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Risk Management Consult
Documentation
Overview
While every lawsuit is unique, the documentation errors that commonly contribute to malpractice claims are both foreseeable and preventable. By learning to recognize the mistakes that commonly contribute to malpractice suits, physicians should learn to document in ways that both improve patient care and reduce their own potential liability.
Objectives
Upon completion of this course, a physician should be able to:
1. Explain why poor documentation is a major factor in many “failure to diagnose” and other malpractice claims.
2. List the elements of the LAWSUIT documentation model, and explain why each is important.
3. List billing practices that will likely lead to problems with Medicare/Medicaid as well as private insurers.
4. Explain the do’s and don’ts of documentation techniques, and explain how they affect patient care and physician liability.
Target Audience
This course is designed for physicians who want to improve patient safety and reduce medical errors by confronting and addressing issues relating to documentation and record-keeping.
Methodology
This is a self-study course consisting of text and CME test. Physicians should read the course content, answer the test questions and submit the answers for scoring. Those who complete the course with a score of 80 percent or higher will earn a maximum of 5 AMA PRA Category 1 creditsTM.
Faculty/Author
This course was developed by Rosemary Gafner, Ed.D. and James E. Schutte, Ph.D. Their CVs are available online at https://www.medrisk.com/Medrisk/Faculty/CV/default.aspx.
CME Information
Medical Risk Management, Inc. is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing education for physicians. Medical Risk Management, Inc.designates this continuing medical education activity for a maximum of 5 AMA PRA Category 1 creditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.
This activity is valid for release May 1, 2007 and expires on April 30, 2012.
Commercial Support
This activity was developed solely by Medical Risk Management, Inc. without any outside commercial support.
Disclosure
Neither Dr. Gafner nor Dr. Schutte has anything to disclose.
Nursing CE Information
CorExcel is accredited as a provider of nursing continuing education by the American Nurses Credentialing Center's Commission on Accreditation. Satisfactory completion of the test will earn the nurse 11.2 contact hours.
 Please check with your insurance carrier for approved courses before registering. Courses not approved by your insurance carrier will not be accepted by them for an y discounts they may offer.
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