Outpatient clinical documentation often struggles with inconsistencies, time constraints, and variability across clinical settings. These challenges can lead to incomplete records, compromising patient care and clinical decision-making. Errors in documentation also impact coding accuracy, reimbursement, and compliance, while the lack of Social Determinants of Health (SDOH) documentation further affects patient outcomes. Effective communication and collaboration are often missing, underscoring the need for standardized practices and robust training.

This webcast, led by Angela Comfort, DBA, RHIA, CDIP, CCS, CCS-P—a recognized expert with over 30 years of experience—offers essential guidance on improving outpatient documentation. You will learn how to document patient encounters accurately, incorporate SDOH, and use technology to enhance documentation quality. This session is crucial for professionals aiming to ensure complete, precise, and compliant records, ultimately improving patient care and supporting accurate reimbursement.

Why This is Relevant:

For coders, this topic is vital as it directly impacts medical coding accuracy and billing. Understanding documentation integrity helps coders avoid errors, maintain compliance, and enhance healthcare data quality. Attending this webcast will equip you with the knowledge to address documentation gaps and improve your coding practices.

Learning Objectives:

• Understand the Importance of Accurate Outpatient Clinical Documentation
• Identify Key Components of Outpatient Documentation
• Apply Best Practices for Using ICD-10-CM and CPT Codes
• Incorporate Social Determinants of Health (SDOH) into Documentation
• Leverage Technology and Collaboration to Enhance Documentation Quality

Who Should Attend:

Outpatient/physician office coding professionals, outpatient/physician office CDI professionals, HIM Directors, Physician Practice Managers