This online enduring material is designed for physicians. Its purpose is to address the need to anticipate risk areas regarding coding accuracy and how health care reform initiatives for payment/quality metrics are being assessed. Needs exist to create consistency between patient severity reported by the hospital and those reported by physicians. There is also a need to review hospital acquired conditions and patient safety indicators. Needs exist to identify strategies in implementing compliant documentation and how to safeguard hospitals and physicians by using the new documentation requirements.