At the conclusion of this continuing education activity, the participant will be able to:

1. Define medical documentation and its role in facilitating safe and effective patient care, ensuring reimbursement for services provided, and serving as a legal record of the patient’s treatment.
2. Identify and compare commonly used charting styles, including narrative charting, PMOR, charting by exception, and clinical pathways.
3. Identify common concerns surrounding computerized charting and steps that health care professionals should take to mitigate these concerns.
4. Recall best practices in legally defensible charting.
5. Recall how the Health Insurance Portability and Accountability Act protects sensitive health information.

This nursing continuing professional development activity was approved by the Georgia Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

AchieveCE is also an accredited provider by the Florida Board of Nursing (Provider #50-20641) and the California Board of Registered Nursing (CEP17265). This course is approved by CE Broker, with CE Broker No. 20-650652.

  Level 2. Basic Application of Skills and Concepts

This activity was developed by AchieveCE free of any commercial support.