Skip to main content
Not Found
On Demand

Appropriate Documentation

Total CME Credit Hours: 1 Category I (Formal)

Education Types:
Category I (Formal) |  Risk Management
Diagnosis |  Documentation
Becky Walters
1 Hour


In this timely, fast-paced session, we'll cover all the important aspects of Initial Assessment, the most important and often missing component of documentation. Documentation of the initial assessment is often confused with the diagnosis of the patient's condition. We'll cover why this mistake leaves medical record documentation lacking in the most important aspects of "doctor thinking". When these essential initial assessment components are missing, it's difficult to clarify the doctor's case management goals for the episode of active treatment. This "doctor thinking" is often conducted between the doctor's ears and not in the record, and so the lack of the initial assessment in your record can derail your best efforts at good documentation.


This course was presented in May 2016  Becky Walters, MCS-P  and sponsored by KMC University.






Overall:      4.3

Total Reviews: 293


Gareth T - Romeoville, Illinois


Harmony K - Springfield, Illinois


Ira C - Niles, Illinois


Damian D - Schaumburg, Illinois

"An few more examples of good assessments."

Amelia C - Chicago, Illinois

"Wording on the quiz could be better."

Barbara M - Northfield, Illinois


Victoria G - Elmhurst, Illinois


Roy C - Cahokia, Illinois

"Roy C"

Meaghan C - Naperville, Illinois

"I would have liked more info on the heirarchy of coding mentioned"

Petrina J - Carol Stream, Illinois


Please wait ...

Back to Top