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Bridging the Gap - Clinical Documentation and Coding
$239.00
How do your skills measure up?
1. How effective are you at querying providers to extract complete and correct information from the documentation, i.e., "all of these words have to be in the documentation”?
2. Do you understand 7th character usage and the difference between initial and subsequent?
3. Can you identify all the components necessary in the documentation to code to the highest degree of specificity?
4. Have you minimized the use of unspecified codes?
5. Are you aware that there can be serious consequences with copy/paste and cloning records resulting in improper reimbursement?
All healthcare providers must ensure that the claims submitted to Federal healthcare programs are true and accurate. This class will help coders work with providers to assess and gather the information needed in documentation to support appropriate code assignments.
CEUs
3
Length
181 min
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Quantity
Class Highlights
- Review of clinical documentation requirements for ICD-10-CM
- Identify problems with clinical documentation, such as copy/paste/cloning
- Provide strategies for maintaining effective communication and positive professional interaction between clinicians and coders
- Focus on the documentation impact of patient quality care
- Establish guidelines for documenting and coding of medical records to their greatest level of specificity
- Review the scope and steps for an effective compliance plan
- Learn what to do if you have information about fraud or abuse in your organization
- Engage in hands-on practice with documentation examples and writing different forms of queries
Who Should Attend
Class content is relevant for medical office professionals responsible for accurate medical coding and billing in an outpatient healthcare setting. This program is designed for coders, auditors, providers, clinical, and practice staff involved in medical coding. Consultants, compliance officers, and office managers may also benefit.
Prerequisites
This is an intermediate-level class. Content assumes knowledge of outpatient coding and reimbursement.
Class Materials
Includes instructional materials. Participants must bring a current ICD-10-CM code set manual to class.
