Medical Documentation Course
The Medical Documentation Course is an online self-paced, in-depth program that focuses on patient evaluation, documentation of the encounter and its billing. Instruction is presented through self-paced videos and handouts. There is pre-, during, and post-assessment of the trainee’s documentation: pre-assessment to understand baseline, after the videos to practice learned material, and then post-course to assure there is sustained facility with documentation practices, with written and verbal feedback.
Course fee
$1,000
Availability and timeline
Self-paced, available upon request. Virtual with real-time check-ins, follow-up every two weeks for two months.
Objectives
- List common reasons for physicians’ problems with boards of medicine
- Describe appropriate documentation including clinical reasoning
- Identify essential elements of interviewing
- Describe interview practices of focused populations: family, children, adolescent, older adults (optional)
- Review coding and documentation guidelines for billing
- Describe some common legal pitfalls in patient documentation
- Document sample patient notes (pre-, during, and post-assessment)
- Review feedback received on sample patient notes (pre-, during, and post-assessment)