Coding and Documentation Integrity Ambulatory - Live Training

This session provides physicians and APCs with practical guidance on how to ensure that their clinical documentation accurately reflects the complexity and scope of patient care. Participants will review current E/M coding guidelines, learn how documentation elements support appropriate level selection, identify common areas where incomplete or ambiguous notes can lead to under or over-coding, and learn the importance of documentation specificity and accuracy for appropriate risk adjustment. Specialty-specific examples will illustrate how clear, concise documentation supports both compliant and full recognition of clinical effort while ensuring strong continuity of patient care.

Target Audience

Physicians and APCs

Learning Objectives

Following this learning activity, participants will be able to:

  • Identify key E/M documentation requirements under current coding guidelines
  • Recognize how documentation supports accurate medical decision-making levels and risk adjustment for patients treated
  • Apply key concepts related to best practice documentation of problems, data and risk in a consistent manner
Course summary
Available credit: 
  • 0.75 AMA PRA Category 1 Credit™
  • 0.75 Attendance
    This program is designed to meet the Minnesota Board of Nursing’s requirements. It is the responsibility of each nurse to determine if the program meets the criteria for licensure or recertification in their discipline.
Course opens: 
06/01/2026
Course expires: 
01/31/2027
Rating: 
0
Disclosure link: 
Disclosure and Content Validation

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

HealthPartners Office of Continuing Medical Education designates this live activity for a maximum of 0.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to: 

  • 0.75 credits toward the CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in AnesthesiologyTM (MOCA®) program, known as MOCA 2.0®. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements 
  • 0.75 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program
  • 0.75 credits toward the CME requirements of the American Board of Orthopaedic Surgery’s Maintenance of Certification program
  • Their required annual part II self-assessment credit in the American Board of Otolaryngology – Head and Neck Surgery’s Continuing Certification program (formerly known as MOC)
  • 0.75 MOC Points toward Lifelong Learning in the American Board of Pathology (ABPath) Continuing Certification program
  • 0.75 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program
  • 0.75 credits toward the CME requirements of the American Board of Physical Medicine and Rehabilitation’s Continuous Certification program
  • 0.75 credits toward the CME and/or Self-Assessment requirements of the American Board of Surgery’s Continuous Certification program
  • 0.75 credits toward the CME requirements of the American Board of Thoracic Surgery’s Continuing Certification program

It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABA, ABIM, ABOS, ABOHNS, ABPath, ABP, ABPMR, ABS and ABTS (MOC) credit/points and/or recognizing participation.

This program is designed to meet the Minnesota Board of Nursing requirements. It is the responsibility of each participant to determine if the program meets the criteria for licensure or recertification for their discipline.

Available Credit

  • 0.75 AMA PRA Category 1 Credit™
  • 0.75 Attendance
    This program is designed to meet the Minnesota Board of Nursing’s requirements. It is the responsibility of each nurse to determine if the program meets the criteria for licensure or recertification in their discipline.
Please login or register to take this course.


This activity is intended for our internal audience only. A login using the HealthPartners Login with your network credentials is required.

Once you are logged in to your account, click Start to continue.

You will be asked to enter the 6-letter attendance verification code provided with the training.

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Internal Audience applies to all HealthPartners Employees and Contract Staff, including HealthPartners, Park Nicollet, TRIA, Westfields Hospital, HPCMC, Hudson Hospital, PNBConline.Com, Lakeview Hospital and Clinics, Amery Medical, HutchHealth