Clinical Documentation Excellence (CDE) - Online Education

Expert virtual training developed by physicians for clinicians who provide care in value-based settings.

Value-based care organizations are accountable for patient outcomes and assume financial risk for such. Providers use risk adjustment to measure care delivery and as a mechanism for payment. Careful documentation and coding are key to receiving accurate payment for care given, but not all providers have fully developed these skills. 

The physician-consultants of Capstone Risk Adjustment Services, a service of CareVention HealthCare, have presented onsite training to value-based healthcare providers nationally since 2005. Now, this same highly-regarded training is available as a convenient online course.

Clinical Documentation Excellence (CDE) Online Education is appropriate for physicians, physician assistants, mid-level practitioners, nurse practitioners, nurses, pharmacists, medical directors, and clinical leadership.

The course focuses on the clinician’s role in risk adjustment and the development of skills in detecting and specifically documenting conditions for more accurate coding. The series offers:

  • Convenient 24/7 access to fit your busy schedule
  • 13+ hours of engaging content
  • Timely, relevant topics including documenting specific conditions   

By clicking ‘Register now’ will be redirected to the Tabula Rasa HealthCare (TRHC) University catalog. 

Course Objectives:

  • Understand the role of the clinician in risk adjustment
  • Learn how diagnostic codes are used in quality metrics, population health, and risk adjustment
  • Acquire skills in ICD-10 coding and appropriate chart documentation

I loved these…They were short, and to the point. Very easy to use and packed with so much helpful information.Andrea Khosropour, MD, Senior Medical Director Oak Street Health

Demonstrate your clinical documentation expertise with a CDE-C Certification 

Capstone Risk Adjustment Services, in conjunction with Tabula Rasa HealthCare University (TRHCU), is pleased to offer the Clinical Documentation Excellence Certification (CDE-C). 

A certification in Clinical Documentation Excellence demonstrates your commitment to and competency in accurate chart documentation for risk adjustment. The CDE-C program comprises the successful completion of modules in three categories as demonstrated through post-tests for each module and a final, comprehensive certification examination. The three categories of modules to be completed are Introductory and Background, Required, and Elective.

To learn more about the CDE-C certification program, email or call 844-683-5302.

12-Month Subscriptions Available!

A 12-month subscription provides complete access to the CDE course curriculum, including all Introductory and Diagnostic Modules.

Completion of this subscription qualifies the user for the CDE-C certification examination.  [Cost: $1,800]

For information on multi-user discounts, email or call (844) 683-5302.


The Clinical Documentation Excellence Curriculum:

Introductory Modules:

Value Based Payment in Healthcare
Risk Adjustment Methodology
Provider’s Role in Risk Adjustment
ICD-10-CM 1: Basics
ICD-10-CM 2: Changes in ICD-10-CM
ICD-10-CM 3: Coding Examples
ICD-10-CM 4: ICD-10 Coding Tips and Resources

Diagnostic Modules:

Peripheral Arterial Disease
Heart Failure
Nephropathy and Chronic Kidney Disease (CKD)
Diabetes and Complications
Major Depression
Chronic Obstructive Pulmonary Disease (COPD) 
Venous Disease

Morbid Obesity
Skin Ulcers
Cardiac Dysrhythmias
Coronary Disease, Angina and Acute Myocardial Infarction
Strokes and Sequelae
Dementia and Complications


Osteoporosis and Fractures
Neoplastic Disease – Solid Tumors
Neoplastic Disease – Hematopoietic
Substance Use Disorder
Cardiorespiratory Failure
Artificial Openings, Amputations and Other Status Conditions

The CDE Online Education series curriculum was developed by physicians with expertise in value-based care:

Richard Schamp

Richard Schamp, MD

Dr. Richard Schamp has more than 30 years of experience in geriatric care and leadership across a variety of  healthcare organizations. He has been a consultant to nearly two-thirds of Progams of All-inclusive Care for the Elderly (PACE) organizations since 2001 and has trained hundreds of medical directors and primary care providers in clinical topics related to value-based healthcare. As former CEO of Capstone, he is an industry expert in Medicare risk adjustment.  Dr. Schamp earned his Doctorate of Medicine degree from the University of Kansas.

George W. Brett, MD

George “Mike” W. Brett, MD

Dr. Mike Brett has more than 30 years of experience in geriatric medicine and
long-term care. Prior to joining Capstone as a consultant in 2014, he served as the medical director for PACE in Southwestern Pennsylvania. As a private practitioner for more than three decades, Dr. Brett specialized in internal medicine and geriatrics and served as medical director for several long-term care facilities and hospice organizations, in addition to PACE. His work with PACE led to his interest and eventual expertise in Medicare risk adjustment. He is a frequent presenter on topics including polypharmacy in the elderly and risk adjustment. 

David Wilner

David Wilner, MD, FACP, AGSF

Dr. David Wilner has extensive experience in geriatric and palliative care medicine and medical education. A professor of medicine at the University of Massachusetts Medical School, Dr. Wilner previously served as medical director and vice president of Summit ElderCare, Fallon Health’s PACE program in Central Massachusetts, and as coordinator of geriatric medicine training at St. Vincent’s Hospital in Worcester, Mass. He is a past member of the National PACE Association’s (NPA’s) board of directors and former chair of NPA’s Primary Care Committee. Dr. Wilner is board certified in geriatric  medicine, hospice and palliative medicine, and internal medicine and is a  fellow of the American College of Physicians and the American Geriatrics Society.

Indira Kanouka, MD

Indira Kanouka, MD

Dr. Indira Kanouka is a board certified internist who has cared for patients in multiple clinical settings including Federally Qualified Health Centers, Long Term Acute Care hospitals, and PACE. She has also served in medical director and clinician-educator roles in LTAC and PACE. Since joining Capstone in 2018, Dr. Kanouka continues to help providers, who work in CMS risk adjustment models, understand their roles in optimally identifying, diagnosing, and documenting all current conditions, as well as use the PACE model effectively for the benefit of their participants and programs.

Continuing Education

In support of improving patient care, Tabula Rasa HealthCare University is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

For more information on the CDE Online course or the CDE-C certification program, email or call (844) 683-5302.