provider education

dragonclawz70

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Does anyone know of an online class or webinar for "teaching providers documentation"? My practice manager asked me to research this. She didn't elaborate on exactly WHAT kind of documentation she's talking about so I'm assuming she means general clinical documentation in the EMR. I'm not sure exactly how long of a class or course or webinar she's thinking of but I thought I'd start with posting on here to see if other family practices have any kind of education resources they utilize for their providers. Thank you in advance for any tips on where to research! I did see in a thread here a recommendation for www.emuniversity.com so I'm going to check that out.

Tara
 

Orthocoderpgu

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EMUNIVERITY is good, but keep in mind that the physician that runs that site will intentionally slant the dictation so that one level is chosen over another level. Your doctors might be sitting there saying to themselves that some of the information is not clinically accurate, and they would be right. But the physician does that on purpose to educate coders. So it may not be the best to educate providers. I had a doctor that only documented positive ROS. From a legal standpoint if he ever had to he could not show that he reviewed systems that were negative. Doctors can have their own way of thinking about documentation. The best thing for them to understand is that they are not documenting so that another MD can understand the medical record. They need to understand that they need to document so that most people in the medical community would understand.
 
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dragonclawz70

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There's this self-paced learning module for office E/M https://hcmarketplace.com/em-training-clinicians. The person who manages the account can see who has completed what sections and so on.
Thank you, I'll check it out! I've been thinking about it, maybe going at it from an auditing point of view so the providers can see what kind of information they should be documenting in their notes for insurance companies and potential future audits. My practice manager hasn't been totally clear about what kind of education she thinks the providers need so I guess I'll try to come up with a couple of different angles and see which way she wants to go.
 

carlystur

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Doctors can have their own way of thinking about documentation. The best thing for them to understand is that they are not documenting so that another MD can understand the medical record. They need to understand that they need to document so that most people in the medical community would understand.
I know this is a couple of months old, but thank you so much for summing that up like this! I'm a brand new Clinical Documentation Improvement Specialist for a Neurosurgeon's practice and I've been trying to think of what the best way is to explain how the providers need to be documenting each encounter as politely and tactfully as I can. Hopefully, this will help with that.
 
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