GML-04 - Documentation for Interventions: Covering the Operating Room and Clinic Settings

Friday, September 5, 2025

9:35 AM - 10:30 AM PST

Location: Nolita (Level 4)

CE: Credit Hours: 1 | Pharmacotherapy: 0 | Mate: 0

Co-Presenter(s)

Collin Duffy, PA-C

Chief PA
Groth Pain & Spine
Patchogue, New York
Tim Groth, CEO

Chief Executive Officer
Groth Pain & Spine
Lake Grove, New York
Christopher Amen, DO

Board President and Physician
Timothy Groth Pain Management
Timothy Groth MD PC
Port Jeff Station, New York

This session will cover best practices for documenting interventions in both the operating room and clinic settings, focusing on accuracy, compliance, legal considerations, reimbursement and strategies to improve efficiency and reduce errors.

Learning Objectives:

Identify key documentation elements for interventional pain procedures that meet legal and reimbursement standards.
Differentiate clinical, procedural, and billing documentation to ensure compliance and malpractice protection.
Use structured templates and workflows to improve accuracy, efficiency, and defensibility.
Recognize common documentation deficiencies and audit triggers, with strategies to reduce risk and improve coding.
Apply best practices for real-time documentation, including consent, time-outs, intra-procedure findings, and post-procedure plans.