Massachusetts Medical Society: Understanding Clinical Documentation Requirements for ICD-10

Understanding Clinical Documentation Requirements for ICD-10

Understanding Clinical Documentation Requirements for ICD-10

ICD-10 is one of the most significant changes in our industry's history.  Under ICD-10's more rigorous specificity requirements, physician documentation will need to meet the higher standard as well. Physicians will need to meet the standards and guidelines in order to ensure proper coding and billing practices, otherwise they will risk potential denials and therefore will be at risk for loss of revenue.  Furthermore, A recent study of more than 20,000 audits of physicians' clinical documentation revealed that only 63 percent of current documentation is sufficient for ICD-10's specificity levels.  

 This online course is recorded from a live webinar on March 18, 2015.

Learning Objectives

  • Identify why detailed clinical documentation is important for the ICD-10 transition, including high-impact differences between ICD-9 and ICD-10. 
  • Plan and optimize your clinical documentation strategies.  
  • Apply best practices for educating and training your staff.


Jane Tuttle, CPC, CPC-H, CPC-I, CCS-P
is a certified coding and compliance educator and consultant with more than 27 years of experience in health care administration including the areas of, chart-auditing, corporate compliance, HIPAA regulations, practice management, billing, coding and reimbursement. In 2005, Ms. Tuttle formed, CODING EDUCATION ENDEAVORS to serve consulting clients and teach coding students throughout the New England area. She has been a professional coding instructor for 15 years and is a certified ICD-10CM instructor.

Course Fees

Massachusetts Medical Society (MMS) Member Physician: $20.00
MMS Resident/Student Member: $0.00
Non-Member Physician: $45.00
Non-Member Resident/Member: $10.00
Allied Health Professional/Other: $16.00


Slides & Video

CME Credit:

1.00 AMA PRA Category 1 Credit™

Accreditation Statement  
The Massachusetts Medical Society is accredited by the Accreditation Council for Continuing Medical
Education (ACCME) to provide continuing medical education for physicians.

AMA Credit Designation Statement 
The Massachusetts Medical Society designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity meets the criteria for the Massachusetts Board of Registration in Medicine for risk management study.

MOC Approval Statement 
Through the American Board of Medical Specialties ("ABMS") ongoing commitment to increase access to practice relevant Maintenance of Certification ("MOC") Activities through the ABMS Continuing Certification Directory , this activity has met the requirements as an MOC Part II CME Activity (apply toward general CME requirement) for the following ABMS Member Boards:

Allergy and Immunology
Colon and Rectal Surgery
Family Medicine
Nuclear Medicine
Physical Medicine and Rehabilitation
Plastic Surgery
Preventive Medicine
Psychiatry & Neurology
Thoracic Surgery

National Commission on Certification of Physicians Assistant (NCCPA).

Physician Assistants may claim a maximum of 1.00 Category 1 credits for completing this activity. NCCPA accepts AMA PRACategory 1 Credit™ from organizations accredited by ACCME or a recognized state medical society.

A score of 70% or higher is required to receive  AMA PRA Category 1 Credit™.

Activity Term
Original Released Date: July 15, 2015
Review Date: January 15, 2017, June 15, 2018, June 14,2021  
Termination Date: June 15, 2023

System requirements:

Windows 10
Mac OSX 10.6 higher
Most modern browsers including:
IE 11+
Firefox 18.0+
Chrome latest version
Safari 12+
iOS devices beginning with OS version 10 or higher (includes, iPhone, ipad and iTouch devices)
Android devices including tablets and phones.

Windows RT and tablets on Windows 8 are also supported.


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