Top Five Coding and Documentation Challenges
Product Description:
AUDIO CONFERENCE ON CD OR ON-DEMAND
Sponsored by JustCoding
Presented on Wednesday, October 20, 2010
Physician documentation sometimes lacks the specificity coders need to assign appropriate codes, leading to physician queries for that additional information or for clarification.
Coders must follow the appropriate coding guidelines and code accordingly based on the documentation provided. However, without clarification or response to a query, the documentation may result in an inaccurate clinical picture of the patient, negatively impacting the physician's professional profile and quality ratings.
This program examines five conditions for which frequent coding errors occur due to insufficient documentation:
- Acute kidney injury
- Coding of complications
- Altered mental status
- Cardiac cath lab procedures and indications
- Pulmonary conditions and procedures
Our speakers will help you bridge the language gap between physicians and inpatient coders.
This is an intermediate-level program. Participants should have a working knowledge of ICD-9-CM, Volumes 1-2-3. Knowledge of DRG methodology is a plus.
LEARNING OBJECTIVES
At the conclusion of this audio conference, you will be able to:
- Define underlying causes of acute kidney injury and encephalopathies in hospitalized patients
- Apply Coding Clinic advice to common cardiac procedures
- Explain the difference between post operative and iatrogenic pneumothorax respiratory failure
- Craft clinically appropriate queries that physicians will answer
TAKE A LOOK AT THE AGENDA
- Acute kidney injury
- Disease definitions
- Change from MCC to CC
- Retrospective audit
- Coding of complications
- Post operative respiratory failure
- Iatrogenic pneumothorax respiratory failure
- Coding Clinic guidance
- Potentially Preventable Complications methodologies
- AHRQ Patient Safety Indicator reporting
- Altered mental status
- Conditions including delirium, dementia, stupor, coma
- Underlying causes including encephalopathies, transient ischemic attacks, strokes, neurodegenerative diseases, psychiatric illness
- Cardiac cath lab procedures and indications
- Swan-Ganz catheterization
- Cardiac resynchronization
- MAZE procedures
- Pulmonary conditions and procedures
- Pleural effusions
- Pneumonia v. bronchitis
- Mechanical v. chemical pleurodesis
- Transthoracic v. endobronchial lung biopsies
- Case scenarios
As always, a live question and answer session follows the presentation.
FEATURED SPEAKERS
Margi Brown, RHIA, CCS, CCS-P, CPC, CCDS, is an independent consultant and an adjunct instructor for HCPro's Boot Camps. She co-authored HCPro's Physician Queries Handbook and serves on the ACDIS CCDS exam content development committee. She has more than 30 years experience in the HIM hospital and physician arena including CDI, audits, education, compliance, RAC / denial management, and other projects
James S. Kennedy, MD, CCS, is a managing director in the FTI Healthcare group of FTI's Corporate Finance practice and is based in Brentwood, TN and Atlanta, GA. A certified coder and general internist, Dr. Kennedy is one of the authors of HcPRO's Minute from the Medical Staff from Medical Records Briefing and serves on the advisory board of HCPro's Briefings on Coding Compliance.
BONUS MATERIAL INCLUDED IN YOUR MATERIAL PACKET!
In addition to the expertise and advice presented during this audio conference, you'll receive a slide presentation of the program materials and valuable takeaways, which you can use at your facility, including:
- Minute to the Medical Staff bulletin from HCPro's Medical Records Briefing
- Dr. James Kennedy's documentation tips
WHO SHOULD LISTEN?
HIM directors, coders and their managers, CDI specialists, compliance officers, directors of quality assurance, physician advisors, and cath lab directors
AUDIO ON-DEMAND
In addition to the regular participation options for HCPro audio conferences—live, CD, or combination packages—we are pleased to offer an audio on-demand, which allows you to download the program and play it back at your convenience through your computer or MP3 player. Purchase an CD or audio on-demand or CD 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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