Physician Training and Documentation Improvement
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- Physician Training and Documentation Improvement
Short, specialty-focused workshops that raise documentation quality, align to E/M updates (2021–2024), and reduce denials across UAE payers and DOH/insurance policies.
*Targets vary by specialty and payer mix.
Key Training Pillars
Practical, case-based education that improves note quality without slowing clinic flow.
E/M Mastery (2021–2024)
Office/OP MDM and time rules, 1995/1997 legacy components for historical context, and what changed in 2023–2024.
MDM & Time
How to clearly support complexity: problems addressed, data categories, and risk—plus defensible time documentation.
Specialty Modules
Family Medicine, IM, Pediatrics, OB/GYN, Surgery, Ortho, Cardiology, Dermatology & more—real-world scenarios.
CDI & Note Quality
Problem list hygiene, HPI clarity, exam relevance, assessment/plan structure, and medical necessity language.
Denial Defense
Modifiers 25/57/59, global periods, bundling, incident-to/split-shared, and payer-specific documentation asks.
Audit & Coaching
Pre/post audits, feedback loops, and 1:1 shadowing for providers who want deeper coaching.
Sample Curriculum
We tailor the syllabus to your specialties and payer mix.
- E/M 2021–2024 changes (office/outpatient)
- MDM scoring vs. medical necessity
- Time-based coding & prolonged services
- Telehealth documentation essentials
- Injections/infusions & supervision
- Minor/major procedures & global periods
- Diagnostic testing documentation
- Critical care, split/shared, incident-to
- Insufficient documentation (medical necessity)
- Modifier misuse (25, 57, 59, X{EPSU})
- Downcoding and under-documentation
- Payer-specific UAE requirements
How We Deliver
Fast, measurable, and clinician-friendly.
10–25 charts per specialty, gap map, KPI targets.
Tailored agenda, job aids, and examples.
60–90 min live sessions; cases from your clinic.
Shadowing/1:1 feedback, template tweaks.
Post-training audit & executive report.
Packages
On-site across the UAE or delivered virtually.
Starter
- Baseline mini-audit (1 specialty)
- Single workshop (up to 25 providers)
- Pocket guide & documentation checklists
- 30-day follow-up pulse review
Advanced
- Multi-specialty audit & report
- 2–3 workshops + coder/provider sessions
- Template & note-builder recommendations
- 30/60-day follow-ups
Enterprise
- Program across departments
- Embedded coaching days
- Dashboards & KPI tracking
- 90-day executive review
FAQ
Who should attend?
Providers, residents, and fellows. We also include coders/billers where helpful for clinic workflows.
How long are the sessions?
Typical workshops run 60–90 minutes. We can split by specialty or combine with coder Q&A.
Do you support our EHR?
Yes—training is vendor-agnostic. We provide examples and template tips you can adapt to your EHR.
Will we receive materials?
Yes. You’ll get pocket guides, slides, and checklists to reinforce learning.
Can you run post-training audits?
Absolutely. We recommend a 30/60/90-day check with KPI reporting to leadership.