Documentation Improvement for Post-operative Complications
Understand Coding Guidelines and Overcome Challenges
AUDIO CONFERENCE ON CD OR ON-DEMAND
Presented on Friday, July 8, 2011
It’s crucial to understand the difference between clinical and coding definitions for post-operative complications if you want documentation that accurately captures the patient’s condition and services provided.
During this two-hour audio conference, you'll get tips to help physicians understand the differences between clinical language and the guideline-driven specific details required for coding.
Our expert speakers address differences in clinical v. coding definitions of post-operative conditions and provide a list of sample phrases and a sample post operative query language that will be effective in getting physician response. You’ll also learn strategies to work with physicians who don’t understand what's lacking in documentation they already provided.
Note: This is an intermediate-level program.
At the end of the program you will be able to:
- Explain CMS’ official definition of complications—and compare them to those of profiling agencies
- State the different coding and clinical definitions of post-operative complications
- Describe the impact of ICD-10 on coding and documentation for surgical complications
- Explain how to proactively educate physicians on documentation requirements
- Write compliant, non-leading queries for post-operative complication conditions
TAKE A LOOK AT THE AGENDA:
- Essential coding information
- Post-operative definitions
- Complication definitions
- Coding Clinic guidance
- ICD-9-CM coding directives
- ICD-10-CM/PCS complication coding
- Physician documentation
- Documentation guidelines for code assignment
- Clinical expectations and understandings
- CDI approaches and examples of queries
- Physician education
- Publicly reported data
- Service line analysis
- Targeted lessons
- Types of complications due to
- Body systems
- -ostomy sites
- Transplanted organs
- Other procedures
- Case examples
- Postoperative ileus
- Postoperative atrial fibrillation
- Postoperative anemia
- Postoperative fever and possible causes
- Intraoperative accidental lacerations (e.g., coronary artery dissection, bowel perforation, dural tears)
- Postoperative respiratory failure
- A question and answer session follows the presentation.
MEET THE SPEAKERS:
Audrey G. Howard, RHIA, a senior consultant with 3M HIS Consulting Services, performing coding research and providing support for client coding questions. She has more than 20 years of HIM experience and has taught advanced coding classes and documentation programs. She has written coding columns for For the Record, and is an AHIMA ICD-10-CM/PCS certified trainer.
Cheryl M. Manchenton, RN, BSN, is an inpatient consultant with 3M Consulting for Documentation Improvement. She has more than 20 years of experience including policy and procedure development, ethics, staff training, education and clinical development, performance improvement and quality initiatives development; and documentation improvement.
CONTINUING EDUCATION CREDITS
AAPC: This program has prior approval of the American Academy of Professional Coders for 2.0 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 2.0 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 2.0 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?
CDI specialists and managers, HIM directors and managers, inpatient coders, coding managers, physician advisors, nurses and nursing managers
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.
Product Types :
SOURCE CODE: EHCPR