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ForwardThe Full Code Podcast (Recorded presentation): Episode 1: MDM, Time, and Audits – Telling the True Story of Your Visit
This podcast series is an educational program designed to support physicians and advanced practice providers by addressing real‑world challenges related to clinical documentation and coding. Episodes focus on high‑impact topics that directly affect clinical practice, including documenting medical decision‑making, capturing patient complexity, avoiding common documentation pitfalls, and aligning documentation with current Medicare and payer expectations.
Target Audience
This course is intended for physicians, physician assistants, and all other advanced practice clinicians regardless of specialty or sub-specialty
Learning Objectives
At the end of this session, learners should be able to:
- Differentiate between documentation that reflects clinical activity versus documentation that clearly supports medical decision‑making or time for E/M services.
- Apply current E/M documentation principles to real‑world clinical scenarios to accurately reflect patient complexity and decision‑making.
- Select the appropriate method for E/M coding (medical decision‑making or time) based on the work performed and document it clearly.
- Demonstrate how to explicitly document clinical reasoning, risk assessment, and management decisions in the medical record.
- Identify and correct common documentation gaps that lead to E/M audit risk or inconsistent code support.
- Implement documentation practices that consistently align with current Medicare and payer expectations without increasing documentation burden.
Faculty
Joseph Cristiano, MD, Academic Faculty Physician, Wake Forest University Health Sciences
Patrice Fedel, DNP, Advanced Practice Registered Nurse Specialty Non-Procedural, Aurora Medical Group, Inc.
Taylor Kent, CPC-I. Physician Coding Educator, Advocate Health, Inc.
Courtney Ligocki, Clinician Coding Liaison, Advocate Health, Inc.
Melissa Manzuk, PA, Clinical Excellence Director Advanced Practice, Aurora Medical Group, Inc.
Erica Slack, DNP, FNP-BC, Advanced Practice Registered Nurse Primary Care, Advocate Health and Hospitals Corporation
Cortnee Sidle, CPC, CPMA, Physician Coding Educator, Advocate Health, Inc.
Rachel L. Williams, BSM, RHIT, CPC, Manager Mid Revenue Cycle, Advocate Health, Inc.
Debra Wright, Clinician Coding Liaison, Advocate Health, Inc.
Disclosure
The planner(s) and speaker(s) have indicated that there are no relevant financial relationships with any ineligible companies to disclose.
Accreditation Statement
In support of improving patient care, Advocate Health is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Credit Statement(s)
American Medical Association (AMA)
Advocate Health designates this enduring activity for a maximum of 0.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
American Nurses Credentialing Center (ANCC)
Advocate Health designates this enduring activity for a maximum of 0.25 ANCC contact hours. Nurses should claim only the credit commensurate with the extent of their participation in the activity.
American Academy of Physician Associates (AAPA)
Advocate Health has been authorized by the American Academy of Physician Associates (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 0.25 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.
Available Credit
- 0.25 AMA PRA Category 1 Credit™Aurora Health Care is accredited by the Wisconsin Medical Society to provide continuing medical education for physicians. Aurora Health Care designates this activity for a maximum of 0.25 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.
- 0.25 AttendanceAttendance Credit
- 0.25 Approved AMA PRA Category 1 Credit™
- 0.25 Continuing Nursing Education (CE)Aurora Health Care is an approved provider of continuing nursing education by the Wisconsin Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. 0.25 contact hours have been awarded to this activity by the Wisconsin Nursing Association. To receive contact hours, participants must attend the entire activity.
- 0.25 Physician Associates CreditAdvocate Health has been authorized by the American Academy of Physician Associates (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 0.25 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.
Price
How to Register
Click “Take Course” to complete this program.
Participation Options
This course is available to Advocate Health providers (employed and independent) and team members only.
For Further Information
If you have any questions regarding the presentation, please contact Mid-Revenue Cycle Education and Talent Advancement Services at [email protected]
If you have any questions regarding registration, please contact the IPCE Office at [email protected]
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