Logo for Mastering Acute Care Charting

The Essential Charting Course for the Updated 2023 AMA Evaluation and Management Guidelines

Created for Emergency Clinicians, Hospitalists, and Intensivists

Laptop, tablet, and phone with macc course on screen

The First Major Charting Guideline Changes in 30 Years for EDs and In-Hospital Units

…a once-in-a-generation restructuring of the guidelines

…impacting roughly 85% of the relative value units (RVUs) for typical (ACEP) members

Everything You Need to Stay Current With the Latest 2023 Charting Mandates

  • Instruction by an energetic, knowledgeable faculty of “been there, done that” charting experts

  • Four hours of everything you’ll need to know – a deep dive into the details of the 2023 charting requirements

  • A medicolegal update focusing on new charting-related Federal rules (e.g., The 21st Century Cures Act)

  • Incorporates key point slides to help reinforce and retain important information

Sample Lectures

View Course Formats & Pricing

Get Up to Speed on These Absolutely Essential Charting Updates

Course Topics:

  • Overview of 2023 Changes
  • History and Physical Examination in 2023
  • MDM 2023 Changes Overview
  • MDM Grid Close Look: Problem Column
  • MDM Grid Close Look: Data Column
  • MDM Grid Close Look: Risk Column
  • MDM 2023 Changes Bringing It All Together
  • Medicolegal Topics for 2023 Documentation Changes
  • Shared Visit Documentation and Critical Care in 2023
  • Observation Documentation and Code Changes
  • Same Day Admission/Discharge Documentation Changes
  • Inpatient Documentation and Code Changes
  • Time-Based Coding in 2023
  • Prolonged Services in 2023
  • Consult Documentation and Code Changes
  • Proposed E&M Code Valuation in 2023

The Ultimate in Convenience to Meet Your Busy Schedule.

  • Don’t miss family/work obligations
  • Avoid the expense and hassles of travel
  • Available in a variety of formats to suit your needs
  • Learn at your own pace and on your own time

Meet the Faculty

Experts at Charting, Coding, Billing, and Risk Management

The AMA and CMS (Medicare and Medicaid) Have Mandated New Charting Guidelines. Are You Ready?

ED Charting: In the Beginning

In 1992 the AMA developed very specific charting guidelines that required clinicians to document designated items related to the CC, HPI, PMH, ROS, PE and Medical Decision Making.

Medicare Adopts AMA Charting Guidelines

The Center from Medicare and Medicaid Services adopted these guidelines as did most other insurers as the basis for determining the level of service (99281-99285) and subsequently, payment.

As of January 1, 2023 – No More H/P Requirements

With regard to the history and physical, now clinicians themselves determine what an appropriate history and physical is given the problem at hand, while still being mindful of medicolegal and quality concerns.

As of January 1, 2023 – Medical Decision Making Is Everything

As of January 1, 2023, the previous charting guidelines are GONE, except for Medical Decision Making, as they relate to assigning levels of service. All that matters in this regard now is Medical Decision Making.

The Specifics of Medical Decision Making Are Complicated

The elements of Medical Decision Making have been specifically defined and augmented and are relatively complex – and you’ll need to know the changes cold when you hit the bricks running on Sunday, January 1, 2023.

Self-Study CME Accreditation

The Center for Emergency Medical Education (CEME) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Center for Emergency Medical Education (CEME) designates this self-study activity for a maximum of 4.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The AOA automatically recognizes AMA PRA Category 1 Credit™ as AOA Category 2 credit.

Both PA and NP organizations recognize AMA PRA Category 1 Credit™ as approved CME.

The Center for Medical Education, Inc., is an approved provider by the California Board of Registered Nursing, Provider No. 12345.

Target Audience

The Mastering Acute Care Charting: 2023 Updates self-study course is intended for all physicians, PAs, and NPs who practice in the acute care settings of intensivists, hospitalists, and emergency physicians.

Learning Objectives

Upon completion of this self-study program, participants will be able to:

  • Communicate the method by which Medicare establishes payment levels.
  • Identify emergency department charts that are out of compliance with the 2023 Medicare guidelines.
  • Cite the components of Medicare-mandated Medical Decision Making.
  • Incorporate into their charting elements that will help assure patient respect and risk-management principles.
  • Implement the updated AMA/Medicare charting guidelines into their practice.