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5 Courses Recommended for an M.D. or D.O.

Welcome to the National Procedures Institute resource page. Below you will find CME courses specifically tailored to M.D. and D.O. professionals that fulfill Prescribed Credits from the American Academy of Family Physicians and AMA PRA Category 1 Credit™. The courses are designed to involve attendees with participatory exercises and practices, allowing them to gain the hands-on experience.


1. Hospitalist Procedures – This course covers a variety of procedures and skillsets that are required of a hospitalist. If you are a primary care physician or osteopathic physician that would like to better understand the role of a hospitalist, this course would be a great choice. It covers indications, contraindications and techniques of procedures commonly performed by hospitalists. This knowledge allows the transition of patients to and through the hospital to become much more fluid.

Hospitalist Procedures Course Objectives:

By the end of this workshop, participants should be better able to:
Discuss indications, contraindications and technique of procedures commonly performed by hospitalists.
Gain experience with the use of the ultrasound machine in procedures.
Learn pre-procedure evaluation and post-procedure management, including the Joint Commission mandates for Universal Protocol.
Discuss prevention and management of complications of procedures.

2. Billing, Coding & Documentation for Physicians – Our Billing and Coding offering is designed to keep your entire staff on the same page with documentation. Your office will be able to more efficiently process patients with increased understanding of proper health care plan options, carrier requirements and regulations for state and federal governments, coding diagnoses and procedures and much more.

Billing, Coding & Documentation Course Objectives:

By the end of this workshop, participants should be better able to:
Review Medicare benefits, coverage policies and guidelines.
Utilize “Provider Newsletters,” “Memos,” “Transmittals,” “Coding and Billing Updates,” and other important messages from the Centers for Medicare and Medicaid Services (CMS), and insurance carriers.
Navigate the CMS website and state websites.
Identify strategies for using the internet to improve billing and coding issues.
Discuss National Provider Identifier (NPI) updates and Advanced Beneficiary Notices (ABN) updates and usage.
Discuss Local Coverage Determination (LCD) policies for Medicare, explanation and review of LCD state policies.
Discuss ICD-9, CPT- 4 and HCPCS coding updates, guidelines and polices.
Brief discussion on ICD-10.
Explain how to use the National Physician Fee Schedule Relative Value File.
Implement evaluation and management guidelines and services.
Learn how to optimize coding and billing to increase office revenues.
Discuss “Medical Necessity” and coding for “Medical Necessity.”
Utilize modifiers.
Discuss National Correct Coding Initiative (NCCI) usage.
Discuss surgical coding rules: minor office surgery, bilateral surgery, global days, global billing.
Discuss medical record documentation – “Documentation drives everything.”
Discuss Medicare Preventive Services.
Discuss the claim submission processes and instructions, as well as claim denials, EOBs (explanation of benefits) how to read an EOB.
Read your Remittance Advice (RA).
Discuss site of service differentiation.
Track your reimbursement and enhance your revenue.
Discuss Recovery Audit Contractor (RAC) and other audit issues.

3. Colonoscopy- Our Colonoscopy course makes sure your practice is prepared to accept an ever aging population and the incidence of colorectal polyps and cancer. With the ability to perform colonoscopies in office, you are able to reduce cost, time and patient anxiety.

Colonoscopy Course Objectives:

By the end of this workshop, participants should be better able to:
Discuss the role of primary care physicians as it relates to lower GI endoscopy.
Review basic epidemiological and clinical presentation of colorectal cancer and the role of colonoscopy in screening and surveillance.
Discuss the indications and contraindications for colonoscopy procedures.
Discuss bowel preparation for colonoscopy and the process of obtaining informed consent.
Discuss handling, cleaning, and disinfection of equipment used in colonoscopy.
List the equipment needs and options for colonoscopy.
Assess the advantages and disadvantages of colonoscopy in the office vs. the GI lab.
Discuss the proper use of sedation and monitoring.
Implement these techniques (colon intubation, biopsy, polypectomy, cautery, etc.)
Evaluate basic endoscopic findings — recognition of normal and abnormal.
Implement strategies for obtaining privileges and credentials.
Discuss coding practices and reimbursement patterns for lower GI endoscopy.

4. Joint Exam & Injections – The Join Exam & Injections course allows a primary care physician to more accurately pin point musculoskeletal issues after review of functional anatomy and mechanisms of injuries. The course also contains a broad review of the benefits of joint aspiration and joint injection practice.

Joint Exam & Injections Course Objectives:

By the end of this workshop, participants should be better able to:
Review the anatomy and function of various joints.
Learn specific clinical tests to evaluate each joint using evidence-based medicine guidelines.
Review common mechanisms of injuries and pathology that can lead to them.
Review imaging techniques used for evaluation.
Practice exam techniques in a supervised setting.
Practice joint aspirations and injections using joint models.

5. Dermatologic Procedures – Our Dermatologic Procedures course reviews common skin procedures including skin anesthesia, skin biopsy techniques, cryosurgery, electrosurgery, nail procedures, dermoscopy and coding. Course offerings will provide the ability to identify a wide variety of skin problems and their effective treatments improving your practice offerings and keeping patients in office. Please join us for the Dermatologic Procedures (link) offering. Below you will find the main objectives for the course.

Course Objectives:

By the end of this workshop, participants should be better able to:
Perform common office skin procedures including skin anesthesia, skin lesion biopsy, cryosurgery, electrosurgery and dermoscopy
Identify various skin lesions that should be biopsied and are surgically treatable in the office
Describe the diagnosis and treatment of various benign and malignant skin lesions
Discuss when to refer patients for subspecialty care
Explain coding and billing issues and pitfalls