Principal Diagnosis Selection: Ensure MS-DRG Accuracy and Avoid Compliance Risk
AUDIO CONFERENCE ON CD OR AUDIO ON-DEMAND
Sponsored by Briefings on Coding Compliance Strategies
presented on March 29, 2010
When you have a patient with interrelated or co-equal conditions, determining the principal diagnosis is crucial. This is just one example of the scenarios that are discussed during this 90-minute audio conference, led by William E. Haik, M.D., a former member of AHA’s editorial advisory board and expert advisory panel of Coding Clinic for ICD-9-CM. He and co-presenter Jennifer Avery explain principal diagnosis selection guidelines and how they apply in difficult clinical situations.
Please Note: This is an intermediate to advanced-level program.
At the conclusion of this audio conference, you will be able to:
- Formulate clinically succinct queries
- Apply coding rules appropriately for selection of the principal diagnosis
- Explain when it is appropriate to report a manifestation as a principal diagnosis
- Sequence correctly interrelated and co-equal conditions
- Sequencing of interrelated and co-equal conditions
- Specificity of diagnosis reporting
- Signs or symptoms
- Uncertain diagnoses
- Acute manifestation superimposed on a chronic underlying disease
- Reporting manifestations as principal diagnoses
- Trend toward reporting underlying chronic conditions as principal
- Two or more contrasting/comparative conditions
- Surgical procedure delineates the MS-DRG
- Therapeutic v. diagnostic procedures
- Surgical hierarchy
- Surgical condition as principal diagnosis
- Neoplasm coding
- Primary/secondary malignancy v. chemotherapy/radiation therapy
- Treatment directed at the metastatic site only
- Signs and symptoms
- Poisonings and adverse reactions
- Cancelled or additional treatment
- Admission after outpatient surgery
- Clinical examples of rules application
A question and answer session follows the presentation.
MEET THE SPEAKERS
Jennifer Avery, CCS, CPC-H, CPC, CPC-I, is a senior regulatory specialist with HCPro, Inc. and serves as a lead instructor for the company's Certified Coder Boot Camp® and the Certified Coder Boot Camp®-- Inpatient Version.
William E. Haik, M.D., practices medicine in Fort Walton Beach, FL, and is certified in internal, pulmonary, and critical care medicine. He is also the director of DRG Review, Inc., a physician-directed hospital coding consulting service.
CONTINUING EDUCATIONACDIS (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).
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. Expires: 2/28/11
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). Expires 3.29.11
WHO SHOULD LISTEN?
Inpatient coders, clinical documentation specialists/professionals, HIM managers and directors, DRG advisors/physician advisors, compliance professionals, audit professionals
Program materials are provided with PDF links.
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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