Is it Really Sepsis? Reconcile Clinical and Coding Criteria
AUDIO CONFERENCE ON CD OR ON-DEMAND
Sponsored by JustCoding.com
Presented on July 22, 2011
Avoid Sepsis Coding Pitfalls
From 2000 to 2008, hospitalizations for sepsis as a principal diagnosis more than doubled. The diagnosis cost $14.6 billion to treat in 2008 alone. With such rapid growth, the over-documentation and over-coding of sepsis is a highly visible risk area. An understanding of nationally accepted criteria is necessary to avoid inaccurate claims and recoupments. Correcting common mistakes in documentation will improve coding accuracy and keep you off auditors’ radars.
During this 90-minute audio conference, our speakers will explain the sepsis disease process and discuss the difference between coding and clinical criteria for sepsis. They will use case studies to demonstrate correct coding.
Note: Listeners should have and understanding of coding guidelines and conventions in ICD-9.
At the end of the program you will be able to:
- Explain the sepsis disease process
- Determine when and when not to query for sepsis
- Identify when sepsis has been ruled out
- Recognize when to sequence sepsis before the surgical operation
- Recognize when to sequence sepsis before a local infection based on Present on Admission
- Conflicting coding and clinical criteria for sepsis
- Historical context
- Coding challenges
- Clinical insight
- Mistakes made in the past
- Over documentation of sepsis
- Over coding of sepsis
- Case studies and examples of proper coding
- Sequencing sepsis ahead of surgical procedure
- Identifying the codes for sepsis with only documentation of SIRS (systemic inflammatory response syndrome)
- Identifying organ failures that could lead to codes for severe sepsis
- Over documenting/over coding of organ failures
- 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 a lead instructor for the company's Certified Coder Boot Camp®—Original Version (covers physician and outpatient hospital coding) as well as the Certified Coder Boot Camp—Inpatient Version (inpatient hospital facility coding). She is an AHIMA-certified ICD-10 trainer. She has extensive experience as both inpatient and outpatient coder for physicians and facilities.
Robert S. Gold, MD, is founder and CEO of DCBA, Inc., in Atlanta, GA, a consulting firm that provides physician-to-physician educational programs in clinical documentation improvement (CDI). He has more than 45 years of experience as a physician, medical director, and consultant. He 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, all from HCPro.
CONTINUING EDUCATION CREDITS
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.
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).
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).
WHO SHOULD LISTEN?
Inpatient coders, coding managers and directors, clinical documentation improvement specialists, case managers/utilization review, auditors, certified nurse practitioner, physician assistants, physicians
BONUS MATERIAL INCLUDED IN YOUR MATERIAL PACKET
In addition to the expertise and advice presented during this audio conference, you'll also receive a slide presentation of the program materials as well as a Wound care terminology list.
In addition to the regular participation options for HC Pro 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. It's also a perfect training tool for new staff or as a refresher for veteran staff.
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