PBI Medical Record Keeping (MR-17)Back
17 CME/CE hours
Deficiencies in medical record keeping is a common reason for referral to a remedial course, yet many clinicians fail to recognize why they are being held to account for what they may consider a chore—even a distraction from patient care. Our course illustrates why the process of keeping complete, clear, and accurate medical records is critical to the responsible provision of patient care and explores perceived obstacles to adhering to better practices. The pre-seminar review of provided medical records sets the stage for the in-person, interactive instruction in standards of record keeping, including trouble-shooting to ensure that newfound habits can be maintained.
- Pre-course component: Online and written assignments totaling two hours
- In-person component: Two days totaling 15 hours
- Certificate distributed upon successful completion of course at the end of day two
Professions this course is suitable for:
Physicians, physician assistants, nurses, veterinarians, dentists, podiatrists, and other clinicians.
This course addresses issues such as:
- Incomplete or illegible records
- EMR and coding inaccuracies
- Other record keeping deficiencies as determined by employer, regulator, or law
- Understand and implement the regulations and laws regarding medical record keeping
- Improve documentation in support of appropriate billing codes
- Document with clarity to reduce misinterpretation and errors
- Provide improved documentation for risk management
- Apply improved skills for maintaining electronic medical records
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the University of California, Irvine School of Medicine and Professional Boundaries, Inc. The University of California, Irvine School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.
The University of California, Irvine School of Medicine designates these live activities each for a maximum of 30 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in activity.