ICD-9-CM Procedural Coding for Wound Care and Debridement

A program for acute care hospital coders and administrators

AUDIO CONFERENCE ON CD OR AUDIO ON-DEMAND

Sponsored by:

presented on March 26, 2009

A recent status report revealed that Recovery Audit Contractors (RACs) collected nearly $14 million in overpayments related to inpatient wound care coding for excisional debridement (specifically DRG 217). Coding errors were to blame in a majority of the cases, as providers did not provide sufficient medical record documentation of excisional debridement. In June 2008, the RAC status document specifically cited a debridement case, making it clear that the RAC will continue to target this challenging aspect of ICD-9-CM coding.

Compliant debridement coding can save you money.

You can maintain compliance when it comes to inpatient wound care ICD-9-CM coding, but you have to know which Coding Clinics and ICD-9-CM guidelines are relevant, and you need to know how to ask for the documentation that supports correct code assignment. Listen to HCPro's 90-minute audio conference ICD-9-CM Procedural Coding for Wound Care and Debridement: Confront Compliance and RAC Challenges. Coding expert Gloryanne Bryant, BS, RHIA, RHIT, CCS (Catholic Healthcare West), demonstrates compliant methods to document excisional and nonexcisional debridement. Bryant walks listeners through case study scenarios and provide compliance tips based on her experience with the RAC demonstration project. As an added bonus, you will receive complete references to all relevant AHA Coding Clinics so you will have all of the information you need to escape the scrutiny of RAC auditors.

LEARNING OBJECTIVES

At the conclusion of this audio conference, you will be able to:

• Identify relevant Coding Clinics and ICD-9-CM inpatient procedure coding guidelines
• Discuss RAC findings regarding excisional debridement
• Describe why specific documentation for inpatient debridement is critical
• Define excisional versus nonexcisional debridement for inpatient coding
• Discuss best practices and compliance tips to effectively avoid a RAC audit

TAKE A LOOK AT THE AGENDA:

• Coding wound care debridement
• Discussion of relevant Coding Clinics (including complete excerpts in your materials packet)
• Discussion of relevant ICD-9-CM procedure coding guidelines
• RAC issues
• MS-DRG and ICD-9-CM findings
• Debridement documentation challenges
• Case scenarios
• Nonexcisional debridement
• Excisional debridement
• Best practices and compliance tips
• Auditing
• Strategies for documentation improvement
• A question and answer session follows the presentation

BONUS TOOLS

In addition to the expertise and advice presented during this audio conference, you'll also receive a slide presentation of the program materials and:

• Link to RAC Status Report/Appendix
• Debridement Physician Clarification Query Form
• Complete excerpts from relevant AHA Coding Clinics

These materials are with PDF links.

CONTINUING EDUCATION

This program has prior approval of the American Academy of Professional Coders for 1.5 Continuing Education Units. Granting of this approval in no way constitutes endorsement by the Academy of the program, content or the program sponsor. Credits expire on Feb. 28, 2010.

This program has been approved for 1 continuing education unit for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Credits expire on March 26, 2010.

MEET THE SPEAKER

Gloryanne Bryant, BS, RHIA, RHIT, CCS, corporate senior director of coding HIM compliance, Catholic Healthcare West (CHW), San Francisco, CA. Bryant is responsible for coding and documentation compliance at acute care facilities and a variety of other non-hospital based healthcare entities in the CHW system. She has the charge of developing, implementing/setting and maintaining SystemWide coding policies, and creating an internal coding compliance auditing and monitoring team and process. Bryant has more than 30 years experience in the HIM field, and is a sought-after national speaker and author on healthcare compliance, reimbursement, clinical documentation, coding regulations (ICD-9-CM and CPT).

WHO SHOULD LISTEN?

Professionals in acute care hospitals, including the following titles:

• HIM director/manager
• Hospital inpatient coder
• Billing director/managers/staff
• Compliance officer
• Coding manager/supervisor
• DRG consultant
• Inpatient auditor/coding consultant
• RAC coordinator
• Clinical documentation improvement specialist

AUDIO ON-DEMAND

In addition to the regular purchase options for HCPro audio conferences, we are pleased to offer another option, audio on-demand. Audio on-demand allows you to download the program and play it back at your convenience through your computer or MP3 player. Purchase a CD or audio on-demand of the program and listen when you can. It's also a perfect training tool for new staff or as a refresher for veteran staff.

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