Medical Documentation: Clinical, Legal and Economic Implications for Healthcare Providers


Feb 22-23
Medical Documentation

June 7-8
Medical Documentation

Nov 8-9
Medical Documentation

Who Should Attend?

This course is designed for physicians in all specialties who need or wish to improve their documentation skills, with particular regard to clinical communication, legal risk, regulatory compliance, and appropriateness for reimbursement.

Statement of Need

Medical education notoriously gives inadequate attention to teaching physicians how to properly document the patient encounter. Current challenges in maintaining accurate and complete patient records include the conversion to electronic medical records, ever-changing regulatory and billing guidelines, and legal constraints. This course aims to give providers the knowledge base and skills to generate compliant, risk-reducing, and reimbursable documentation.


  • Clinical Documentation of the Medical Encounter
  • E&M Coding – Getting it Right, Keeping it Simple
  • Legal Requirements for Medical Record Keeping
  • Physician Compliance Issues
  • Clinical Decisions and Documentation When Prescribing Controlled Drugs
  • Don’t Invite the Feds to Your Office
  • EMR Is Here To Stay: How to Live With It
  • ICD 10 and You
  • Let’s Practice Good Documentation
  • Group Review and Discuss Submitted Records


Case Western Reserve University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Case Western Reserve University School of Medicine designates this live activity for a maximum of 15.25 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

How to Register

  1. Register online by selecting from our calendar of courses.
  2. Mail the 2018 Documentation completed form with a check payable to Case Western Reserve University or complete the credit card information and send to:
    Continuing Medical Education Program 
    10524 Euclid Avenue
    Cleveland, Ohio 44106-6026
  3. Fax the 2018 Documentation completed form with your credit card number to 216.844.8133
  4. Phone 216.983.1239 or 800.274.8263 with the information requested on the form and your credit card number.

Location + Accommodations

The course will be held at the DoubleTree by Hilton Cleveland East Beachwood, 3663 Park East Drive, Beachwood, Ohio, at the Chagrin Boulevard exit off of I-271. Call the DoubleTree by Hilton directly at 216.464.5950 to make your reservations. A block of rooms has been reserved. Medical Documentation is the group name.

See map.