - Clinical Documentation Integrity: Bridging the Language Gap Between Providers and Coders
This program was captured at Nemours Children's Hospital, Florida Pediatric Grand Rounds on May 29, 2024. Pediatric Grand Rounds (PGR) is designed to improve the broad practice of pediatric medicine. In effort to foster curiosity and discussion surrounding concepts related to children’s health, this regularly scheduled series presents a wide variety of topics with a diverse speaker panel for interprofessional clinicians.
Target Audience
Pediatric interprofessional clinicians
Learning Objectives
Upon completion of this activity, participants will be able to:
- Describe the role of the clinical documentation integrity team in creating notes that are reflective of a patient's clinical status during the hospitalization.
- Recognize areas in their documentation that can be improved upon to support medical necessity, defend against future audits and adequately translate clinical terms into ICD-10 diagnoses necessary for coding and billing.
Contact Information: If you have any questions regarding this course please contact the Course Coordinator, Tinessa Callinan at tinessa.callinan@nemours.org
To view the full bio of faculty, please click on their name.
Shiva Kalidindi, MD MS FAAP FACEP CPE
Amit Patel, MD, FAAP, FACEP
Kathryn Cyphers, MSN, RN, CHSE, CPHQ, RNC-NIC
Shiva Kalidindi, MD MS FAAP FACEP CPE
Amit Patel, MD, FAAP, FACEP
Amy Fernandez, BSN, RN, CPN
Rebecca Lewis, MSN, RN, CPN, NPD-BC, CPC, CCDS
Vi Ngo, D.O.
Available Credit
- 0.75 MOC ABP - PediatricsSuccessful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn up to 0.75 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.
- 0.75 MOC ABS – SurgerySuccessful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME requirements of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.
- 0.75 AMA PRA Category 1 Credit™
The Nemours Foundation is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The Nemours Foundation designates this activity for a maximum of 0.75 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 0.75 Continuing EducationThis activity is designated for 0.75 continuing education credits.