Get on the same page with Clinical Documentation Essentials for the Hospital Resident
HCPro Clinical Documentation Essentials for the Hospital Resident
ILT


WRITTEN BY PHYSICIANS, FOR PHYSICIANS

This library of 17 courses provides hospital-based residents 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. After completing all courses in the library, learners will have the opportunity to take a final examination and earn a certificate of documentation integrity along with CME and CCDS credits.

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Clinical Documentation Essentials for the Hosptial Resident eLearning Course Objectives:

 

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

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