Surgical Complications
Clinical Documentation Improvement for Compliant Coding and Accurate Quality Measures
Product Description:
Audio Conference on CD or Audio On-Demand
Sponsored by the Association of Clinical Documentation Improvement Specialists (ACDIS)
A program for CDI specialists and coding staff
presented on November 20, 2009
Reporting complications of surgery is a tug of war between physicians and hospitals. Learn the coding and documentation requirements to ensure proper hospital reimbursement and accurate physician profiles.
During this 90-minute audio conference, our speakers discuss complication documentation, coding, and querying. They describe how complications of surgery affect physician profiles on Web sites such as HealthGrades.com and keep you up to date on the latest ICD-9-CM code changes to complications algorithms.
NOTE: This is an intermediate-level program. Purchasers should have a general familiarity with the impact of reporting complications of surgery from the perspective of hospital-acquired conditions, patient safety indicators, and financial views.
LEARNING OBJECTIVES
At the conclusion of this audio conference, you will be able to:
TAKE A LOOK AT THE AGENDA:
- Case study—Clarian Health Partners, Indianapolis
- The problem—Surgeons and public profiles
- The solution—Education and strategies for proper reporting
- Guidelines for reporting surgery complications
- Hospital finances v. physician profiles
- Complication codes and AHRQ, HealthGrades scoring
- ICD-9-CM Official Coding Guidelines and Coding Clinic
- Expected events v. separately reportable complications
- Assigning complication codes in conjunction with surgery
- Present on admission, hospital acquired conditions considerations
- Physician query techniques
- Clinical scenarios
- Post-operative respiratory insufficiency
- Post-operative ileus following bowel surgery
- Hemorrhage complicating a procedure
- Foreign bodies left in after procedure
- Acute post-hemorrhagic anemia
- Other scenarios
A question and answer session follows the presentation.
MATERIALS
In addition to the expertise and advice presented during this audio conference, you'll also receive a slide presentation of the program materials and
- References from Coding Clinic
- Sample policies and procedures
- Graphs of severity-adjusted mortality statistic comparisons
- Related articles
These materials are provided with PDF links.
MEET THE SPEAKERS
Robert S. Gold, MD, is founder and CEO of DCBA, Inc., in Atlanta, GA, a consulting firm that provides physician-to-physician education programs in clinical documentation improvement, including training staffs to perform concurrent review and HIM professionals to understand the clinical aspects of diseases and procedures to which they assign codes. He has more than 42 years of experience as a physician, medical director, and consultant. Dr. Gold writes Clinically Speaking for Briefings on Coding Compliance Strategies and Minute for the Medical Staff for Medical Records Briefing, and is the author of the training handbook, Documentation Strategies to Support Severity of Illness: Ensure an Accurate Professional Profile, all from HCPro.
Lena N Wilson, RHIA, CCS, is the HIM operations manager of the clinical documentation improvement program (CDIP) and inpatient coding at Clarian Health Partners in Indianapolis. In her current role, Wilson is responsible for the CDIP at Clarian's three facilities in downtown Indianapolis, and the inpatient coding operations for the downtown facilities and the two suburban hospitals.
CONTINUING EDUCATION
AHIMA: 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 10/28/10.
AAPC: 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 10/31/10.
CCDS: This program has been approved for 1.5 continuing education units towards fulfilling the requirements of the Certified Clinical Documentation Specialist (CCDS) certification, offered as a service of the Association of Clinical Documentation Improvement Specialists (ACDIS). Credits expire 11/20/10.
WHO SHOULD LISTEN?
Clinical documentation specialists, coding managers and staff; decision support managers and staff, inpatient coding managers and staff, quality managers, and chiefs of surgery.
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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