Principal Diagnosis for Complex Cases
Select the Right Code and Minimize Audit Risk
Product Description:
AUDIO CONFERENCE ON CD OR ON-DEMAND
Sponsored by: JustCoding.com
Presented on Wednesday, May 25, 2011
RACs and other auditors are second guessing principal diagnosis selection – the main determinant of the DRG.
During this 90-minute audio conference you’ll learn how to support your choice of principal diagnosis by reviewing difficult case studies that will explain the official coding guidelines.
Our expert speakers will explain how to support your principal diagnosis selection when RACs and other auditors disagree. They will touch on key changes to ICD-9-CM and some unexpected changes for ICD-10.
Note: This is an intermediate to advanced program.
At the conclusion of this program, participants will be able to:
- Sequence correctly interrelated and co-equal conditions
- 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
TAKE A LOOK AT THE AGENDA
- 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
- Complications
- ICD-9-CM changes
- Differences under ICD-10
- Poisonings and adverse reactions
- Guidelines under ICD-9-CM
- Potential changes in ICD-10
- Diabetes
- Guidelines under ICD-9-CM
- Potential changed in ICD-10-CM
- Cancelled or additional treatment
- Admission after outpatient surgery
- Clinical examples of rules application
- A live question and answer sessions follows the presentation.
MEET THE SPEAKERS
Jennifer Avery, CCS, CPC-I, CPC-H is an instructor for the Certified Coder Boot Camp®, the Certified Coder Boot Camp® Online, and the Certified Coder Boot Camp®–Inpatient Version. She is an AHIMA-certified ICD-10 trainer. She is a regulatory specialist for HCPro’s Revenue Cycle Institute where she utilizes her vast experience in both inpatient and outpatient coding by developing custom training and education sessions.
William E. Haik, MD, has practiced medicine in Fort Walton Beach, FL, since 1980 and is the director of DRG Review, Inc. He served on the American Hospital Association's Editorial Advisory Board and Expert Advisory Panel of Coding Clinic for ICD-9-CM. He is a founding member of the ACDIS Advisory Board and participated in the preparation of the original American Health Information Management Association Certified Coding Specialist examinations.WHO SHOULD LISTEN?
Inpatient coders and managers, clinical documentation specialists/professionals, HIM managers and directors, DRG advisors/physician advisors, compliance professionals, audit professionals
AUDIO ON-DEMAND
Purchase a CD or an audio on-demand of the audio conference 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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