Physician Advisors in CDI
Take a Team Approach to Achieve Success and Credibility
Product Description:
Audio Conference on CD or Audio On-Demand
Sponsored by HCPro's 2009 edition of the ICD-9-CM Manuals and JustCoding.com
presented on April 9, 2009
A program for hospital coding professionals
Improper heart failure coding can lead to delayed or denied reimbursement that directly affects your bottom line. When codes don't accurately reflect patient severity, physician profiles become inaccurate and hospitals don't receive appropriate payments for the quality of the treatment they provide.
Despite the importance of compliant coding, several barriers exist to getting it done right. A major obstacle in proper heart failure coding is that coders are often unable to distinguish between clinical diagnoses and treatments. An error in judgment or a misunderstanding of a doctor's actions can lead to an incomplete or erroneous code submission. Furthermore, physicians don't typically understand coding guidelines, nor do they provide thorough documentation.
A clinical and a coding perspective
Overcome the difficulties of heart failure coding by listening to a coder and a physician walk you through analyses of various case studies. Listen to HCPro's 120-minute audio conference, Heart Failure Coding: Accurate Assignment to Reflect Patient Severity.. Robert S. Gold, MD (DCBA, Inc.) and Shannon McCall, RHIA, CCS, CPC-I (HCPro, Inc.) present efficient and effective querying techniques for coders and documentation techniques for physicians. The speakers explain—in plain English—the common diseases that can cause heart failure, the treatments, and how to accurately report ICD-9-CM codes for the conditions. Discussion also contains some likely upcoming changes from the Coordination and Maintenance Committee.
LEARNING OBJECTIVES
At the conclusion of this audio conference, you will be able to:
- Identify how to accurately report ICD-9-CM codes for heart failure cases
- Explain the impact of insufficient physician documentation on both facility and physician profiles
- Identify when and how it is appropriate to ask a physician for clarification, including how to formulate questions (queries)
- State the major causes of heart failure and the appropriate coding (acute and chronic conditions)
- Describe how to prepare for upcoming changes
TAKE A LOOK AT THE AGENDA:
- How heart failure coding affects hospital reimbursement and physician profiles
- Hospital reimbursement, including CCs, MCCs, MS-DRGs
- Physician profiles and publicly available data
- The importance of documentation for accurate code assignment
- Clinical indications/terminology of heart failure
- Differences between:
- Heart failure
- Ventricular dysfunction
- Cardiomyopathy
- Diseases that cause heart failure & appropriate coding
- Hypertension
- Valvular
- Ischemia
- Alcohol
- Viral
- Amyloid cardiomyopathy
- Clues to identify appropriate heart failure queries
- Potential codes that could be assigned
- Clinical indications and correctly coding heart conditions
- Review of appropriate ICD-9-CM codes
- Clarifying clinical indications with physicians
- Educating physicians on documentation requirements
- Case examples
- A question and answer session follows the presentation
CONTINUING EDUCATION
This program has prior approval of the American Academy of Professional Coders for 2 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 March 31, 2010.
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:
- Sample physician query (clarification) form
These materials are provided with PDF links.
MEET THE SPEAKERS
Robert S. Gold, MD, founder/CEO, DCBA, Inc. (Atlanta, GA). Gold heads DCBA, a consulting firm that provides physician-to-physician educational programs in clinical documentation improvement. He has more than 41 years of experience as a physician, medical director, and consultant. Gold writes Clinically Speaking for Briefings on Coding Compliance Strategies and Minute for the Medical Staff for Medical Records Briefing, and he is the author of the training handbook, Documentation Strategies to Support Severity of Illness: Ensure an Accurate Professional Profile, all from HCPro.
Shannon McCall, RHIA, CCS, CPC-I, director of coding/HIM, HCPro, Inc. (Marblehead, MA). McCall manages the instructors of the Certified Coder Boot Camps® at HCPro, which cover physician and outpatient hospital coding and inpatient hospital facility coding. She actively serves as an instructor for both Certified Coder Boot Camps and is the original developer of the Inpatient version. McCall works with hospitals, medical practices, and other healthcare providers on a wide range of coding-related issues with a particular focus on coding reviews and audits. She has extensive experience with coding for both physician and hospital services.
WHO SHOULD LISTEN?
Professionals in a hospital setting, including the following titles and job descriptions:
- HIM director
- Coding manager/staff
- Reimbursement manager/staff
- Patient financial services staff
- Billing manager/staff
- Compliance officer
- Cardiology department manager/technician
- Electrophysiology department manager/technician
- Documentation specialist
- Cardiologist
- Electrophysiologists
AUDIO ON-DEMAND
In addition to the regular participation options for HCPro audio conferences—live, CD, or combination packages—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 a refresher for veteran staff.
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