This activity is FREE for SGIM/ACLGIM Members.
The price for non-members is $95.00. (Individual modules can not be purchased separately)
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Course Description

The goal of this course is to equip general internists and hospitalists with the knowledge and confidence to efficiently navigate complex billing rules. Billing, coding, and documentation are essential for physicians, ensuring appropriate reimbursement and compliance. However, many residents and early-career physicians report inadequate training in these areas, leading to inaccurate billing, lost revenue, and inefficiencies in practice. This course addresses this gap by providing structured, case-based education on outpatient and inpatient billing. The course is designed for early-career physicians, residents, and advanced practice providers, but it also offers valuable insights for experienced clinicians looking to refine their billing practices.


15 modules:
Outpatient modules:

  • 1. Outpatient problem-based visits
  • 2. Outpatient preventive & dual coding
  • 3. Transitional care management
  • 4. Visit diagnostic codes
  • 5. Online digital E/M services
  • 6. Lung cancer screening
  • 7. Ambulatory billing with residents & students
  • 8. Advanced primary care management

Inpatient modules:

  • 9. Inpatient visit codes
  • 10. Prolonged time
  • 11. Critical care
  • 12. CCs, MCCs, and DRGs
  • 13. Inpatient Teaching Physicians

14. Advanced Care Planning
15. Split Shared Visits

Content Disclosure: This content was developed by experienced academic clinicians and is intended to provide general guidance on billing and coding for inpatient and outpatient care. Standards, requirements, and institutional policies may vary across organizations, and learners are strongly encouraged to follow their own institution’s procedures, policies, and compliance expectations. While SGIM strives to provide accurate and up-to-date information, SGIM and the faculty contributors assume no responsibility or liability for any errors, omissions, or consequences related to the use of this material.


 Learning Objectives
  • Identify the accurate criteria for appropriate outpatient or inpatient billing codes
  • Identify the appropriate billing code for specific clinical cases.

CME/MOC Hours & Expiration Date
Continuing Education Units Available:  6.5 CME; 6.5 MOC (if all 15 modules are completed)
CME/MOC Expires: December 15, 2028
*View Accreditation Statement & Disclosure to Learners document below
To receive CME / MOC credit, you must
  1. Complete the pre-content survey
  2. Complete the content recording
  3.  Complete the post-content survey
  4.  Open the Certificate and claim your certificate (print/save for your records).

Presenters
  • Eric J. Nolan, MD
    Ohio State University College of Medicine
  • Steven Allon, MD
    Vanderbilt University Medical Center
  • Danielle L. Heidemann, MD
    Henry Ford Hospital
  • Stephen Fuest, MD
    University of Colorado School of Medicine
  • Manoj Ramachandran, MD
    Ohio State University College of Medicine
  • Jennifer Shiroky-Kochavi, MD
    University of South Florida College of Medicine

Course Topic

Health Services, Health Workforce, Leadership, Administration, & Career Planning

CME Hours

6.5

MOC Hours

6.5

Member Cost

$0.00

Non Member Cost

$95.00

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