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Clinical documentation essentials for the hospital resident

This library of 17 courses provides residents and other hospital-based physicians with a thorough grounding in the basics of compliant clinical documentation. Learners will be able to describe how complete and accurate documentation ensures an accurate depiction of a patient’s severity of illness.

At the end of this session, learners will be able to:

Explain the importance of accurate documentation for quality and reimbursement purposes
Identify documentation needs for common diagnoses throughout the major body systems
Describe how complete and accurate documentation assists with compliance and determining the medical necessity of admissions
Define common diagnostic terms needed for accurate coding
Describe the basics of coding, hospital reimbursement, and audit and regulatory initiatives

For more information regarding Clinical Documentation Essentials for the Hospital Resident Online Learning Library, please contact Sales at 877-233-8734 or email NAsales@hcpro.com.

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Each course is 10–12 minutes long, designed to be reviewed by the busy resident. The entire program takes about four hours to complete, including the one-hour final exam.

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MAGNET(TM), MAGNET RECOGNITION PROGRAM(R), and ANCC MAGNET RECOGNITION(R) are trademarks of the American Nurses Credentialing Center (ANCC). The products and services of HCPro are neither sponsored nor endorsed by the ANCC. The acronym "MRP" is not a trademark of HCPro or its parent company. HCPro is not affiliated in any way with The Joint Commission, which owns the JCAHO and Joint Commission trademarks, the Accreditation Council for Graduate Medical Education, which owns the ACGME trademark, or the Accreditation Association for Ambulatory Health Care (AAAHC). HCPro is not affiliated in any way with the Institute for Healthcare Improvement (IHI).